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Published on: April 6, 2020
Mortality and morbidity in children caused by falling televisions: a retrospective analysis of 71 cases
Insights
Falling televisions cause significant injuries in children, with head and facial trauma being most common. Traumatic brain injury is a leading cause of death in these preventable incidents.
Area of Science:
- Pediatric emergency medicine
- Injury prevention science
- Consumer product safety
Background:
- Toppled televisions are a significant cause of home-related injuries in children.
- Previous studies have highlighted the severity of these injuries, but quantification is needed.
Purpose of the Study:
- To quantify the incidence and characteristics of injuries in children resulting from toppled televisions.
- To identify common injury patterns and outcomes.
Main Methods:
- Retrospective chart review of 71 children presenting to the emergency department with TV-related injuries.
- Descriptive statistical analysis of patient demographics, injury types, and outcomes.
Main Results:
- TV-related injuries accounted for 1.8% of home injury admissions.
- Head and facial injuries were most common (70.4%), followed by extremity injuries (30%).
- Traumatic brain injury occurred in 14 patients, with a 5.6% overall mortality rate.
Conclusions:
- Toppled televisions pose a serious risk of morbidity and mortality to children, especially those under three.
- Head and facial injuries, including traumatic brain injury, are prevalent and can be fatal.
- Preventive measures are crucial to reduce these severe, yet avoidable, pediatric injuries.
Objectives:
To quantify injuries in children that result from toppled televisions.
Methods:
Children presenting directly to emergency department due to injuries caused by falling televisions were identified from our digital patient database, and a retrospective chart review of 71 children was performed.Descriptive statistics were applied.
Results:
71(1.8%) out of 3856 admissions due to injuries sustained at home were TV-related injuries. There were 50 (70.4%) boys and 21(29.6%) girls. Mean age was 39.79 ± 20.14 SD months. Almost three quarters of the children (49/71) sustained various head and facial injuries. There was traumatic brain injury in 14 patients,extremity injuries in 30 patients, thoracic injuries in 13 patients and abdominal injuries in ten patients. 16 patients were hospitalized. 14 of them required follow-up in intensive care unit. Two patients (one with epidural hematoma and one with subdural hematoma) underwent surgical intervention. Four patients with subarachnoid bleeding died. The mean length of hospital stay was 71.25 hours (range, 48-168) in hospitalised patients. The overall mortality rate was 5.6%.
Conclusions:
Falling TVs may cause significant morbidity and mortality in children particularly those younger than 3 years old. Head and facial injuries are the most common body region involved and traumatic brain injury is the major cause of death.
