Patterns of Injury Associated With Routine Childhood Falls

Pitone, Melanie L; Attia, Magdy W.

doi:10.1097/01.pec.0000226869.41803.50

Cited by 63 publications

(53 citation statements)

References 14 publications

(10 reference statements)

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“…We found that falls occurred mainly at the same level, which is consistent with findings in other countries 11,25 and is also likely related to physical structures. For example, children are more likely to play in the street and yard because playground equipment is not available.…”

Section: Discussionsupporting

confidence: 81%

“…4,[9][10][11] Among the youngest group, head trauma was the most frequent type of injury sustained during falls, similar to research in other countries. 11 Head trauma is particularly troubling, as demonstrated by a study in Bangladesh that found falls were the leading cause of disability for different durations, including permanent disability. 12 This study identified three specific target areas for interventions (Table V) -recreation, furniture and the physical environment-and prevention messages could be structured around this conceptual map.…”

Section: Discussionmentioning

confidence: 52%

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Fall-related injuries among youth under 20 years old who were treated in Nicaraguan emergency departments, 2004

Martínez-Trujillo¹,

Rocha-Castillo²,

Clavel-Arcas³

et al. 2011

Salud pública Méx

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Objective. To describe the circumstances of fall-related injuries among youth 0-19 years treated in emergency departments in Nicaragua; to estimate the incidence rates (IR) of falls; and, to identify areas for prevention efforts. Materials and Methods. All patients <20 years who were residents of Managua, León, Jinotepe, and Ciudad Sandino (6 593) were selected for analysis. Data were collected with the 2004 Injury Surveillance System. Results. In 2004, the IR of falls for youth <20 years old was 104.2 incidents per 10 000 persons. The IR for male youth was twice that of female youth. Overall, trees (23.3%) and beds (15.2%) were the main objects involved in falls. Fractures were the leading injuries sustained. Conclusions. This study identifies three areas that can be addressed: furniture, recreation, and physical environment. Interventions that may be most useful for caregivers and adolescents include changes in the home environment and recreation play areas, as well as educational programs.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 52%

Fall-related injuries among youth under 20 years old who were treated in Nicaraguan emergency departments, 2004

Martínez-Trujillo¹,

Rocha-Castillo²,

Clavel-Arcas³

et al. 2011

Salud pública Méx

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“…A study in South Delhi noted that roofs, balconies, and furniture were the most common fall sites, while another study in USA stated that falls from stairs and playgrounds were the most frequent fall sites [7,8,22,23]. In studies performed in the eastern regions, it was shown that about half of the cases had fallen from roofs; stairs were in second place [3,24].…”

Section: Discussionmentioning

confidence: 99%

Etiologic factors in falls from height in pediatric cases

Koçak

Dündar²,

Yavuz

et al. 2012

Eur J Trauma Emerg Surg

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Since the vast majority of the fall cases were in the pre-school age group, most were due to falls from a balcony, and more than half of the cases were unaccompanied by parents or caregivers, there are two issues that need to be addressed in relation to pediatric falls from height: family education and legal regulations considering child safety in the design of doors, windows, and balconies of buildings.

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“…Çocukların yaş dağılımlarına göre yaralanma mekanizmaları ve yaralanma bölgeleri de farklılık göstermektedir. Yaş dağılımlarının özelliklerinin bilinmesinin, hasta yaklaşımında hekime kolaylık sağlayacağı ifade edilmektedir (7). CDC 2012 çocuk yaralanma verilerine göre bir yaş altı ölümlerde %20 artış tespit edilirken, 5-14 yaş aralığı ölümlerde ise azalma (5-9 yaş grubunda %45, 10-14 yaş grubunda %41) meydana geldiği görülmüştür (5).…”

Section: Introductionunclassified

Evaluation of Pediatric Forensic Cases in Emergency Department: A Retrospective Study

Korkmaz¹,

Erkol²,

Kahramansoy³

2014

Haseki

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ÖzetAmaç: Bu çalışmada pediatrik adli olguların analizinin yapılmasını ve bu tür olayların meydana gelmesini önlemek amacıyla alınabilecek tedbirlerin tartışılmasını amaçladık. Yöntemler: Hastanemiz acil servisine 01.01.2009-31.12.2011 tarihleri arasında başvuran pediatrik (0-18 yaş) adli olguların hasta dosyaları ve adli raporları retrospektif olarak incelendi. Bulgular: Çalışmaya alınan 421 pediatrik adli olguların yaş ortalaması 9,9±5,5 idi. Olguların %61'i (n=257) erkek ve %47,3'ü de 5-14 yaş grubunda idi. Olay nitelikleri; trafik kazası (%50,4), düşme (%18,3), kesici-delici alet yaralanması (%10,9), entoksikasyon (%5,9), darp (%5,0) ve diğer (%9,5) olaylardan oluşmakta idi. Dokuz öz kıyım girişimi (tümü on dört yaşın üzerinde) ve dört fiziksel istismar olgusu (üçü 15 yaşın altında) vardı. Gözlem süreci sonunda %20,2 olgunun bir servise yatırılmasına karşın %79,8 olgu acil servisten taburcu edildi. Sonuç: Olguların çoğunluğunun araç dışı trafik kazası sonucu meydana geldiğinin tespit edilmesi, bu yaralanmaların önlenebilir olduğunu göstermektedir. Çocuklar için güvenli bir çevre oluşturulması amacıyla koruyucu ve müdahale edici eğitim politikaları geliştirilmelidir. Abs tractAim: Our aim was to evaluate the properties of pediatric forensic cases and to discuss the precautions in order to prevent the occurrence of these forensic events. Methods: The patient files and forensic reports of pediatric (age 0-18 years) forensic cases, who were referred to the emergency department in our hospital between January 01, 2009 and December 31, 2011 were retrospectively investigated. Results: A total of 421 forensic pediatric cases with a median age of 9.9±5.5 years were included in the study. Off the cases, 61% (n=257) were male and 47.3% were in 5-14 age group. The type of the events were traffic accident (50.4%), fall (18.3%), stab injuries (10.9%), intoxication (5.9%), pounding (5.0%) and other incidents (9.5%). There were nine cases of suicide attempt (all of them were above 14 years of age) and four cases of physical abuse (three of them were under 15 years of age). After the observation period, 79.8% of the cases were discharged from the emergency department, whilst 20.2% of cases were hospitalized in one of the clinics. Conclusion: Because most of the cases were traffic accident, this situation show us that these injuries are preventable. Prevention and intervention strategies should be developed for providing a safe environment for children. (The Me di cal Bul le tin of Ha se ki 2014; 52:271-7)

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Patterns of Injury Associated With Routine Childhood Falls

Cited by 63 publications

References 14 publications

Fall-related injuries among youth under 20 years old who were treated in Nicaraguan emergency departments, 2004

Fall-related injuries among youth under 20 years old who were treated in Nicaraguan emergency departments, 2004

Etiologic factors in falls from height in pediatric cases

Evaluation of Pediatric Forensic Cases in Emergency Department: A Retrospective Study

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