Injuries Associated With Infant Walkers

Prevention, Poison

doi:10.1542/peds.108.3.790

Cited by 69 publications

(24 citation statements)

References 13 publications

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“…This is important, since direct supervision of the child is able to significantly reduce accidental events, including those that could be fatal 16 . Use of a walker was also infrequent, corroborating studies conducted by the American Association of Paediatrics on accidents in early childhood, which indicated a considerable risk of major and minor injuries and even death associated with the use of infant walkers 17 . The study also found that most caregivers had not been informed about preventing domestic accidents involving children.…”

Section: Discussionsupporting

confidence: 71%

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Determining factors of domestic accidents in early childhood

Silva

Fontinele

Oliveira

et al. 2017

J. Hum. Growth Dev.

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Introduction: Domestic accidents are one of the main causes of death among children, characterized by an event that involves multiple determinants, emphasizing, among others, intrapersonal, interpersonal, cultural and institutional factors. Objective: To analyse the determinants of domestic accidents in early childhood.Methods: This is an exploratory, descriptive, and cross-sectional study carried out in the Emergency Hospital of Teresina city, Piauí, Brazil, between January and March 2016. The population was composed of 21 caregivers of children under five years old, hospitalized between January and March 2016. For data collection, a structured interview was conducted on aspects related to the risk factors associated with the incidence of domestic accidents involving children. A descriptive analysis was performed, with absolute and relative frequencies for the variables. The Human Research Ethics Committee approved the research with Protocol No. 1324184. Results: In relation to intrapersonal factors, pre-school children were the main victims (57.2%). For interpersonal factors, it was observed that most of participants (85.7%) considered the household unsafe for children. The evaluation of institutional factors showed that most caregivers (52.4%) had not been advised about the prevention of accidents at home. In terms of cultural factors, most participants (81%) had not heard news about domestic accidents. Conclusion: Parents and caregivers have very limited knowledge about the prevention of childhood accidents at home, with male pre-schoolers the main victims of domestic accidents.

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Section: Discussionsupporting

confidence: 71%

“…2017; 27(1): [10][11][12][13][14][15][16][17][18] Determining factors of domestic accidents in early childhood…”

Section: Discussionmentioning

confidence: 99%

Determining factors of domestic accidents in early childhood

Silva

Fontinele

Oliveira

et al. 2017

J. Hum. Growth Dev.

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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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“…Many unintended injuries in children occur in the context of play. Accordingly, the AAP has several guidelines for safe play including: avoiding infant walkers which have been shown to lead to falls and broken bones [23]; toys with small magnetic parts which if swallowed can link up leading to intestinal obstruction [24]; backyard trampolines which are associated with injuries [25,26]; non-powder projectile guns [27]; helmet use [28]; and playground safety [29]. There were examples of non-adherence for all of these categories, with advertisements for infant walkers making up the largest proportion ( n = 9; 43% of this category).…”

Section: Resultsmentioning

confidence: 99%

“…There were examples of non-adherence for all of these categories, with advertisements for infant walkers making up the largest proportion ( n = 9; 43% of this category). Injuries from infant walkers lead to thousands of emergency department visits each year leading the AAP to call for a ban on their sale in the United States, mirroring those present in other countries [23]. …”

Section: Resultsmentioning

confidence: 99%

Compliance of Parenting Magazines Advertisements with American Academy of Pediatrics Recommendations

2016

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This study examined 3218 advertisements from the two parenting magazines with highest circulation in the United States. The authors compared each advertisement for a product for use by children, against all the published recommendations of the American Academy of Pediatrics (AAP) on topics such as toy safety, helmet use, age-defined choking hazards, infant sleep safety, and others. Any advertisement with images or products which went against a published AAP recommendation was deemed as non-adherence and was categorized according to the statement it contradicted. Nearly one in six (15.7%) of the advertisements contained example(s) of non-adherence to AAP recommendations, with twelve categories of offense represented. Categories ranked by overall share from most to least include: non-Food and Drug Administration (FDA) approved medical treatments, age-defined choking hazards, vitamins, cold medicine, formula, oral care, screen time, toy/playground safety, infant sleep, nutrition, water safety, and fall risk. Given that repeated exposure to messages in advertisements has been associated with changes in health decision-making, and parents often turn to parenting magazines for advice and ideas regarding their children, the publishers might consider screening the content in order to prevent confusing and potentially dangerous messages from being disseminated in the media.

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Injuries Associated With Infant Walkers

Cited by 69 publications

References 13 publications

Determining factors of domestic accidents in early childhood

Determining factors of domestic accidents in early childhood

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

Compliance of Parenting Magazines Advertisements with American Academy of Pediatrics Recommendations

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