Original ContributionAge variability in pediatric injuries from falls☆,☆☆
Introduction
Falls are the most common cause of unintentional injuries among children. Each year, approximately 2.8 million children had an initial emergency department (ED) visit for injuries from a fall [1]. Previous studies on pediatric falls have addressed specific types of falls, such as falls from balconies [2], windows [3], [4], and falls in bathtubs [5]. There is limited research on understanding patterns of fall injuries that may exist across different age groups. This article provides a systematic examination of pediatric falls and their variations by age.
As children go through development stages, their exposure to and interaction with hazardous situations vary [6]. This research would identify leading causes of pediatric fall injuries by age. Knowledge of these causes would be useful in developing age-specific fall injury prevention efforts. Fall injury prevention typically does not often receive the same precedence as other injuries. It is often bundled with home safety education [7]. Studies have suggested that parents and caregivers may be unable to assimilate large amounts of diverse and often complicated information pertaining to injury prevention. Therefore, simple, well-targeted interventions would likely prove most effective [7], [8], [9]. Although pediatric falls have lower mortality compared with motor vehicle crashes, drowning, and burns, they are nevertheless significant in terms of physical, emotional, and financial consequences and mandate focused injury prevention initiatives.
Section snippets
Methods
A retrospective analysis of data from the trauma registry of a level 1 pediatric trauma center between October 2006 and April 2009 was done. Only patients younger than 15 years, admitted because of fall-related injury (E-codes E880-E888, principal diagnosis, International Classification of Diseases, Ninth Revision Code, 2010) were included. Injuries from bicycles (E826), sports (E917), and child abuse (E967) were not included. Medical charts for these patients were examined to gain a better
Results
For the 31-month period, falls were the leading cause of injuries for all age groups. The 675 hospitalizations from falls accounted for 37% of all cases in the trauma registry. Most patients (81%) were younger than 10 years. There were no fatalities from falls. The length of hospitalization ranged from 1 to 19 days with a mean of 1.5 days (interquartile range, 1-2 days). Patient characteristics are described in Table 1.
The main sites for injury from falls were in and around homes (56%);
Discussion
Falls are the leading cause of pediatric injuries. However, injury prevention efforts often do not reflect the significance of this problem. Research suggests that mothers perceived that society viewed falls by children as normative and that there was little expectation for parents to prevent them [10]. However, most fall-related injuries are preventable.
With a few exceptions [11], [12], studies on pediatric falls have focused on specific types of falls [2], [3], [4], [5] rather than injury
Conclusions
The circumstances of pediatric falls vary by age. It is important to look beyond E-codes to gain a better understanding of the causes of injuries from falls in children. Our study findings suggest that interventions to prevent injuries from falls should receive priority and be targeted by age group.
References (21)
- et al.
Recognition of home injury risks by novice parents of toddlers
Accid Anal Prev
(2009) - et al.
CDC Childhood Injury Report: patterns of unintentional injuries among 0-19 year olds in the United States, 2000-2006
(2008) - et al.
Epidemiology of balcony fall-related injuries, United States, 1990-2006
Am J Emerg Med
(2010) - et al.
Children can't fly: a program to prevent childhood morbidity and mortality from window falls
Am J Public Health
(1977) - et al.
Windows 99: a source of suburban pediatric trauma
J Trauma
(2000) - et al.
Injuries associated with bathtubs and showers among children in the United States
Pediatrics
(2009) - et al.
Variability in pediatric injury patterns by age and ethnic groups in Israel
Ethn Health
(2007) - et al.
A randomized clinical trial of a home safety intervention based in an emergency department setting
Pediatrics
(2004) Prevention of pediatric injuries: so much to do, so little time
Pediatr Ann
(2000)- et al.
Individual-level injury prevention strategies in the clinical setting
Future Child
(2000)
Cited by (0)
- ☆
No grant or funds were used for this article.
- ☆☆
Presented at Annual Meeting of the American Public Health Association (Poster), November 2010.