Firework injuries around New Year’s Eve - epidemiology, injury patterns and risk factors

• DOI: 10.1007/s00068-025-02785-y
• Publication Date: 2025-02-13T16:58:52Z
• Authors: Helena Wegmann; Steffi Mayer; Notker Blankenburg; Peter Zimmermann; Torsten Schulz; Martin Lacher; Christian Kleber; Georg Osterhoff
• Keywords: Demographics; Fireworks; Sports medicine

Abstract Introduction This study aims to determine key demographic and behavioural risk factors contributing firework-related injuries their outcomes. Methods A retrospective was conducted on pediatric adult patients treated for at the University Hospital Leipzig from December 28th January 3rd over 10 years (2013–2023). Data were collected demographics, injury details, weather conditions classification of fireworks. Results total 155 (mean age 24 years, 80% male) included. Injuries predominantly occurred within two hours after midnight, all incidents involved violation safety regulations. Most self-inflicted (48.4%), with hands being most frequently affected body part (52.9%). Burn common (43.9%) but less likely during rainy (OR 0.4, 95% CI 0.2–0.7, p = 0.004). Surgical intervention required in 23.9% cases, significant associated bone 107.1, 22.7 505.6), male sex 5.7, 1.3–25.0) multiple region 4.9, 2.1–11.7). Permanent loss function observed 46.5% patients. Conclusion Firework-related around New Year’s Eve are morbidity, particularly affecting often requiring surgical intervention. Bone injuries, higher need treatment. Despite fireworks purchased legally, there is widespread disregard restrictions protocols. These findings highlight necessity public health initiatives reduce incidence severity such rather than stricter