Epidemiology of Fall Injury in Rural Bangladesh

Wadhwaniya, Shirin; Alonge, Olakunle; Baset, Kamran Ul; Chowdhury, Salim Mahmud; Bhuiyan, Al-Amin; Hyder, Adnan A.

doi:10.3390/ijerph14080900

Cited by 27 publications

(30 citation statements)

References 21 publications

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“…Our findings in preschool children are similar to observations from Bangladesh (Wadhwaniya et al 2017) and Canada (Flavin et al 2006), which showed that the Fall from a height of > 1.5 m 5 (6.0) 20 (6.8) 45 (6.1) 4 (0.9) majority of injuries in the age group 0-6 years occurred at home. In our study, the most common factor involved in mechanism of preceding activity in the preschool age group was furniture, which is in line with findings from other studies (Ali et al 2019;Pickett et al 2003;Chaudhary et al 2018;Unni et al 2012;Savitsky et al 2007;Pitone and Attia 2006).…”

Section: Discussionsupporting

confidence: 89%

“…The proportion of head injuries in the preschool age group (32%) was three times higher than that among the school age group, and the proportions of severe injuries (11%) and hospitalization (13%) were five and two times higher, respectively (Park et al 2004). These findings are supported by studies showing that head injuries are common among the youngest children (Ali et al 2019;Pickett et al 2003;Flavin et al 2006;Wadhwaniya et al 2017;Pitone and Attia 2006), which may be explained by a limited child's ability to shield the head during a fall (Park et al 2004). Based on our findings, prevention of fall injuries in preschool children should primarily address the safety of the home environment.…”

Section: Discussionmentioning

confidence: 63%

“…of fall injuries by age group: in children (Ali et al 2019;Istre et al 2003), young adults, middle-aged adults (Timsina et al 2017;Dandona et al 2010), and elderly people (Orces and Alamgir 2014). Fall injuries in preschoolaged children most often occur at home, and the most serious injuries are caused by falls on stairs, from furniture, and from playground equipment (Pickett et al 2003;Flavin et al 2006;Chaudhary et al 2018;Wadhwaniya et al 2017). The incidence of home injuries among children decreases with age.…”

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confidence: 99%

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Mechanisms of accidental fall injuries and involved injury factors: a registry-based study

et al. 2020

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Background: Falls are the leading cause of injury-related morbidity and mortality worldwide, but fall injury circumstances differ by age. We studied the circumstances of accidental fall injuries by age in Shenkursk District, Northwest Russia, using the data from the population-based Shenkursk Injury Registry. Methods: Data on accidental fall injuries (hereafter: fall injuries) occurring in January 2015-June 2018 were extracted from the Shenkursk Injury Registry (N = 1551) and categorized by age group (0-6, 7-17, 18-59, and 60+ years). The chi-square test and ANOVA were used to compare descriptive injury variables across age groups, and a two-step cluster analysis was performed to identify homogeneous groups of fall injuries by preceding circumstances. Results: Half of recorded fall injuries in the 0-6 year age group occurred inside dwellings (49%). The largest cluster of falls (64%) mainly included climbing up or down on home furnishings. In the 7-17 year age group, public outdoor residential areas were the most common fall injury site (29%), and the largest cluster of falls (37%) involved physical exercise and sport or play equipment. Homestead lands or areas near a dwelling were the most typical fall injury sites in the age groups 18-59 and 60+ years (31 and 33%, respectively). Most frequently, fall injury circumstances in these groups involved slipping on ice-covered surfaces (32% in 18-59 years, 37% in 60+ years). Conclusion: The circumstances of fall injuries in the Shenkursk District varied across age groups. This knowledge can be used to guide age-specific preventive strategies in the study area and similar settings.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 63%

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confidence: 99%

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Mechanisms of accidental fall injuries and involved injury factors: a registry-based study

et al. 2020

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“…A study conducted on rural population in Bangladesh has reported higher odds for non-fatal falls in females compared to males. 18 Compared to men, women are more likely to trip than men in any age group, which may be related to gender differences in gait. 19 Falls were the most common mechanism of injury in our study (79.2%).…”

Section: Resultsmentioning

confidence: 99%

Epidemiology of spinal injury patients admitted to the department of orthopaedics, King George Medical University

et al. 2019

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Background: Socioeconomic structure, policies and cultural traditions play important roles in the determining the epidemiological characteristics of spinal injury patients. An understanding of epidemiology of spinal injuries is essential for planning and implementation of preventive measures as well as clinical services. The objective of this study is to describe the epidemiology of spinal injury patients admitted to the Department of Orthopaedics, King George Medical University (KGMU).Methods: Age, sex, time since injury to admission, site of injury, mechanism of injury, stability of injury, vertebral level, collision type, visibility, type of road, associated injuries, complications and outcome at the end of hospital stay was recorded.Results: Mean age of the 149 enrolled patients was 33.62±13.47 years. Male to female ratio was 2.63. More than fifty percent (52.3%) patients were admitted more than 48 hrs after injury. Most of the patients sustained injury in the house (59.1%). Falls were the most common mechanism of injury (79.2%). 54.23% of the falls were less than body height. Stable injuries (51%) were more common than unstable injuries. 21.48% patients had multiple levels of injury. 1st lumbar vertebra was the most common vertebra injured (20.88%). Ninty six (64.42%) patients had associated injuries. Most common complication were pulmonary (16.10%).Conclusions: Traumatic spinal injuries predominantly involve young males. Household falls are the most common cause of traumatic spinal injuries. There is a need to determine the modifiable factors that contribute to household falls. There is a significant association between falls and complete injuries.

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“…Falls among children and adolescents in Zhuhai City were the main reason for hospitalization and outpatient/emergency department visits. A large household survey covering more than one million people in Bangladesh in 2013 found that nonfatal falls were the most common injuries [29] .…”

Section: Discussionmentioning

confidence: 99%

The injury mechanisms and injury pyramids among children and adolescents in Zhuhai City, China

Yin

Dai

et al. 2020

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Background: The unclear mechanisms and severity of injuries in the injury pyramids for Chinese children and adolescents prevent the prioritization of interventions. This study aimed to describe the injury mechanisms and injury pyramids in this population to provide a priority for injury prevention strategies. Methods: Death, hospitalization, and outpatient/emergency department visit data from patients aged 0~17 years with injuries were obtained from January 1, 2013, to December 31, 2017, in Zhuhai City, China. The injury mechanism ratios were calculated, and the injury pyramid ratios were drawn in proportion using injury mortality and the incidence of both injury hospitalizations and outpatient/emergency department injury visits. Results: The top three mechanisms for injuries in children and adolescents treated in outpatient/emergency departments were falls (52.02%), animal bites (14.57%), and blunt injuries (10.60%). The top three mechanisms for injury hospitalizations were falls (37.33%), road traffic injuries (17.87%), and fire/burns (14.29%), while the top three mechanisms for injury deaths were drowning (32.91%), road traffic injuries (20.25%) and falls (13.92%). The incidence rate of outpatient/emergency department injury visits for children and adolescents was 11,210.87/100,000; the incidence rate of injury hospitalization was 627.09/100,000, and the injury death rate was 10.70/100,000. For each injury death, there were 59 injury hospitalizations and 1,047 outpatient/emergency injury visits. Conclusions: The injury mechanisms were different for injury-related outpatient/emergency department visits, hospitalizations, and deaths among children and adolescents. The injury mechanisms by sex at different stages of child development, and interventions should be formulated based on this finding. The ratios of the injury pyramids varied by age, sex, region, and injury mechanisms; minor nonfatal injuries were more common in children and adolescents. The differences in the severity and extent of the injuries suggested that injury interventions in children and adolescents still have a long way to go.

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Epidemiology of Fall Injury in Rural Bangladesh

Cited by 27 publications

References 21 publications

Mechanisms of accidental fall injuries and involved injury factors: a registry-based study

Mechanisms of accidental fall injuries and involved injury factors: a registry-based study

Epidemiology of spinal injury patients admitted to the department of orthopaedics, King George Medical University

The injury mechanisms and injury pyramids among children and adolescents in Zhuhai City, China

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