Injuries from piercing or cutting instruments or objects are commonly
seen in the pediatric emergency department, In this study, we present
the epidemiology of piercing injuries resulting in hospitalization. Me
dical records for a one year period with E-codes 920.0-920.9 were revi
ewed for victim-related demographic data, anatomic injury location, ve
hicle of injury, treatment, and hospital charges, The Abbreviated Inju
ry Scale (AIS) was used to ascertain injury severity, The most common
vehicles of injury were glass (n = 24, 34%), nails (n = 11, 16%), and
needles (n = 10, 14%). The median AIS score was significantly higher f
or hand injuries compared to the sample median AIS. Piercing injuries
from consumer-related products were associated with the highest AIS sc
ores (median = 2.5), Although the mean AIS for all injuries was only 1
.5, these injuries resulted in significant costs, with a mean hospital
ization charge of $3884 +/- 3528, Surgical procedures under general an
esthesia were required in 81% of the patients.