Epidemiological Analysis of Upper Extremity Amputations From Lawn Mower-Related Injuries.

Abstract

Lawn mower-related injuries (LMIs) represent a complex spectrum of pathology with significant public health ramifications. The purpose of this study was to analyze the epidemiological factors associated with lawn mower upper extremity amputations. The National Electronic Injury Surveillance System (NEISS) database was queried from 2014 to 2023. National case estimates were established for upper extremity amputation events secondary to lawn mowers using diagnostic and injury-specific coding parameters. Documented cases from NEISS-participating hospitals were evaluated and injury data surrounding individual amputation events were analyzed. An estimated 17 509 upper extremity amputations occurred from 2014 to 2023 secondary to LMI in the United States. Annual case estimates and incidence rates remained relatively uniform across the 10-year study period. Most injuries were estimated to occur in 50- to 59-year-old patients. Case record review from pooled participating NEISS hospitals yielded 469 cases of upper extremity amputation directly associated with LMI from 2014 to 2023. Ninety-one percent of cases occurred in men, and most events involved the amputation of a finger (97%). Most cases of lawn mower-associated injury involved the amputation of the middle digit (41.6%) in isolation (64% of cases involved amputation of 1 digit). Despite advances in product safety and consumer education, the estimated frequency and incidence rate of upper extremity amputations secondary to LMI has remained largely unchanged over the past 10 years. When these events did occur, 40- to 60-year-old men were most often involved, most commonly leading to amputation of the third finger in isolation.