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Pediatric injuries attributable to falls from windows in the United States in 1990-2008
Vaughn A Harris1, Lynne M Rochette, Gary A Smith
1Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio 43205, USA.
Insights
Pediatric window falls cause significant injuries, with younger children and hard surface impacts leading to more severe outcomes. Prevention programs are crucial to address this public health issue.
Area of Science:
- Public Health
- Epidemiology
- Pediatric Injury Prevention
Background:
- Falls from windows represent a significant cause of pediatric injuries.
- Understanding the epidemiological characteristics of these injuries is essential for effective prevention.
Purpose of the Study:
- To investigate the epidemiological features of pediatric injuries resulting from falls from windows.
- To identify risk factors and trends associated with window fall injuries in children.
Main Methods:
- Utilized the National Electronic Injury Surveillance System (NEISS) database.
- Analyzed emergency department (ED) data for pediatric injury cases related to window falls from 1990 to 2008.
Main Results:
- An estimated 98,415 children were treated in US EDs for window fall injuries.
- Younger children (0-4 years) and falls onto hard surfaces were associated with higher rates of head injuries and hospitalization.
- A significant decrease in the annual injury rate was observed over the study period.
Conclusions:
- Window fall-related injuries constitute a critical pediatric public health concern.
- Enhanced prevention strategies and innovative programs are necessary to reduce the incidence and severity of these injuries.
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 fall-related 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]: 3.22 [95% CI: 2.65-3.91]) and to be hospitalized or to die (IPR: 1.65 [95% CI: 1.38-1.97]) compared with children 5 to 17 years of age. Children who landed on hard surfaces were more likely to sustain head injuries (IPR: 2.05 [95% CI: 1.53-2.74]) and to be hospitalized or to die (IPR: 2.23 [95% CI: 1.57-3.17]) compared with children who landed on cushioning surfaces.
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.
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