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Two Year Olds Have the Highest Number of Tricycle Injuries

Tricycle accidents were the most common cause of toy-related deaths in children in 2012, yet there is little research available to the public regarding tricycle-related injuries in the pediatric population. In the October 2015 Pediatrics study, “Tricycle Injuries Presenting to US Emergency Departments, 2012-2013,” (published online Sept. 14), data on tricycle injuries in children younger than 18 years of age were examined from the National Electronic Injury Surveillance System for 2012 and 2013. In an estimated 9,340 tricycle-related injuries treated in US emergency departments, patients between the ages of 1 and 2 years represented 51.9 percent of all injuries, and males accounted for 63.6 percent of injuries. This study demonstrated that the most common type of injury associated with tricycles is a laceration, usually on the face. Internal organ damage was the most common type of injury in 3- and 5-year-olds. The head is the most frequently injured body part in children riding tricycles, underscoring the importance of helmet use. Study authors conclude that although there are fewer tricycle-related accidents that require a visit to the emergency department in comparison with bicycle accidents, injuries and deaths associated with tricycles are an important concern, and parents are encouraged to discuss tricycle safety with their pediatrician.

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The American Academy of Pediatrics is an organization of 64,000 primary care pediatricians, pediatric medical subspecialists and pediatric surgical specialists dedicated to the health, safety and well-being of infants, children, adolescents and young adults. (

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