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Smartphone-Related Accidents in Children and Adolescents

A Novel Mechanism of Injury

Wagner, Richard MD*; Gosemann, Jan-Hendrik MD*; Sorge, Ina MD; Hubertus, Jochen MD; Lacher, Martin MD, PhD*; Mayer, Steffi MD*

doi: 10.1097/PEC.0000000000001781
Original Article: PDF Only

Objectives Smartphones have become an integral part of daily life, often grabbing full attention of its user. We hypothesized that smartphone-associated trauma in children and adolescents has increased in the last decade. The objective of this study was to analyze smartphone-related injuries in children at two German centers for pediatric emergency care.

Methods Smartphone-related injuries were recorded between January 2008 and March 2018 at two centers of pediatric surgery in Germany. Data were assessed for patient demography, cause of accident, type of injury, treatment, and outcome.

Results Ten children (8 girls, 2 boys; mean ± SD age, 10.6 ± 6.0 years; range, 10 weeks to 17 years) were included. Two patients were injured in 2008 to 2015, eight in 2016 to 2018, of which three required hospital admissions. Six accidents happened in public spaces, and four within domestic environments. Eight children (mean ± SD age, 13.3 ± 2.4 years; 7 girls) were injured while using their smartphone, therefore being distracted. Two children (mean ± SD age, 6.5 ± 6.4 months) were involuntarily hurt by the smartphone of their caregivers. The causes of accident and related injuries were highly variable and ranged from minor trauma (mild head injury [n = 3], abrasions [n = 2], bruises of fingers [n = 2]/hand [n = 1]/ankle [n = 2]) to major injuries requiring intensive care treatment (pelvic [n = 1] or vertebral body fractures [n = 1]).

Conclusions Smartphone-associated injuries mainly caused by distraction gain increasing importance in pediatric traumatology. The frequency is higher in females compared with their male counterparts. The prevention of these accidents should become part of educational programs for children and adolescents.

From the Departments of *Pediatric Surgery, and

Pediatric Radiology, University Hospital Leipzig, Leipzig; and

Department of Pediatric Surgery, Dr von Hauner Children's Hospital, Ludwig-Maximilians-University, Munich, Germany.

Disclosure: The authors declare no conflict of interest.

Reprints: Steffi Mayer, MD, Department of Pediatric Surgery, University Hospital Leipzig, Liebigstraße 20A, D-04103 Leipzig, Germany (e-mail:

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