Interventions to reduce accidents in childhood: a systematic review

Barcelos, Raquel Siqueira; Del‐Ponte, Bianca; Santos, Iná S.

doi:10.1016/j.jped.2017.10.010

Cited by 26 publications

(16 citation statements)

References 29 publications

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“…The type and effectiveness of prevention interventions, however, will depend on factors such as child's age, level of development and household environment. 11 As expected, injuries (which includes trauma in the NHAMCS definition) remain a major source of painrelated ED visits during childhood. Just under half of all paediatric pain-related ED visits involved an injury, once again emphasising the importance of more prevention initiatives.…”

Section: Discussionmentioning

confidence: 72%

Epidemiology of paediatric pain-related visits to emergency departments in the USA: a cross-sectional study

et al. 2021

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ObjectiveTo describe the epidemiology of paediatric pain-related visits to emergency departments (EDs) across the USA.DesignCross-sectional study.SettingA representative sample of US ED visits using data from the National Hospital Ambulatory Medical Care Survey (NHAMCS).ParticipantsPaediatric (age ≤18 years) ED visits in the 2017 NHAMCS data set.Data analysisEach visit was coded as pain-related or non-pain-related using the ‘reason for visit’ variable. Weighted proportions were calculated with 95% CIs. Logistic regression was used to compare odds of pain-related visits.Outcome measuresPrevalence of pain-related visits among paediatric ED visits.ResultsThere were an estimated 35 million paediatric ED visits in the USA in 2017, 55.6% (CI 53.3% to 57.8%) were pain related, which equates to 19.7 million annual visits. The prevalence of pain-related visits reached more than 50% of visits at age 6–7 and plateaued at relatively high proportions. Children of races other than white or black had lower odds of having a pain-related visit (OR 0.48, CI 0.29 to 0.81) than white children, as did children who were black, though the difference was not statistically significant (OR 0.88, CI 0.73 to 1.06). Relative to children covered by private insurance, children with Medicaid or CHIP (Children’s Health Insurance Program) coverage had lower odds of a pain-related visit (OR 0.75, CI 0.60 to 0.93). Injuries represented 46.5% (CI 42.0% to 51.0%) of pain-related visits. Pain scores were reported in less than 50% of pain-related visits.ConclusionPain is the reason for visit in 55.6% of paediatric ED visits across the USA. The prevalence of pain-related visits peak before adolescence and it continues relatively high until the age 18. Injury, racial disparities in pain and poor pain score reporting should remain major topics of study in the paediatric population.

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Section: Discussionmentioning

confidence: 72%

Epidemiology of paediatric pain-related visits to emergency departments in the USA: a cross-sectional study

et al. 2021

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“…The interventions directed to the prevention of child accidents must consider the moment of child development and the behavioral habits common to the age, involving counselling families, making changes in the house space and identifying factors of risk 23 . The interventions could initially contemplate the risks to the impact caused by objects thrown or falling in the kitchen or any other place in the house.…”

Section: Discussionmentioning

confidence: 99%

Prevention of domestic child accidents: an educational intervention conducted by Speech Therapy trainees in a Family Health Care Unit

2019

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Purpose: to check the effect of an educational intervention on the prevention of domestic child accidents, carried out by Speech Therapy trainees. Methods: an interventional research that uses primary research data. The action was done by two interns of Speech Therapy with 30 caregivers of children who attended a Family Health Unit. For the carrying out of the educational intervention, two pictures with images which represented objects and situations of risk of accidents were used. Two interview scripts were elaborated, which allowed to identify the caregivers’ personal data and their knowledge about the risks of child accidents in the domestic environment before and after carrying out of the educational intervention. Results: before the educational action, the caregivers identified 187 situations for child accidents, and after the intervention, 215 dangers were identified. Among the 30 caregivers who participated, 23 had significant changes in their answers and seven did not have any change in their knowledge. The main change was in relation to "Accidental poisoning-intoxication by exposure to harmful chemicals" and "The impact caused by an object thrown, projected or falling". Conclusion: the intervention promoted an increase in the participants’ correct reports, and it can be incorporated to the actions of accidents prevention carried out by the trainees and professionals of Speech Therapy who work in basic healthcare.

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“…Mortes de crianças e adolescentes (CA) por acidentes e homicídios são um importante problema mundial de saúde pública, inclusive nas nações mais desenvolvidas 1 . Acidentes são a principal causa de morte de CA em grande parte dos países, apesar de serem eventos em sua maioria previsíveis e evitáveis, o que torna criticável o próprio uso deste termo 2,3 . A situação dos homicídios de CA é particularmente preocupante.…”

Section: Introductionunclassified

“…Diante de um quadro epidemiológico tão grave, é importante o conhecimento detalhado destes óbitos para o estabelecimento de medidas de prevenção 3 . A investigação necroscópica médico-legal é obrigatória em todos os casos de mortes por causas externas (MCE) no Brasil e os laudos gerados contêm detalhes sobre os mecanismos das mortes, as lesões observadas e os resultados de exames de teor alcoólico e toxicológico, importantes na compreensão da dinâmica dos eventos e dos fatores de risco envolvidos 6 .…”

Section: Introductionunclassified

Homicídios e Acidentes de Crianças e Adolescentes: Análise de 2.462 Necropsias Médico-Legais

Bordoni¹,

Marçoni²,

Reis³

et al. 2019

BJFS

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Resumo. Mortes de crianças e adolescentes (CA) por causas externas são um importante problema mundial de saúde pública. Para uma melhor compreensão epidemiológica destes óbitos este estudo analisou laudos necroscópicos forenses de CA vítimas alegadas de acidentes e homicídios no período de 2006 a 2012 periciadas no Instituto Médico Legal de Belo Horizonte. Os homicídios compreenderam 65% dos 2.462 laudos de menores de 18 anos estudados. O trauma penetrante ("tiros" e "facadas") foi mais prevalente nos homicídios (93%) enquanto o não penetrante prevaleceu nos acidentes (99%) (p<0,05). As vítimas de "tiros" foram mais frequentes que as de "facadas" e foi observada média de 4,8 lesões de entradas de projéteis por autopsia naquelas. Os acidentes mais comuns foram os de trânsito e os afogamentos. O final de semana foi o período com o maior número de necropsias tanto de homicídios como de acidentes e a faixa etária de 12 a 17 anos concentrou o maior número de casos. A idade média foi de 10,6 anos nos acidentes e de 15,5 nos assassinados (p<0,05). A maior proporção de óbitos por homicídio foi na faixa de

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Interventions to reduce accidents in childhood: a systematic review

Abstract: Traumatic injuries in childhood are amenable to primary prevention through strategies that consider the child's age and level of development, as well as structural aspects of the environment.

Cited by 26 publications

References 29 publications

Epidemiology of paediatric pain-related visits to emergency departments in the USA: a cross-sectional study

Epidemiology of paediatric pain-related visits to emergency departments in the USA: a cross-sectional study

Prevention of domestic child accidents: an educational intervention conducted by Speech Therapy trainees in a Family Health Care Unit

Homicídios e Acidentes de Crianças e Adolescentes: Análise de 2.462 Necropsias Médico-Legais

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