Bunk Bed–Related Injuries Among Children and Adolescents Treated in Emergency Departments in the United States, 1990–2005

D'Souza, Anjali L.; Smith, Gary A.; McKenzie, Lara B.

doi:10.1542/peds.2007-2555

Cited by 18 publications

(18 citation statements)

References 19 publications

(64 reference statements)

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“…Consistent with our findings, previous studies on falls and playground injuries have shown that fractures (often to the upper limbs) are the most common type of injury, 2–5,9,10,13–30 that injury severity increases with height of fall, 1–4,16,17,20,21,23,26–28,31–33 and that boys are injured more often than girls 2–5,11,15–18,23,26,29,30,34–39 . Risk‐taking behavior has been found to be more common in males than in females and in older children compared with younger children 11 .…”

Section: Discussionsupporting

confidence: 91%

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Pediatric Tree House-Related Injuries Treated in Emergency Departments in the United States: 1990-2006

Randazzo

Stolz

Hodges

et al. 2009

Academic Emergency Medicine

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Objectives: The objective was to describe the epidemiology of tree house-related injuries in the United States among children and adolescents.Methods: The authors conducted a retrospective analysis using data from the National Electronic Injury Surveillance System for patients £19 years who were treated in an emergency department (ED) for a tree house-related injury from 1990 through 2006.Results: An estimated 47,351 patients £19 years of age were treated in EDs for tree house-related injuries over the 17-year study period. Fractures were the most common diagnosis (36.6%), and the upper extremities were the most commonly injured body part (38.8%). The odds of sustaining a head injury were increased for children aged <5 years. Falls were the most common injury mechanism (78.6%) and increased the odds of sustaining a fracture. Falls or jumps from a height ‡10 feet occurred in 29.3% of cases for which height of the fall ⁄ jump was recorded. Boys had significantly higher odds of falling or jumping from a height of ‡10 ft than girls, and children 10 to 19 years old also had significantly higher odds of falling or jumping from a height of ‡10 feet, compared to those 9 years old and younger. The odds of hospitalization were tripled if the patient fell or jumped from ‡10 feet and nearly tripled if the patient sustained a fracture.Conclusions: This study examined tree house-related injuries on a national level. Tree house safety deserves special attention because of the potential for serious injury or death due to falls from great heights, as well as the absence of national or regional safety standards. The authors provide safety and prevention recommendations based on the successful standards developed for playground equipment.ACADEMIC EMERGENCY MEDICINE 2009; 16:235-242 ª

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Section: Discussionsupporting

confidence: 91%

“…We also found that among falls, children <5 years of age had about five times greater odds of a head injury. This may be the result of younger children having larger heads and a higher center of gravity, which predisposes them to fall head first 9,15,27,40,41 …”

Section: Discussionmentioning

confidence: 99%

Pediatric Tree House-Related Injuries Treated in Emergency Departments in the United States: 1990-2006

Randazzo

Stolz

Hodges

et al. 2009

Academic Emergency Medicine

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“…For example, Thompson et al 32 reported on an estimated 64 657 (3232 per year) inflatable bounce house injuries over a 20-year period ending in 2010. D'Souza et al 21 reported on an estimated 572 580 (35 786 injuries annually) bunk bed injuries over a 16-year period ending in 2005. Injuries associated with ladders were also reported by D'Souza with an estimated 2 177 888 injuries in the USA over a 16-year period ending in 2005 33.…”

Section: Discussionmentioning

confidence: 99%

“…NEISS is a publicly available database overseen by the US Consumer Product Safety Commission (CPSC). NEISS has been used to explore injuries from a wide variety of products, including those from recreational activities including mountain biking,15 unicycles16 and water tubing17; occupational injuries from ladders18 and nail guns,19 and home injuries including hot tubs20 and bunk beds 21. Although focused on consumer product-related injuries, NEISS also captures information about injuries more broadly, and thus, can help identify hazardous conditions in the home 22.…”

Section: Introductionmentioning

confidence: 99%

Structural housing elements associated with home injuries in children

et al. 2015

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Objective To quantify unintentional injuries associated with housing elements among children less than 18 years old treated in US hospital emergency departments. Methods The National Electronic Injury Surveillance System (NEISS) coding manual was reviewed, and all product codes that identified products permanently affixed to a home (housing elements) were identified. A query of the 2008 NEISS data for children under 18 determined the numbers of cases by severity code for each identified housing element. Housing elements were then tabulated by the number of cases for each severity code. The top 10 cases by severity code, (1) hospitalised or (2) treated in emergency departments, were included in a case review. Ten per cent of all cases or a minimum of 100 cases were randomly selected for review for each of the identified housing elements to assess if the case description could inform prevention efforts. Results Twelve housing elements (bathtub, cabinet, carpet, ceiling/wall, counter, door, fence, floor, nail, porch, stairs and window) were identified as the leading causes of injuries resulting in hospitalisations or emergency department visits. A list of potential interventions was generated based on the review of the case histories. Suggested changes for NEISS coding are also offered to enhance future prevention research. Conclusions NEISS is a valuable tool to identify home injury risks and inform design decisions for housing elements. Improved understanding of housing elements associated with injuries has the potential to enhance home inspection forms. However, interpretation of NEISS results is limited by lack of clarity about how the housing element was involved in the injury event.

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“…Bed-related injuries are already considered a social problem in Europe and the USA, with reports of some common characteristics of bed-related injuries. 10,11 First, most were due to falling and hitting the floor or objects around the bed; this is especially true among children younger than 6 years. Second, the most common injuries were head and facial lacerations.…”

Section: Possible Explanations and Implicationsmentioning

confidence: 99%

Characteristics of indoor injuries in hotels compared to home among young children

Suginaka

Abe

Murata

et al. 2020

Pediatrics International

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Background Although attention has recently been afforded to home injury prevention for young children, we often encounter young children who have experienced indoor injuries at places other than the home. We aimed to identify characteristics of unintentional indoor injuries that occurred when young children were not at home. Methods We retrospectively reviewed the medical records of young children (aged <6 years) with indoor injuries from January to June 2017. We classified patients injured in hotel rooms as the “Hotel group” and compared them to patients injured at home (“Home group”). Results Among 102 patients who met the study criteria, 33 patients (32.4%) were classified as the Hotel group. Falls were the most frequent cause of injury in both groups (Home, 56.5% versus Hotel, 87.9%). Falls from beds were more likely to happen in hotel rooms (1.4% versus 48.5%). In regard to fall‐associated injuries, head and / or facial injury was most frequent in both groups (Home, 92.3% versus Hotel, 89.7%). A suture and follow‐up were less likely in the Home group than in the Hotel group (18.8% versus 42.4%, 39.1% versus 69.7%, respectively). Conclusions In hotel rooms, head and / or facial injuries due to falling from a bed were the most common types of injury, and they often needed more invasive procedures than home injuries. Injuries that tended to occur in hotel rooms are more predictable than home injuries. Modification of the surrounding environment has the potential to prevent unintentional injuries not only in the home environment but also in hotel rooms.

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Bunk Bed–Related Injuries Among Children and Adolescents Treated in Emergency Departments in the United States, 1990–2005

Cited by 18 publications

References 19 publications

Pediatric Tree House-Related Injuries Treated in Emergency Departments in the United States: 1990-2006

Pediatric Tree House-Related Injuries Treated in Emergency Departments in the United States: 1990-2006

Structural housing elements associated with home injuries in children

Characteristics of indoor injuries in hotels compared to home among young children

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