Falls From Heights: Windows, Roofs, and Balconies

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doi:10.1542/peds.107.5.1188

Cited by 72 publications

(13 citation statements)

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“…Some causes of unintentional injuries have daily and seasonal trends. For instance, falls from heights peak around meal times when supervision might be more careless (Istre et al, 2003) and occur more frequently in the summer months, presumably because around that time of the year windows tend to be open (Bull et al, 2001). In relation to the socioeconomic environment, children in low-income and middle-income countries, especially poor children, encounter more unintentional injuries (Delgado et al, 2002;Hyder et al, 2008).…”

Section: "Risk Environments"mentioning

confidence: 99%

An ecological stance on risk and safe behaviors in children: The role of affordances and emergent behaviors

Cordovil

Araújo

Pepping

et al. 2015

New Ideas in Psychology

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Section: "Risk Environments"mentioning

confidence: 99%

An ecological stance on risk and safe behaviors in children: The role of affordances and emergent behaviors

Cordovil

Araújo

Pepping

et al. 2015

New Ideas in Psychology

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“…Within the first 10 years of implementation, these public health campaigns resulted in up to a 96% reduction of window falls for children < 5-years-old (Harris et al, 2011). Nationally, the American Academy of Pediatrics (AAP) has been at the forefront of providing pediatric caregiver and community education as well as fall prevention strategies through Council on Injury, Violence, and Poison Prevention (COIVPP) policy statements about injuries associated with infant walkers, shopping carts, trampolines, and falls from heights (American Academy of Pediatrics, 2001a; American Academy of Pediatrics, 2006; American Academy of Pediatrics, 2012; American Academy of Pediatrics, 2001b). Despite these injury prevention efforts, unintentional pediatric falls have remained a significant cause of injury, medical morbidity, and cost to the healthcare system in the youngest population.…”

Section: Introductionmentioning

confidence: 99%

Pediatric falls ages 0–4: understanding demographics, mechanisms, and injury severities

et al. 2018

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BackgroundPediatric unintentional falls are the leading cause of injury-related emergency visits for children < 5 years old. The purpose of this study was to identify population characteristics, injury mechanisms, and injury severities and patterns among children < 5 years to better inform age-appropriate falls prevention strategies.MethodsThis retrospective database study used trauma registry data from the lead pediatric trauma system in Georgia. Data were analyzed for all patients < 5 years with an international classification of disease, 9th revision, clinical modification (ICD-9 CM) external cause of injury code (E-code) for unintentional falls between 1/1/2013 and 12/31/2015. Age (months) was compared across categories of demographic variables, injury mechanisms, and emergency department (ED) disposition using Kruskal-Wallis ANOVA and the Mann Whitney U test. The relationships between demographic variables, mechanism of injury (MOI), and Injury Severity Score (ISS) were evaluated using multinomial logistic regression.ResultsInclusion criteria were met by 1086 patients (median age = 28 months; 59.7% male; 53.8% White; 49.1% < 1 m fall height). Younger children, < 1-year-old, primarily fell from caregiver’s arms, bed, or furniture, while older children sustained more falls from furniture and playgrounds. Children who fell from playground equipment were older (median = 49 months, p < 0.01) than those who fell from the bed (median = 10 months), stairs (median = 18 months), or furniture (median = 19 months). Children < 1 year had the highest proportion of head injuries including skull fracture (63.1%) and intracranial hemorrhage (65.5%), 2-year-old children had the highest proportion of femur fractures (32.9%), and 4-year-old children had the highest proportion of humerus fractures (41.0%). Medicaid patients were younger (median = 24.5 months, p < 0.01) than private payer (median = 34 months). Black patients were younger (median = 20.5 months, p < 0.001) than White patients (median = 29 months). Results from multinomial logistic regression models suggest that as age increases, odds of a severe ISS (16–25) decreased (OR = 0.95, CI = 0.93–0.97).ConclusionsPediatric unintentional falls are a significant burden of injury for children < 5 years. Future work will use these risk and injury profiles to inform current safety recommendations and develop evidence-based interventions for parents/caregivers and pediatric providers.Electronic supplementary materialThe online version of this article (10.1186/s40621-018-0147-x) contains supplementary material, which is available to authorized users.

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“…Trafik kazaları ülkemizde olduğu gibi, diğer ülkelerde de morbidite ve mortalite açısından oldukça ağır seyreden, her yıl on binlerce kişinin yaralandığı en önemli sosyal sorunlardan biridir (7,8 (24)(25)(26)(27)(28)(29). Çalışmamızda mortalite oranları açısından cinsiyetler arasında istatistiksel olarak anlamlı fark saptandı.…”

Section: Discussionunclassified

Factors Influencing Mortality in Pediatric Trauma Patients

Tas¹,

Güloğlu²,

Orak³

et al. 2011

JAEM

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Objective: In our study, we aimed to research the factors we thought might be affect mortality in a pediatric age group (0-15 y) with multiple trauma. Materials and Methods: In our study of 1658 pediatric patients suffering from falling events, burns, cutting and perforating instrument injuries, gunshot injuries and vehicle accidents admitted to Dicle University. hospital ED between March 2003 and December 2006 were analyzed and included to the study consecutively. The patients were divided in two groups, the patients who survived were in group 1, and the patients who died were in group 2. Results: Of the 1658 patients, 70.5% (n= 1169) were male, 29.5% (n= 489) were female and 107 patient died (6.46 %). Mean age was 6.75+-0.397 in group 2 (who died) and 7.00+-0.99 in group 1, (survived). Low RTS score (OR (odds ratio)=1.565, CI=1.297-1.889, p<0.05). Falling down from height OR=0.637, CI=0.408-0.995, p<0.05), postulated admission (OR=2.035 CI=1.267-3.267, p<0.05) and medical treatment (OR=0.451, CI=0.273-0.744, p<0.05) were found to be the effective factors in pediatric patients with multiple trauma. Conclusion: The falling events, abdominal and thoracic trauma with low İSS, RTS, TRİSS and postulated admission to ED are the factors that affect the mortality in pediatric trauma patients. (JAEM 2012; 11: 161-6) Özet Amaç: Çalışmamızda pediatrik yaş grubundaki travmalı hastalarda mortalite üzerine etkilerinin olabileceğini düşündüğümüz faktörleri araştırdık. Gereç ve Yöntemler: Mart 2003 ile Aralık 2006 arasında Güneydoğu Anadolu bölgesinde yüksekten düşme, yanık, kesici delici alet yaralanması, ateşli silah yaralanması, araç içi ve araç dışı trafik kazası nedeniyle Dicle Üniversitesi Tıp Fakültesi Acil Servisimize başvuran pediatrik yaş grubundaki (0-15 yaş) hastalara ait veri geriye dönük olarak analiz edildi ve ardışık olarak çalışmaya alındı. Hastalar sağ kalanlar grup 1 ve ölenler grup 2 olmak üzere iki gruba ayrıldı. Bulgular: Çalışmaya alınan 1658 hastanın %70.5'i (n=1169) erkek, %29.5'i (n=489) kadındı. Travmaya maruz kalan 1658 hastanın 107'i (%6.46) ex oldu. Ortalama yaş ex grubunda 6.75±0.397 (0-15), sağ kalan grupta ise 7.00±0.99 (0-15) idi. Düşük RTS skoru [OR(Odds Ratio)=1.565, CI=1.297-1.889, p<0.05], yüksekten düşme (OR= 0.637, CI=0.408-0.995, p<0.05),geç başvuru (OR=2.035, CI=1.267-3.267, p<0.05) ve medikal tedavi (OR=0.451, CI=0.273-0.744, P<0.05) travmalı hastalarda mortalite üzerinde etkili faktörler olarak bulundu. Sonuç: Yüksekten düşme, batın ve toraks yaralanması, başvuru anında düşük İSS, RTS, PTS, TRİSS' e değeri ve geç başvuru olması pediatrik travmalı hastalarda mortalite üzerinde etkili faktörlerdir. (JAEM 2012; 11: 161-6)

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Falls From Heights: Windows, Roofs, and Balconies

Cited by 72 publications

References 21 publications

An ecological stance on risk and safe behaviors in children: The role of affordances and emergent behaviors

An ecological stance on risk and safe behaviors in children: The role of affordances and emergent behaviors

Pediatric falls ages 0–4: understanding demographics, mechanisms, and injury severities

Factors Influencing Mortality in Pediatric Trauma Patients

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