Wegmann Helena, Mayer Steffi, Blankenburg Notker, Zimmermann Peter, Schulz Torsten, Lacher Martin, Kleber Christian, Osterhoff Georg
Department of Orthopaedics, Trauma and Plastic Surgery, University Hospital Leipzig, 04103, Leipzig, Germany.
Department of Pediatric Surgery, University Hospital Leipzig, Leipzig, Germany.
Eur J Trauma Emerg Surg. 2025 Feb 13;51(1):106. doi: 10.1007/s00068-025-02785-y.
This study aims to determine key demographic and behavioural risk factors contributing to firework-related injuries and their outcomes.
A retrospective study was conducted on pediatric and adult patients treated for firework-related injuries at the University Hospital Leipzig from December 28th to January 3rd over 10 years (2013-2023). Data were collected on demographics, injury details, weather conditions and classification of fireworks.
A total of 155 patients (mean age 24 years, 80% male) were included. Injuries predominantly occurred within two hours after midnight, and all incidents involved violation of safety regulations. Most injuries were self-inflicted (48.4%), with hands being the most frequently affected body part (52.9%). Burn injuries were common (43.9%) but were less likely during rainy weather (OR 0.4, 95% CI 0.2-0.7, p = 0.004). Surgical intervention was required in 23.9% of cases, with significant risk factors being associated bone injuries (OR 107.1, 95% CI 22.7 to 505.6), male sex (OR 5.7, 95% CI 1.3-25.0) and multiple body region injuries (OR 4.9, 95% CI 2.1-11.7). Permanent loss of function was observed in 46.5% of all patients.
Firework-related injuries around New Year's Eve are associated with significant morbidity, particularly affecting the hands and often requiring surgical intervention. Bone injuries, male sex and multiple body region injuries were associated with higher need for surgical treatment. Despite most fireworks being purchased legally, there is widespread disregard to age restrictions and safety protocols. These findings highlight the necessity of public health initiatives to reduce the incidence and severity of such injuries, rather than stricter regulations.
本研究旨在确定导致烟花相关伤害及其后果的关键人口统计学和行为风险因素。
对莱比锡大学医院在10年（2013 - 2023年）中12月28日至1月3日期间因烟花相关伤害接受治疗的儿科和成年患者进行了一项回顾性研究。收集了有关人口统计学、伤害细节、天气状况和烟花分类的数据。
共纳入155例患者（平均年龄24岁，80%为男性）。伤害主要发生在午夜后两小时内，所有事件均涉及违反安全规定。大多数伤害是自我造成的（48.4%），手部是最常受影响的身体部位（52.9%）。烧伤很常见（43.9%），但在雨天发生的可能性较小（比值比0.4，95%置信区间0.2 - 0.7，p = 0.004）。23.9%的病例需要手术干预，显著的风险因素包括合并骨损伤（比值比107.1，95%置信区间22.7至505.6）、男性（比值比5.7，95%置信区间1.3 - 25.0）和多身体部位损伤（比值比4.9，95%置信区间2.1 - 11.7）。在所有患者中，46.5%出现了永久性功能丧失。
新年前夕与烟花相关的伤害会导致严重的发病率，尤其对手部造成影响，且常常需要手术干预。骨损伤、男性以及多身体部位损伤与更高的手术治疗需求相关。尽管大多数烟花是合法购买的，但人们普遍无视年龄限制和安全规程。这些发现凸显了公共卫生举措对于降低此类伤害的发生率和严重程度的必要性，而非更严格的法规。
