Escalator-Related Injuries Among Children in the United States, 1990–2002

McGeehan, Jennifer; Shields, Brenda J.; Wilkins, J. R.; Ferketich, Amy K.; Smith, Gary A.

doi:10.1542/peds.2005-1822

Cited by 43 publications

(50 citation statements)

References 7 publications

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“…Caretakers should not attempt to wheel the child on the stairs and should instead use an elevator, if available, or carry the child while keeping their other hand on the railing. 22 More consideration should be given to making stairs safer and more userfriendly, such as increasing the length of stair "goings," 23 which are the horizontal depths of stair treads between vertical lines drawn from stair nosings (lead edges), in building codes. Missteps due to overstepping are a common cause of stair-related fall injuries.…”

Section: Discussionmentioning

confidence: 99%

Stair-Related Injuries to Young Children Treated in US Emergency Departments, 1999–2008

2012

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OBJECTIVE: The objective of this study was to investigate the epidemiologic characteristics and secular trends of stair-related injuries among children aged <5 years treated in US emergency departments. METHODS: A retrospective analysis was conducted of data from the National Electronic Injury Surveillance System of the US Consumer Product Safety Commission from 1999 through 2008 by using sample weights to estimate national numbers and rates of stair-related injuries. RESULTS: An estimated 931 886 children aged <5 years were treated for stair-related injuries from 1999 through 2008, averaging 93 189 injuries per year and 46.5 injuries per 10 000 population annually. The number of injuries per year decreased significantly by 11.6% from 1999 to 2008. The rate of stair-related injuries also decreased significantly from 53.0 to 42.4 per 10 000 population from 1999 to 2008. Soft tissue injuries accounted for 34.6% of cases. Approximately three-fourths (76.3%) of children had injuries to the head and neck region, and 2.7% of patients were hospitalized. Children who were being carried at the time of injury accounted for 24.5% of injuries among children <1 year and were more than 3 times more likely to be hospitalized than children injured by other mechanisms. CONCLUSIONS: Stair-related injuries are on the decline but still represent an important source of injury to young children. Increased prevention efforts are needed, including parental education and improved stairway design, to decrease stair-related injuries among young children.

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Section: Discussionmentioning

confidence: 99%

Stair-Related Injuries to Young Children Treated in US Emergency Departments, 1999–2008

2012

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“…Contrary to studies originating in the USA, no lawn-mower related amputations were observed7 13 due to the rarity of home lawn-mowing in Greece. Likewise, the relative rarity of sports equipment- and escalator-related injuries reflect the low rates of ‘working-out’21 and ‘frequenting of malls’22 in Greece.…”

Section: Discussionmentioning

confidence: 99%

Traumatic hand amputations among children in Greece: epidemiology and prevention potential

Panagopoulou¹,

Antonopoulos²,

Iakovakis³

et al. 2011

Inj Prev

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The majority of paediatric hand and finger amputations could be prevented in Greece, particularly among preschoolers, by a single product modification, namely door closure systems, coupled with improved supervision. Paediatricians should incorporate this advice into their routine child-safety counselling. This country-specific profile supports the need for maintaining similar databases as an indispensable tool for assisting decision-making and preventing disabling and costly injuries.

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“…[2122] Other causes of facial injuries in children include automobile accidents[23] escalator-related entrapment injuries, particularly in younger children. [24] Recently, severe injuries of the facial skeleton and soft tissues similar to the adults have been described in children's. [25] Alcohol intoxication is a major confounding factor for reduced level of consciousness in patients with head injury, and CT scan is recommended when the level of alcohol intoxication is enough to reduce their GCS.…”

Section: Discussionmentioning

confidence: 99%

Characteristics of associated craniofacial trauma in patients with head injuries: An experience with 100 cases

Rajendra

Mathew

Agrawal

et al. 2009

J Emerg Trauma Shock

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Background:Facial fractures and concomitant cranial injuries carry the significant potential for mortality and neurological morbidity mainly in young adults.Aims and Objectives:To analyze the characteristics of head injuries and associated facial injuries, the management options and outcome following cranio-facial trauma.Methods:This retrospective review was performed at Justice K. S. Hegde Charitable Hospital, and associated A. B. Shetty Memorial Institute of Dental sciences, Deralakatte, Mangalore. Following Ethical Committee approval, hospital charts and radiographs of 100 consecutive patients of cranio-facial trauma managed at the Department of Oral and Maxillofacial Surgery and Neurosurgery between January 2004 and December 2004 were reviewed.Results:Majority of the patients were in the 2nd to 4th decade (79%) with a male to female ratio of -8.09:1. Road traffic accidents were the common cause of craniofacial trauma in present study (54%) followed by fall from height (30%). Loss of consciousness was the most common clinical symptom (62%) followed by headache (33%). Zygoma was the most commonly fractured facial bone 48.2% (alone 21.2%, in combination 27.2%). Majority of patients had mild head injury and managed conservatively in present series. Causes of surgical intervention for intracranial lesions were compound depressed fracture, contusion and intracranial hematoma. Operative indications for facial fractures were displaced facial bone fractures. Major causes of mortality were associated systemic injuries.Conclusion:Adult males are the most common victims in craniofacial trauma, and road traffic accidents were responsible for the majority. Most of the patients sustained mild head injuries and were managed conservatively. Open reduction and internal fixation with miniplates was used for displaced facial bone fractures.

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Escalator-Related Injuries Among Children in the United States, 1990–2002

Cited by 43 publications

References 7 publications

Stair-Related Injuries to Young Children Treated in US Emergency Departments, 1999–2008

Stair-Related Injuries to Young Children Treated in US Emergency Departments, 1999–2008

Traumatic hand amputations among children in Greece: epidemiology and prevention potential

Characteristics of associated craniofacial trauma in patients with head injuries: An experience with 100 cases

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