Television tip-overs: The Starship Children's Hospital experience and literature review

Marnewick, Jacques; Dansey, Rangi; Morreau, Philip; Hamill, Joseph

doi:10.1016/j.injury.2009.12.015

Cited by 8 publications

(7 citation statements)

References 6 publications

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“…[21][22][23][24][25] Previous research finds the highest incidence of injury among the 1-to 4-year-old age group and the head most commonly injured. 10,[12][13][14][15][18][19][20] Studies using data from the National Electronic Injury Surveillance System (NEISS) evaluated fewer years and conducted less in-depth analyses than the current study. 16,26 This study examines trends of pediatric TV-related injuries by using a nationally representative data set over a 22-year period.…”

Section: Discussionmentioning

confidence: 99%

“…8,9 Previous studies implicate furniture and TV tip-overs as causes of serious injury and find the incidence of TV-related injury to be increasing, [10][11][12][13][14] but many of the studies were published years ago. 12,15,16 Most earlier studies were retrospective case reports, 10,[12][13][14][16][17][18][19][20] providing descriptive analysis and focusing on the serious neurologic sequelae resulting from a TV tip-over. [21][22][23][24][25] Previous research finds the highest incidence of injury among the 1-to 4-year-old age group and the head most commonly injured.…”

Section: Discussionmentioning

confidence: 99%

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Television-Related Injuries to Children in the United States, 1990–2011

2013

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WHAT'S KNOWN ON THIS SUBJECT:Previous research has demonstrated that pediatric injuries associated with television (TV) tip-overs are increasing, children aged #4 years are at highest risk for injury, and the head and neck are most commonly injured. WHAT THIS STUDY ADDS:We analyzed a nationally representative sample comprising 22 years of data. On average, 17 313 children receive emergency treatment of a TV-related injury annually in the United States. The rate of injury attributable to falling TVs increased by 95% over 22 years. abstract OBJECTIVE: To investigate the epidemiology of television (TV)-related injuries to children in the United States.METHODS: Using data from the National Electronic Injury Surveillance System, children aged ,18 years treated in United States hospital emergency departments for an injury associated with a TV from 1990 through 2011 were investigated. RESULTS:An estimated 380 885 patients aged ,18 years were treated in emergency departments for a TV-related injury during the 22-year study period, which equals an annual average of 17 313 children. The median age of patients was 3 years; children ,5 years represented 64.3% of patients, and boys comprised 60.8%. The average annual injury rate was 2.43 (95% confidence interval [CI]: 2.07-2.80) injuries per 10 000 children aged ,18 years, with a range of 2.15 (95% CI: 1.64-2.66) to 2.90 (95% CI: 2.31-3.49). Although the overall injury rate was steady, the number and rate of injuries associated with falling TVs increased significantly by 125.5% and 95.3%, respectively, during the study period. In addition, there was a significant 344.1% increase in the number of injuries associated with a TV falling from a dresser/bureau/chest of drawers/armoire during 1995-2011.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Television-Related Injuries to Children in the United States, 1990–2011

2013

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“…Throughout the literature, comments about the engineering of newer generations of CRT televisions have emphasized the problem with their forward-shifted center of gravity. 28,31,33 This engineering issue causes major instability in CRT TVs. The FPTVs have a more balanced center of gravity and are much lighter than CRT TVs of equivalent screen size.…”

Section: Engineering and Designmentioning

confidence: 99%

“…The FPTVs have a more balanced center of gravity and are much lighter than CRT TVs of equivalent screen size. 12,31 The thin, light design of FPTVs, however, make them more susceptible to tipping with less force applied, and much easier for children to grasp. Also, FPTVs can still weigh upward of 40 kg, with the possibility of inflicting significant damage on children.…”

Section: Engineering and Designmentioning

confidence: 99%

“…Dressers, armoires, and bureaus are reported as the most common furniture involved in TVtoppling accidents. 12,19,22,31,33,54 Although regulations are in place for testing of dressers and other household furniture, they are not tested to withstand the weight of TV sets be-cause that is not their primary use. 2,51 The CPSC, along with the American Society for Testing Materials (ASTM) and the Underwriters Laboratory (UL), have regulations on the manufacturing and testing of furniture often used to support televisions.…”

Section: Engineering and Designmentioning

confidence: 99%

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Toppled television sets and head injuries in the pediatric population: a framework for prevention

Cusimano

Parker

2016

Journal of Neurosurgery: Pediatrics

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Injuries to children caused by falling televisions have become more frequent during the last decade. These injuries can be severe and even fatal and are likely to become even more common in the future as TVs increase in size and become more affordable. To formulate guidelines for the prevention of these injuries, the authors systematically reviewed the literature on injuries related to toppling televisions. The authors searched MEDLINE, PubMed, Embase, Scopus, CINAHL (Cumulative Index to Nursing and Allied Health Literature), Cochrane Library, and Google Scholar according to the Cochrane guidelines for all studies involving children 0–18 years of age who were injured by toppled TVs. Factors contributing to injury were categorized using Haddon’s Matrix, and the public health approach was used as a framework for developing strategies to prevent these injuries. The vast majority (84%) of the injuries occurred in homes and more than three-fourths were unwitnessed by adult caregivers. The TVs were most commonly large and elevated off the ground. Dressers and other furniture not designed to support TVs were commonly involved in the TV-toppling incident. The case fatality rate varies widely, but almost all deaths reported (96%) were due to brain injuries. Toddlers between the ages of 1 and 3 years most frequently suffer injuries to the head and neck, and they are most likely to suffer severe injuries. Many of these injuries require brain imaging and neurosurgical intervention. Prevention of these injuries will require changes in TV design and legislation as well as increases in public education and awareness. Television-toppling injuries can be easily prevented; however, the rates of injury do not reflect a sufficient level of awareness, nor do they reflect an acceptable effort from an injury prevention perspective.

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