Analysis of Unintentional Falls in Pediatric Population and Predictors of Morbidity

Farzaneh, Cyrus; Schomberg, John; Sullivan, Brittany; Yu, Peter T.; Loudon, William G.; Duong, William; Gibbs, David; Guner, Yigit S.

doi:10.1016/j.jss.2021.04.036

Cited by 3 publications

(2 citation statements)

References 20 publications

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“…Nenamerni padovi predstavljaju vodeći uzrok traumatskih povreda, bez fatalnih posledica, sa značajnim morbiditetom u populaciji dece i adolescenata [1,2]. Padovi u detinjstvu javljaju se kao rezultat razvojnih faza tokom odrastanja, urođene znatiželje u njihovoj okolini i sve većeg nivoa nezavisnosti [3].…”

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Evaluation of unintentional falls among children and adolescents treated in emergency medical services

Jović¹,

Petrović-Tepić²,

Knežević³

et al. 2022

Sestrinska reč

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Introduction: Unintentional falls are the leading cause of traumatic injuries, without fatal consequences, with significant morbidity in the population of children and adolescents. Goal: The main goal of this research was to analyze the manner of falling in relation to age and gender, and to assess the type of injury and the anatomical region of the body affected by the injury sustained during a fall in patients ≤19 years of age treated in the emergency medical services in the Republic of Srpska. Material and methods: A cross-section study with retrospective analysis of the national e-database WebMedic from 11 emergency medical services between January 2018 and December 2020 was conducted. Research included patients with diagnosis of unintentional injury caused by a fall, aged ≤19 years. Descriptive statistics and the Chi-square test were used for comparisons between groups. Results: During the observed period, 857 cases of unintentional falls were identified, where 87.5% were referred for hospitalization. The group of children aged 0 to 9 years (55.7%) was more often treated for falls (p<0.001), and boys were affected 6.7 times more often than girls (p<0.001). Falls from the same level caused different types of injuries depending on the age and gender of the children (p<0.001). According to the type of injury, superficial injuries (36.8%) and open wounds (29.4%) were most often identified, and the most frequently affected body region was the head (52.0%). Conclusion: The group of children up to the age of nine and males were more often affected by superficial injuries and open wounds, with head injuries being predominant in all age groups. These results could indicate the necessity of creating programs with targeted prevention.

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Section: Uvodunclassified

Evaluation of unintentional falls among children and adolescents treated in emergency medical services

Jović¹,

Petrović-Tepić²,

Knežević³

et al. 2022

Sestrinska reč

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“…However, younger ages are more susceptible to more severe injury patterns (4). Intracranial hemorrhage and thoracic injury are risk factors necessitating long-term medical care (5). While these estimates suggest that fall-related serious morbidity rates are generally low, the actual number of pediatric falls is likely to be underestimated because non-injury fall incidents are unlikely to be reported (6).…”

Section: Introductionmentioning

confidence: 99%

The use of pediatric fall risk assessment tool in gastrointestinal endoscopic procedures: A prospective study

YALÇIN,

GÖKTAŞ,

GÜMÜŞ

2023

Akademik Gastroenteroloji Dergisi

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Background and Aims: The aim of this study is to evaluate the fall risk with Humpty Dumpty Fall Scale and determine related risk factors in pediatric patients undergoing gastrointestinal endoscopy. Materials and Methods: A prospective descriptive study was conducted in a large tertiary pediatric hospital. Patients' demographics, type of endoscopy, duration of endoscopic procedures, type of procedural sedation, doses of administered drugs during anesthesia, and post-procedure Humpty Dumpty Fall Scale scores were collected. Post-hoc and logistic regression analyses were performed to identify within-group differences and independent predictors of patient outcomes. Results: One hundred ninety-two pediatric patients (54.2% female) with a mean (standard deviation) age of 11.16 (5.32) years were admitted for a diagnostic gastrointestinal endoscopy. During procedures, the most commonly administered sedatives were midazolam (98.9%), propofol (96.9%), fentanyl (63.0%), and ketamine (34.9%). According to the Humpty Dumpty Fall Scale, 148 (77.1%) patients had a high risk for falls. No falls after endoscopic procedures was observed in the patients. When the predictive factors determining being at high-risk for falls were examined, the simultaneous application of esophagogastroduodenoscopy and colonoscopy under the same procedural sedation increases the risk of being high-risk 5.2 times compared to the performing esophagogastroduodenoscopy alone (p = 0.047). Conclusion: To the best of our knowledge, this is the first study evaluating the use of Humpty Dumpty Fall Scale to predict falls in pediatric patients undergoing gastrointestinal endoscopy with procedural sedation. Although 77.1% of the patients were found to be at high risk for falls, there was no fall event after the endoscopic procedures due to precautionary measures. Our results indicate that pediatric patients undergoing gastrointestinal endoscopy with sedation are at increased risk of falling and preventive measures should be taken.

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A Pilot Randomized Trial Evaluating the Cool 2 Be Safe Junior Playground Safety Program for Preschool Children

Cox,

Morrongiello

2024

Journal of Pediatric Psychology

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Objective Unintentional injury is the leading cause of death to children worldwide, and playgrounds pose a significant risk of injury. Those aged 5 and 6 years are particularly vulnerable to playground injuries. Previous interventions have typically targeted environmental modifications or increased supervision to reduce playground injuries; however, minimal research has focused on implementing behavioral interventions that seek to change children’s safety knowledge and risk-taking behaviors on the playground. The current randomized trial addressed these gaps in the literature and sought to increase preschool children’s hazard awareness skills and knowledge of unsafe playground behaviors and decrease their intentions to engage in risk-taking behaviors on the playground. Method A total of 77 children aged 5 and 6 years were tested at a laboratory on a university campus, using a parallel group design, with 38 randomized to the playground intervention group and 39 randomly assigned to a control group. The intervention was manualized and delivered to small groups of children (3–5) over several sessions. Results Statistical analyses revealed significant group differences. Intervention experience led to significant increases in hazard awareness skills and knowledge of unsafe playground behaviors, and significant decreases in children’s risk-taking behavioral intentions, whereas those in the control group showed no significant changes in these scores. Attention scores for those in the intervention group highlighted that the program content was successful in maintaining children’s attention and engagement, and memory scores indicated excellent retention of lesson content. Conclusion The program shows promise in addressing the issue of unintentional playground injuries in young children.

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Analysis of Unintentional Falls in Pediatric Population and Predictors of Morbidity

Cited by 3 publications

References 20 publications

Evaluation of unintentional falls among children and adolescents treated in emergency medical services

Evaluation of unintentional falls among children and adolescents treated in emergency medical services

The use of pediatric fall risk assessment tool in gastrointestinal endoscopic procedures: A prospective study

A Pilot Randomized Trial Evaluating the Cool 2 Be Safe Junior Playground Safety Program for Preschool Children

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