Etiologic factors in falls from height in pediatric cases

Koçak, Sedat; Dündar, Zerrin Defne; Yavuz, Kasım Fatih; Önal, Merih; Dikmetaş, Cesareddin; Girişgin, Abdullah Sadık; Gül, Mehmet; Cander, Başar

doi:10.1007/s00068-011-0172-8

Cited by 11 publications

(24 citation statements)

References 19 publications

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“…For children, falls are the most common reason to suffer unintended injuries and the second leading cause of injury-related deaths [ 29 ]. Over 7 years in the US, 1061 deaths of patients younger than 18 years of age resulted from falls from great heights [ 30 ]. In this study, 17.3% of all patients suffered from multiple trauma and 63.2% presented with head trauma [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

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Falls from Great Heights: Risk to Sustain Severe Thoracic and Pelvic Injuries Increases with Height of the Fall

Nau

Leiblein

Verboket

et al. 2021

JCM

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Falls from a height are a common cause of polytrauma care in Level I Trauma Centers worldwide. The expected injury consequences depend on the height of the fall and the associated acceleration, as well as the condition of the ground. In addition, we further hypothesize a correlation between the cause of the fall, the age of the patient, and the patient’s outcome. A total of 178 trauma patients without age restriction who were treated in our hospital after a fall >3 m within a 5-year period were retrospectively analyzed. The primary objective was a clinically and radiologically quantifiable increase in the severity of injuries after falls from different relevant heights (>3 m, >6 m, and >9 m). The cause of the fall, either accidental or suicidal; age and duration of intensive care unit stay, including duration of ventilation; and total hospital stay were analyzed. Additionally, the frequency of urgent operations, such as, external fixation of fractures or hemi-craniectomies, laboratory parameters; and clinical outcomes were also among the secondary objectives. Sustaining a thoracic trauma or pelvis fractures increases significantly with height, and vital parameters are significantly compromised. We also found significant differences in urgent pre- and in-hospital emergency interventions, as well as organ complications and outcome parameters depending on the fall’s height.

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Section: Discussionmentioning

confidence: 99%

“…Over 7 years in the US, 1061 deaths of patients younger than 18 years of age resulted from falls from great heights [ 30 ]. In this study, 17.3% of all patients suffered from multiple trauma and 63.2% presented with head trauma [ 30 ]. In our study, 34 patients younger than 18 years of age were included.…”

Section: Discussionmentioning

confidence: 99%

Falls from Great Heights: Risk to Sustain Severe Thoracic and Pelvic Injuries Increases with Height of the Fall

Nau

Leiblein

Verboket

et al. 2021

JCM

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“…7,[8][9][10][11][12] Falls constitute approximately 30% of trauma admissions and 15% of emergency room admissions 13 and are especially common in boys and children under five. 14,[15][16][17][18] Foreign bodies in the esophagus and other parts of the gastrointestinal system are frequent in children between six months and three years. Mortality due to foreign body ingestion is very low.…”

Section: Discussionmentioning

confidence: 99%

The Home Accident Cases Applying to The Pediatric Emergency Department during the Covid-19 Pandemic: What Did the Pandemic Change?

Güleryüz¹,

Çolak²,

Güneysu³

et al. 2021

Preprint

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Background: Whether the pandemic caused an increase in the number of home accidents (HA) admitted to the pediatric emergency department (PED) was investigated. Applications in a similar quarter in 2019 and 2020 were compared. Methods: The study was retrospective. Their demographic data, the reason for admission to the hospital, the time of admission, the length of hospital stay, intensive care rate, and interventional procedures were recorded. The two groups were compared to find whether there was any difference. Results: There were 700 and 597 admissions for specified reasons during the specified period in 2019 and 2020, respectively. In 2019, 9.46% of all cases admitted to the PED were HA whereas the rate was 24.43% in 2020. The male/female ratios were similar (p=0.520). The median age in 2020 (36 months) was significantly higher than that in 2019 (33 months) (p=0.010). The main clinical presentations also differed significantly. The incidence of falls, the gastric/intestinal foreign bodies, and the penetrating stab injuries were significantly higher in those in 2020 (p<0.001). Significant differences were also found regarding diagnostic and therapeutic interventions. During the specified period in 2019, 623 patients (89.5%) were discharged from the PED. The rate of discharge in 2020 (84.9%) was significantly lower. Also, there were significantly more hospitalizations in other wards in 2020 than those in 2019 (3.7% vs. 1.0%) (p=0.004). Conclusion: The Covid-19 pandemic caused an increase in the number of HAs cases admitted to the PED relative to all hospital admissions. The most common type of accident was falls, as in the non-pandemic period. The pandemic caused delays in accessing healthcare services, especially for critically ill patients, more frequent hospitalizations, and a decrease in the rate of discharge from the PED.

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“…Yüksek enerjili travma: "Pediatric Emergency Care Applied Research Network" (PECARN)'a göre 2 yaş altında 90 cm, 2 yaş üstünde 150 cm üzeri olarak tanımlanmıştır (6). (11)(12)(13)(14).…”

Section: Gereç Ve Yöntemunclassified

Cases Admitted to Pediatric Emergency Service Due to Trauma Related to Fall

Fidancı¹,

Derinöz

Tokgöz

2021

Pediatric Practice and Research

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Amaç: Çocuk acil ünitemize düşme nedeniyle başvuran travma olgularının kaza mekanizmasını ve kaza ilişkili ortaya çıkan sakatlıkları değerlendirmeyi amaçladık.Gereç ve Yöntem: Çalışma 01.06.2009 -01.02.2010 tarihleri arasında Gazi Üniversitesi Tıp Fakültesi Çocuk Acil Servis' in de ileriye dönük olarak düşmeye bağlı travma nedeniyle başvuran hastaların tanı, tedavi ve takipleri değerlendirilerek yapılmıştır.Bulgular: Çalışmaya, 126 (%60)'sı erkek 210 olgu dahil edildi. Yaş ortalaması 44,5±45,01 (minumum:1 ay; maksimum:17 yıl) aydı. Yüz elli yedi hasta (%75), beş yaşın altında idi. 149 (%73,4)'unun ev içinde düştüğü, ev içinde düşen olguların 91 (%44,2)'inin 90 cm altı; 16 (%7,6)'sının 90 cm üzeri yükseklikten düştüğü görüldü. En çok zedelenen vücut bölgesi değerlendirildiğinde, 142 (%72,4) olgunun baş-boyun bölgesinden yaralandığı görüldü. Bu olgularında 76 (%38,8)'sın da yumuşak doku travması, 36 (%18,4)'sında laserasyon-kesi mevcuttu. 141 (%67,1) olguya direkt grafi, 53 (%25.2) hastaya kraniyal bilgisayarlı tomografi çekildiği görüldü. Yetmiş beş hasta (%40.1) mevcut klinik durumu nedeniyle acil gözlem ünitesine izleme alınmıştı. Bu olguların 54 (%72)'ü kafa travması olan olgulardı. Olguların 30 (%16)'una baş ve yüz bölgesindeki kesi-laserayon nedeniyle sütür atılmıştı. Değerlendirilen tüm hastalar herhangi bir mortalite ve morbidite olmadan muayene, tedavi ve/veya gözlem ardından taburcu edildi.Sonuç: Düşme ilişkili travmalar sıklıkla ev içinde meydana gelmektedir ve en sık baş boyun bölgesi yaralanmaları görülmektedir. Özellikle okul öncesi dönemde yaşam ve oyun alanları evler olan çocukların sağlıklı şartlarda büyüyebilmesi ve düşme ilişkili travmalar nedeniyle acil servis başvurularının önlenmesinde ailelere çok iş düşmektedir. Güvenli ev ortamının nasıl oluşturulacağı ve alınacak önlemler hekimler tarafından ailelere anlatılmalıdır.Anahtar Kelimeler: Düşme, çocuk acil, kafa travması Objective: We aimed to evaluate the accident mechanism and related disabilities and trauma cases who presented due to falls in the pediatric emergency service. Material and Method:The study was conducted with a prospective method between 01.06.2009 -01.02.2010 in Gazi University Medical Faculty Pediatric Emergency Service.Results: A total of 210 cases, 126 (60%) of whom were men, were included in the study. The average age was 44.5 ± 45.01 (minimum: 1 month; maximum: 17 years) months. One hundred and fifty-seven patients (75%) were under the age of five. 149 (73.4%) of them fell inside the house; 90 cm below 91 (44.2%) of the cases falling inside the house; It was observed that 16 (7.6%) fell from a height above 90 cm. When the most injured body area was evaluated, it was seen that 142 (72.4%) patients had head-neck injuries. Of these cases, 76 (38.8%) had soft tissue trauma, 36 (18.4%) had laceration-incision. It was observed that direct radiography was performed in 141 (67.1%) patients, and cranial computed tomography was performed in 53 (25.2%) patients. Seventyfive patients (40.1%) were followed up in the emergency observat...

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Etiologic factors in falls from height in pediatric cases

Cited by 11 publications

References 19 publications

Falls from Great Heights: Risk to Sustain Severe Thoracic and Pelvic Injuries Increases with Height of the Fall

Falls from Great Heights: Risk to Sustain Severe Thoracic and Pelvic Injuries Increases with Height of the Fall

The Home Accident Cases Applying to The Pediatric Emergency Department during the Covid-19 Pandemic: What Did the Pandemic Change?

Cases Admitted to Pediatric Emergency Service Due to Trauma Related to Fall

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