Acute backpack injuries in children

The objective of this study was to identify the most common mechanisms and sites of injury associated with book backpacks in school-age children, who present to the emergency department. This should help with the development of backpack injury prevention strategies. One hundred emergency departments throughout the United States that participate in NEISS data collection served as the setting. All children between 6 and 18 years old who were recorded in the NEISS database with a backpack-related injury were studied. Patients were identified by review of the NEISS data from 1999-2000. The researchers separated patient data by age, sex, location of injury, and mechanism of injury. Results showed that there were 247 children with backpack injuries. The mean age was 11.8 years, and 50% were male. The most common injury location was the head/face (22%), followed by the hand (14%), wrist/elbow (13%), shoulder (12%), and foot/ankle (12%). The back ranked sixth (11%). Of these back injuries, 59% were associated with carrying a backpack. The most common mechanism for injury was tripping over the backpack (28%), followed by wearing (13%), and getting hit by the backpack (13%). In conclusion, although the CPSC data on backpack injuries is frequently quoted in articles relating backpacks with back injury, 89% of backpack injuries in this study did not involve the back. This study does not support the hypothesis that back injury is the major problem with book backpacks in the emergency department setting.