Are home environment injuries more fatal in children and the elderly?

Banerjee, Niladri; Sharma, Naveen; Soni, Kapil Dev; Bansal, Varun; Mahajan, Anshul; Khajanchi, Monty; Wärnberg, Martin Gerdin; Roy, Nobhojit

doi:10.1016/j.injury.2022.03.050

Cited by 4 publications

(3 citation statements)

References 21 publications

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“…Domestic accidents are unintentional sudden accidents that occur in the home or within the vicinity of the home. It excludes intentional injuries and injuries from traffic accidents [1]. The home environment is meant to be a safe environment for children, however, in the presence of physical, chemical and mechanical hazards, children are in danger of injuries at home [2].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Outcome of Paediatric Domestic Accidents in a Tertiary Health Facility in Rivers State, Nigeria

Okari T.G,

Wonodi W.

2024

AJPR

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Background: Unintentional injuries occurring in or within the vicinity of the home resulting in temporary or permanent health impairment are largely preventable. However, they are contributors to childhood morbidity and could lead to mortality in severe cases. Objectives: This study was undertaken to determine the prevalence, pattern and outcome of domestic injuries among children admitted into the Children’s Emergency Room (CHER) in Rivers State University Teaching Hospital (RSUTH). Methods: This was a 5-year retrospective study of 179 children with domestic injuries admitted into the children’s emergency unit from January 2017 to December 2021. Data on socio-demographic characteristics, cause, type and outcome of domestic injuries were collected from their medical records and analyzed with SPSS version 23. Results: A total of 3987 children aged < 18 years were admitted into CHER. Out of these, 179 (4.48%) children had injuries from domestic accidents. Majority of them 89 (46.9%) were under-fives and males 108 (60.3%). Three commonest causes of home accidents were falls 52 (29.1%), burns 44 (24.6%) and mechanical trauma 32 (17.8%). Common domestic injuries observed in the study were burns (24.6%), head injuries (20.7%), ingestion of poisonous substances (13.4%) and lacerations (11.7%). Burns injuries were significantly more prevalent among females and poisoning among males. Incidents of poisoning was significantly more prevalent among under-fives (21.4%) and animal bites (13.7%) among older children, (p value < 0.05). The mean duration of admission in the emergency room was 1.27 ± 1.90 days. Three children (1.7%) died in the emergency room and all mortalities occurred within 48 hours of admission. Conclusion: Although the prevalence of domestic injuries among children in this study was low, parents, caregivers and the government can institute measures to further curb its incidence.

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Section: Introductionmentioning

confidence: 99%

Prevalence and Outcome of Paediatric Domestic Accidents in a Tertiary Health Facility in Rivers State, Nigeria

Okari T.G,

Wonodi W.

2024

AJPR

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“…As the proportion of elderly in the population increases, they also become vulnerable to various types of injuries, be it intentional or unintentional. [ 1 5 6 ] According to the World Health Organization’s Global Burden of Disease Study estimates, unintentional injuries accounted for more than 3.1 million deaths in 2019. The major unintentional injury-related causes of disability-adjusted life-years lost annually include road traffic injuries and falls.…”

Section: Introductionmentioning

confidence: 99%

Unintentional domestic injuries among elderly in rural areas of Mandya: A community-based cross-sectional study in Southern Karnataka

Shashikantha

Huchchannavar

Jindal

2023

Journal of Family Medicine and Primary Care

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A BSTRACT Background: As the proportion of elderly in the population increases, they also become vulnerable to various types of intentional or unintentional injuries. Domestic accidents including falls among the elderly have been identified as a leading cause of injury-related morbidity and mortality in India and elsewhere. Aim: This study aims to assess the burden and pattern of domestic accidents in a rural part of Southern India. Methods and Setting: A community-based cross-sectional study among the elderly (≥60 years) was carried out in rural areas of Southern Karnataka. A semi-structured interview schedule was used to get the information on domestic accidents. Inferential statistical tests like the Chi-square test and logistic regression analysis were used. Results: A total of 500 persons aged ≥60 years with a mean age of 69.09 ± 7.42 years (Range 60–92 years) were included. One-third of the subjects have had an incidence of domestic accidents in the past 1 year contributing to a 35% prevalence of domestic accidents. A higher prevalence of domestic accidents was seen in those subjects who were ill (47.9%). Overall prevalence of falls was 21.4% ( P = 0.007). One-fifth of the subjects with domestic accidents had a residual illness. Conclusion and Contribution: One-third of our subjects gave a history of one or the other form of domestic accidents in the previous 1 year. Our study highlights the problem of unintentional domestic injuries among the most vulnerable group of the elderly and calls for a continuous assessment of the burden and nature of injuries.

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“…Although these injuries are often associated with person-related intrinsic risk factors, any injuries that happen at home are in part preventable with simple strategies, such as increasing awareness about in-home injuries and environmental modifications at home. 5 The earlier guidelines for fall prevention were seen inconsistent by The Task Force on Global Guidelines for Falls in Older Adults, hence evidence and expert consensus-based guidelines for fall prevention were created. 1 …”

Section: Introductionmentioning

confidence: 99%

Trends of fall-related and other fatal injuries in older adults in Finland between 1998 and 2020

Ylitörmänen,

Nuotio,

Kettunen

et al. 2023

European Journal of Public Health

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Background The number of falls and fall-related injuries will likely increase as the number of older adults expands. Increases in total deaths due to falls have been observed over Europe. Less is known about other injuries leading to death. To examine the incidence trends of fall-related and other fatal injuries among adults aged 65 or older in Finland. Methods We analyzed open data from Statistics Finland’s register on the causes of death of those aged ≥65 collected between 1998 and 2020 yielding a total of 32 150 deaths due to injury using Poisson regression and distributional comparisons chi-squared tests. Results The most common injuries leading to death among people aged ≥65 in Finland were fall related. There has been an increase in the absolute number of fall-related and other injuries, but when adjusting for person-years in population, a significant decrease can be observed. The crude rates of deaths from fall-related injuries among males annually increased 1.1–4.4% from 1998 to 2020, while the changes in rates among females ranged between −2% and 1.6%. The crude rates of other injuries ranged between −0.5% to +3.8%. Recently (2018–20), nearly 40% of the cases in males and 25% of cases in females were not fall related but comprised other types of injury mechanisms such as traffic, poisoning and drowning. Conclusion Strengthening the implementation of preventive strategies is essential to prevent injuries. To reduce injury-related mortality and disability, improvement of acute and post-acute care for injured older patients is warranted.

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Are home environment injuries more fatal in children and the elderly?

Cited by 4 publications

References 21 publications

Prevalence and Outcome of Paediatric Domestic Accidents in a Tertiary Health Facility in Rivers State, Nigeria

Prevalence and Outcome of Paediatric Domestic Accidents in a Tertiary Health Facility in Rivers State, Nigeria

Unintentional domestic injuries among elderly in rural areas of Mandya: A community-based cross-sectional study in Southern Karnataka

Trends of fall-related and other fatal injuries in older adults in Finland between 1998 and 2020

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