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Related Experiment Video

Updated: Jun 2, 2026

Design and Analysis for Fall Detection System Simplification
08:05

Design and Analysis for Fall Detection System Simplification

Published on: April 6, 2020

Pilot case-control study of paediatric falls from windows.

Brian D Johnston1, D Alexander Quistberg, Jamie R Shandro

  • 1Harborview Injury Prevention and Research Center, Seattle, Washington, USA. bdj@uw.edu

Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention
|April 14, 2011
PubMed
Summary

Unintentional pediatric falls from windows are linked to specific window types, deeper sills, greater height, and faulty screens. This case-control study highlights key environmental risk factors for child window falls.

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Area of Science:

  • Pediatric safety
  • Environmental health
  • Injury prevention

Background:

  • Unintentional falls from windows are a significant cause of pediatric injury and morbidity.
  • No controlled studies have identified modifiable environmental risk factors for these falls in young children.
  • This study piloted a case-control approach to assess feasibility of data collection.

Purpose of the Study:

  • To pilot a case-control study to identify modifiable environmental risk factors for pediatric window falls.
  • To test procedures for case identification, subject enrollment, and environmental data collection.
  • To evaluate the effectiveness of window screens in preventing falls.

Main Methods:

  • A case-control study design was employed, comparing windows from which children fell with control windows.

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Last Updated: Jun 2, 2026

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  • Case windows involved children aged 0-9 years who fell from a window.
  • Control windows were selected from the child's home or from age/gender-matched children with non-fall related injuries.

    • Main Results:

    • Case windows were more likely to be horizontal sliders, have deeper sills, and be higher above the ground compared to community controls.
    • Screens on case windows were significantly more likely to fail under pressure compared to control windows.
    • In-home controls showed minimal differences from case windows, suggesting potential over-matching.

    Conclusions:

    • Case-control methodology is viable for studying pediatric window fall risk factors.
    • Recruiting community controls is challenging but crucial for accurate risk factor assessment.
    • Window type, sill depth, height, and screen performance are critical factors for future research.