Risk Factors for Occurrence of Domestic Accidents Involving Children under the Age of Five: Implications for Nursing Care

Brito, Mychelangela de Assis; Rocha, Silvana Santiago da; Borges, José Wicto Pereira; Araújo, Telma Maria Evangelista de; Gouveia, Márcia Teles de Oliveira; Gubert, Fabiane do Amaral; Beserra, Eveline Pinheiro; Martis, Mariana Cavalcante; Tomé, Marcela Ariadne Braga Gomes; Oliveira, Célia Maria Soares de; Pinheiro, Maria Talyta Mota; Silva, Adna de Araújo; Neves, Clarice da Silva; Benevides, Jéssica Lima; Feitosa, M. R.; Rebouças, Lidiane Nogueira; Vasconcelos, Viviane Mamede

doi:10.3823/1991

Cited by 3 publications

(3 citation statements)

References 9 publications

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“…This is also reported by local studies [1,3] and worldwide [10,12]. Some authors strictly link that predominance to social factors, pointing out the higher activity and risk-taking in boys [3,13], while others add the effect of the hormonal weakening of the growth plate [10], which lead to physeal fractures, which are not taken in account in our study.…”

Section: Discussionsupporting

confidence: 81%

Fractures of limbs specific to children: the experience of a Senegalese tertiary hospital

Zeng

Fall

Mbaye

et al. 2022

Egypt Pediatric Association Gaz

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Introduction Fractures specific to the pediatric age group represent a particular injury due to their pattern, diagnosis, management, and outcomes. In sub-Saharan Africa, studies on this particular injury are scarce. This study reports sociodemographic, diagnostic, and therapeutic aspects and outcomes of these fractures. Methods We conducted a descriptive cross sectional study at the pediatric surgery department of Aristide Le Dantec University Teaching Hospital in Dakar, Senegal, from January 2012 to December 2015. Results A fracture specific to children was diagnosed in 180, of whom 47.7% were school-aged, with 59.4% of males. The mean time from injury to the attendance of our department was 48.2 h. Domestic accidents occurred in 51.1%. A total of 243 fractures occurred, mainly on the upper limbs (75.3%), as the most affected bones were the radius (47.3%), ulna (22.6%), and tibia (13.6%). Greenstick fractures represented 46.9%, buckle fractures, 42.8%, plastic deformations 9%, and subperiosteal fractures 0.7%. In all patients, management was orthopedic, with associated analgesic treatment. No sequel nor other complication was registered. Conclusion Fractures proper to the child are a particular entity in children’s trauma, frequently happening in boys, with greenstick and buckle fractures being the most common. Their treatment is exclusively orthopedic, with excellent outcomes.

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Section: Discussionsupporting

confidence: 81%

Fractures of limbs specific to children: the experience of a Senegalese tertiary hospital

Zeng

Fall

Mbaye

et al. 2022

Egypt Pediatric Association Gaz

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“…Identifying environmental risk factors related to unsafe home environment and its related type of injury would raise an alarm to mitigate these factors as being modifiable through proper health education messages to the participating mothers to prevent further occurrence of such injuries in the future. De Assis Brito et al, 2016 22 in Brazil represented other risk factors for the occurrence of home injuries: presence of stairs or steps without handrail; presence of thorns, nails, broken glass and other items in the area where the child plays; presence of plants and garden or yard. The difference in environmental risk factors may be attributed to different cultures between countries.…”

Section: Discussionmentioning

confidence: 99%

Frequency of Unintentional Home Injuries in Children under Five Years and its Relation with Environmental Risk factors, Cairo, Egypt

2019

The Egypt. J. of Community Medicine

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Background: Unintentional home injuries are major cause of morbidity, mortality and disability in children under five years of age. Most of these injuries are preventable through increased awareness, improvements in the home environment safety and caregiver supervision. Objectives: To measure the frequency of unintentional home injuries in children less than five years, to determine its different types, to identify mothers' practices concerning first aid measures in case of occurrence of home injuries & to compare home environmental safety among home injured and non-injured children. Method: A comparative cross sectional study was conducted among mothers attending pediatric outpatient clinic, Ain Shams university hospital; during the period from February to November 2017; a sample size of 200 mothers were interviewed using structured questionnaire used to collect data about socio-demographic characteristics, frequency, types, place of home injuries, and mother's practice at the time of injury occurrence and the outcomes. Home environmental safety questionnaire adopted from American College of Preventive Medicine, 2014 and Child Injury Assessment Tool were used. Results: 61% of the participating mothers reported that their children experienced one or more home injuries during the previous year. There was a trend of increasing the proportion of mothers knowledge about first aid measures as the level of education increased. The study identified 5 out of 16 environmental risk factors which were significantly related to different types of home injuries. Conclusion & recommendation: Unintentional injuries in children under five years could be easily prevented through changing unsafe home environment and changing individual behaviors and norms.

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“…These accidents mainly affect the under-fives [6] [7] [8] [9] [10]. This is mainly linked to the specificity of psychomotor development in this age group with the learning of walking, the narrowness of the visual field, and the exploration of the environment, which is potentially dangerous [11].…”

Section: Introductionmentioning

confidence: 99%

Domestic Accidents in Under-Fives: Epidemiology, Diagnosis, Management, and Outcomes

Zeng¹,

Mbaye²,

Gueye³

et al. 2022

OJPed

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Introduction: Domestic accidents are a public health problem, and under-fives are particularly affected. We report these accidents' epidemiology, diagnosis, management, and outcomes through this study. Patients and Methods: We conducted a prospective descriptive study for four months in the Albert Royer National Children's Hospital Center pediatric surgery department in Dakar, Senegal. Of the 149 cases of domestic accidents, 109 were included in this study. Results: Infants (59.6%) were the most affected, with a slight male predominance (50.5%). Accidents occurred on Tuesday in 22.9% of cases and the afternoon in 38.5% of cases. Playing (59.6%) was the main activity, and falling (44%) was the most found mechanism. 78.9% of accidents occurred in the house, with the bedroom (27.5%) being the most represented place. In most cases (67.9%), the consultation was done within the first 24 hours. The upper limbs (48.6%) were the most affected, and fractures (31.2%) were the most frequent injuries. The outcomes were unremarkable in 94.5% of cases, as complications occurred in five patients with three who had an infection, one a persistent limping, and the last, a dental avulsion. No mortality was recorded. Conclusion: Domestic accidents among under-fives are frequent in our environment. Compared to those in older children, they occur similarly in both sexes, more often in the bedroom, and have a better prognosis.

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Risk Factors for Occurrence of Domestic Accidents Involving Children under the Age of Five: Implications for Nursing Care

Cited by 3 publications

References 9 publications

Fractures of limbs specific to children: the experience of a Senegalese tertiary hospital

Fractures of limbs specific to children: the experience of a Senegalese tertiary hospital

Frequency of Unintentional Home Injuries in Children under Five Years and its Relation with Environmental Risk factors, Cairo, Egypt

Domestic Accidents in Under-Fives: Epidemiology, Diagnosis, Management, and Outcomes

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