Falls from heights among children: A retrospective review

Lallier, Michel; Bouchard, Sarah; St-Vil, Dickens; Dupont, J.; Tucci, Marisa

doi:10.1016/s0022-3468(99)90564-x

Cited by 129 publications

(100 citation statements)

References 14 publications

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“…According to a literature review, falls from heights were the most common cause of admission to the ED and the fourth leading cause of trauma-related death [16]. Additionally, falls from heights are a preventable health problem among adults [17]. In our study, MVAs were the most common cause of admission to the ED, and falls were the second most common cause.…”

Section: Discussionmentioning

confidence: 51%

Analysis of Hospital Mortality and Epidemiology in Trauma Patients: A Multi-Center Study

Sogut

2011

J Curr Surg

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Section: Discussionmentioning

confidence: 51%

Analysis of Hospital Mortality and Epidemiology in Trauma Patients: A Multi-Center Study

Sogut

2011

J Curr Surg

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“…1,[3][4][5][6]8,9,[11][12][13]16 There was seasonal variation, with more window falls during the spring and summer months. The rate of injury among younger children (0 -4 years of age) was greater than that among older children (5-17 years of age), and younger children were more likely to sustain serious injuries, as demonstrated by their increased risk of hospitalization or death.…”

Section: Discussionmentioning

confidence: 99%

“…1,[3][4][5]12,13 Most of those studies drew similar conclusions, that is, preschool-aged children have the highest risk of falling, boys fall more frequently than girls, window falls have high morbidity rates, and falls demonstrate seasonal trends, with peaks during warmer months. [1][2][3][4][5][6][7][8][10][11][12][13][15][16][17] The studies generally have been limited to 1 hospital or 1 city/metropolitan area. A national epidemiological study on pediatric falls from buildings and structures, based on a data sample from 27 states, was published in 2005.…”

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confidence: 99%

Pediatric Injuries Attributable to Falls From Windows in the United States in 1990–2008

2011

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WHAT'S KNOWN ON THIS SUBJECT:Preschool-aged children have the highest risk of falling from windows, boys fall more frequently than girls, and the number of falls from windows peaks during warmer months. WHAT THIS STUDY ADDS:This study is the first to use a nationally representative sample of children treated in US hospital emergency departments, over a 19-year period, to identify risk factors and trends for pediatric window fall-related injuries.abstract OBJECTIVE: To examine the epidemiological features of pediatric injuries related to falls from windows. METHODS:By using the National Electronic Injury Surveillance System, emergency department (ED) data for pediatric injury cases associated with window falls in 1990 -2008 were reviewed. RESULTS:An estimated 98 415 children (95% confidence interval [CI]: 82 416 -114 419) were treated in US hospital EDs for window fallrelated injuries during the 19-year study period (average: 5180 patients per year [95% CI: 4828 -5531]). The mean age of children was 5.1 years, and boys accounted for 58.1% of cases. One-fourth (25.4%) of the patients required admission to the hospital. The annual injury rate decreased significantly during the study period because of a decrease in the annual injury rate among 0-to 4-year-old children. Children 0 to 4 years of age were more likely to sustain head injuries (injury proportion ratio [IPR] CONCLUSIONS:To our knowledge, this is the first study to investigate window fall-related injuries treated in US hospital EDs by using a nationally representative sample. These injuries are an important pediatric public health problem, and increased prevention efforts are needed, including development and evaluation of innovative prevention programs. Pediatrics 2011;128:455-462

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“…Düfl-meler özellikle çocukluk döneminde s›k karfl›m›za ç›kar (4,5). Ço¤u düflmeler okul öncesi çocuklarda merdivenlerden, yüksek sandalyelerden ve yataklardan düflme fleklindedir.…”

Section: G‹r‹fiunclassified

“…Düflmeye ba¤l› yaralanmalar; acil servise baflvurmalarda ve yaralanmalara ba¤l› ölümlerde önde gelen nedenlerden biridir (1,4,5). Düflmeler tüm yafllarda hastalar› acil servislere getiren en s›k yaralanma sebebi olup özel-likle erken çocukluk döneminde düflme oran› en yüksek-tir (4).…”

Section: Tartifimaunclassified

Düşmeye Bağlı Yaralanmaların Adli Tıp Açısından Değerlendirilmesi

Tokdemir¹,

Türkoğlu²,

Kafadar³

et al. 2007

Bull Leg Med

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Düşmeye bağlı yaralanmalar; acil servise başvurmalarda ve yaralanmalara bağlı ölümlerde önde gelen nedenlerden biridir. Düşmeler değişik şekillerde sınıflandırılmaktadır. Çalışmamızda, yüksek seviyeden (>5metre) ve alçak seviyeden (<5metre) düşme şeklinde olan sınıflandırma kullanıldı. Düz zemindeki düşmeler çalışmamıza dahil edilmedi. Bu çalışmada Fırat Üniversitesi, Fırat Tıp Merkezine Ocak 2000-Aralık 2004 yılları arasında başvuran 779’u erkek, 439’u kadın, yaş ortalaması 22.2+22.9 (en küçük 1, en büyük 95 yaş) olan toplam 1218 düşme olgusu retrospektif olarak incelendi. Olguların, 927’si alçak, 213’ü yüksek, 78’i ise bilinmeyen bir seviyeden düşmüştür. Olgular; cinsiyet, yaş, yaş grupları, düşme seviyesi, basit tıbbi müdahale, yaşamsal tehlike, Glasgow Koma Skoru (GKS), yaralanan vücut bölgesi, mortalité oranı, aylara göre dağılımı açısından değerlendirildi. Yüksek ve alçak seviyeden düşme açısından cinsiyet ve yaş farkı tespit edilmedi (p = 0.1). Yüksek seviyeden düşmelerde yaşamsal tehlikeye maruz kalma %37.6 iken, alçak seviyeden düşmelerde ise bu oranın %20.4 olduğu saptandı (p = 0.0001). Benzer şekilde yüksek seviyeden düşmelerde GKS’nin, alçak seviyeden düşmelere göre daha düşük puanlarda olduğu belirlendi (p=0.0001). Düşmelerin pediatrik yaş grubunda (%59.2) daha yüksek, erişkin (%32.7) ve yaşlılarda (%8.1) daha düşük olduğu tespit edildi. Sonuç olarak; düşmeler mortalité ve morbidité riski taşımaları ve sağlık sistemine önemli bir yük getirmeleri açısından dikkate almmalıdn. Pediatrik yaş grubunda sıklıkla görülmesinden dolayı; anne baba eğitimi, oyun esnasında çocuğun gözetlenmesi, pencere ve balkonlarda güvenliği sağlayacak önlemlerin alınması gerekmektedir.Anahtar kelimeler: Düşme, yükseklik, yaşamsal tehlike, glasgow koma skoru.

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Falls from heights among children: A retrospective review

Cited by 129 publications

References 14 publications

Analysis of Hospital Mortality and Epidemiology in Trauma Patients: A Multi-Center Study

Analysis of Hospital Mortality and Epidemiology in Trauma Patients: A Multi-Center Study

Pediatric Injuries Attributable to Falls From Windows in the United States in 1990–2008

Düşmeye Bağlı Yaralanmaların Adli Tıp Açısından Değerlendirilmesi

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