Pediatric Falls from Heights

Musemeche, Catherine A.; Barthel, Martha J.; Cosentino, Catherine; Reynolds, Marleta

doi:10.1097/00005373-199110000-00004

Cited by 76 publications

(6 citation statements)

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“…The median presenting GCS in adolescents with significant head injuries was 3 (IQ range [3][4][5][6][7][8][9][10][11][12][13][14][15]. The median presenting GCS in children was significantly higher at 14 (IQ range 3-15; P < 0.0001).…”

Section: Presentationmentioning

confidence: 99%

Children or Young Adults? A Population‐based Study on Adolescent Head Injury

Mitra

Cameron

Butt

et al. 2006

ANZ Journal of Surgery

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Section: Presentationmentioning

confidence: 99%

Children or Young Adults? A Population‐based Study on Adolescent Head Injury

Mitra

Cameron

Butt

et al. 2006

ANZ Journal of Surgery

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“…Our data show that the injury pattern in adults who fall down stairs is markedly different from the pattern of injuries seen in the paediatric population. In children, stairway falls rarely lead to serious injury 16,17 and, if such injuries are found, a non‐accidental cause should be suspected. 18…”

Section: Discussionmentioning

confidence: 99%

Analysis of serious injuries caused by stairway falls

2000

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Objective: To study the demographics of patients who sustained serious injuries from falling down stairs. Method: This study is a retrospective analysis of all patients who presented to an urban hospital with an injury severity score of equal to or greater than 16 after falling down stairs during the period January 1992 to December 1996. Patient demographics, stair location and number, severity and anatomical nature of injuries, serum ethanol levels, patient referral characteristics and mortality rates were examined. Results: A total of 113 patients were studied; 74% were male. Sixty‐five per cent of falls occurred at the patient’s place of residence. Ethanol may have been a contributing factor in 55% of injuries. Ninety‐five per cent of victims had an injury severity score of equal to or less than 30. Head injuries were common with acute subdural haematoma occurring in 57% of patients. Head‐injured patients had a significantly higher mortality rate than non‐head‐injured patients (P = 0.02). Increasing age and higher injury severity score correlated with poor outcome in all patients. Thirty‐nine of the 113 stairway‐fall patients (35%) died in hospital compared with 207 of 1091 non‐stairway‐fall patients (19%) during the same period (P < 0.001). Conclusion: In the adult population, falls down stairs may result in serious injuries, particularly head trauma. In the present study, this group of patients had a significantly higher mortality than other trauma patients.

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“…The head injuries consisted of skull fractures and brain contusions identical to those seen in crushing head injuries. Of 70 children-from 10 months to 15 years old-admitted to the hospital after sustaining a fall from a height greater than 10 feet and up to 17 stories all survived their injuries (19). Fifty percent were under 3 years of age and most of the falls were from a height of one to three stories.…”

Section: Falls From Great Heightsmentioning

confidence: 99%

Accidental Traumatic Head Injury in Infants and Young Children

Case¹

2008

Brain Pathology

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This article will discuss accidental head injuries in infants and young children. The first category of injury is the crushing head injury. Static forces applied slowly to the head result in multiple fractures of the skull and contusions and lacerations of the brain resulting from the bone fragments striking the brain. This article will discuss the subject of short falls in young children and the resulting head injuries. Because falls are frequent events in early life, many cases have been collected and many papers written on the subject. Study of these cases is informative about the injuries likely to occur in these falls. Most often, only a minor contact injury such as scalp bruise or laceration results. In a 2 to 3% of falls, a simple linear skull fracture occurs and the majority of these are uneventful in terms of neurological deficit or intracranial bleeding. In about 1% of the fractures, an epidural or subdural hemorrhage occurs. Each of these forms of contact hemorrhages will be discussed and illustrated. While these are relatively rare injuries, it is essential that they can be identified as consistent with an accidental mechanism so that an erroneous diagnosis of inflicted injury is not made.

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Pediatric Falls from Heights

Cited by 76 publications

References 0 publications

Children or Young Adults? A Population‐based Study on Adolescent Head Injury

Children or Young Adults? A Population‐based Study on Adolescent Head Injury

Analysis of serious injuries caused by stairway falls

Accidental Traumatic Head Injury in Infants and Young Children

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