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Design and Analysis for Fall Detection System Simplification
Published on: April 6, 2020
[Falls from heights in Pediatrics. Epidemiology and evolution of 54 patients]
E Pérez-Suárez1, R Jiménez-García, M Iglesias-Bouzas
1Servicio de Cuidados Intensivos Pediátricos, Hospital Infantil Universitario Niño Jesús, Madrid, España. eperez221981@hotmail.com
Insights
Falls from heights are a significant cause of child injury and death. Most survivors regain independence, but prevention in at-risk groups is crucial.
Area of Science:
- Pediatric Traumatology
- Injury Prevention
- Public Health
Context:
- Falls from heights represent a major, yet preventable, cause of child morbidity and mortality.
- Understanding the epidemiology and risk factors is essential for targeted interventions.
Purpose:
- To describe the outcomes and long-term prognosis of pediatric patients who fall from heights.
- To identify high-risk pediatric populations and predictive factors for mortality upon admission.
Summary:
- A retrospective review of pediatric intensive care unit patients who fell from over two meters was conducted over 10 years.
- Key findings include falls from buildings, high incidence in preschoolers, and suicide attempts in adolescents. Predictors of mortality included fall height, Glasgow Coma Scale, Pediatric Trauma Index, anemia, acidosis, hypotension, vasoactive drug use, and intracranial hypertension.
- The mortality rate was 12%, with 82% of survivors leading independent lives after two years.
Impact:
- This study highlights the severe consequences of falls from heights in children, emphasizing the need for enhanced preventive strategies.
- Identifying at-risk populations and predictive mortality factors can guide clinical management and resource allocation.
- Long-term follow-up data indicate a favorable prognosis for most survivors, underscoring the importance of early and effective treatment.
Objective:
Falls from heights are a major preventable cause of morbidity and mortality in children. The aims of this study are to describe the evolution and long-term prognosis of such patients, to identify the pediatric population at greatest risk of falling from heights in our setting, and to define the variables at admission capable of predicting mortality.
Design:
A retrospective patient cohort review was carried out.
Setting:
Pediatric patients.
Population:
Pediatric patients admitted to the pediatric intensive care unit following a fall from a height of over two meters, in the last 10 years.
Results:
Ninety-two percent of the patients fell from buildings. Out of a total of 54 patients suffering falls, 51% were preschoolers. Fifty percent of the adolescents cases corresponded to attempted suicide. Fifty-two percent of the children were immigrants. Head injuries were the most common type of traumatism. The mortality rate was 12%. Eighty-two percent of the patients with a follow-up period of two years were leading an independent life. The independent predictors of mortality were the height of the fall, the Glasgow coma score and pediatric trauma index score upon admission, the presence of anemia, acidosis and hypotension upon admission, the need for vasoactive drugs, and the presence of severe head injury with the development of intracranial hypertension.
Conclusions:
Falls from heights occur mainly in unsupervised preschool children and teenagers attempting suicide. These patients have a high number of injuries, a high mortality rate, and important care needs. Most survivors are able to lead an independent life over the long term. Preventive measures should be implemented in risk populations.
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