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Updated: May 25, 2026

Design and Analysis for Fall Detection System Simplification
Published on: April 6, 2020
Unintentional fall injuries among US children: a study based on the National Emergency Department Sample
Duane Wang1, Weiyan Zhao, Krista Wheeler
1The Ohio State University College of Medicine, Columbus, OH, USA.
Insights
Childhood falls result in over 2.3 million emergency department (ED) visits annually in the US. Understanding injury patterns can guide targeted prevention strategies for pediatric fall injuries.
Area of Science:
- Public Health
- Pediatrics
- Injury Prevention
Background:
- Childhood falls represent a significant public health concern in high-income countries.
- Previous studies have limited insight into national patterns and causes of pediatric fall injuries.
- Emergency departments (EDs) manage a substantial burden of fall-related injuries among children.
Purpose of the Study:
- To describe the national patterns and aetiologies of childhood falls in the United States.
- To identify age and gender-specific injury trends from fall-related emergency department visits.
- To inform the development of age-specific prevention interventions for pediatric falls.
Main Methods:
- Retrospective analysis of national data from the 2007 Nationwide Emergency Department Sample (NEDS).
- Utilized sample weights for national estimations of pediatric fall-related emergency department visits.
- Examined age patterns in the bodily location of injury for hospitalized cases.
Main Results:
- Estimated over 2.3 million pediatric fall-related ED visits in 2007, a rate of 3217 per 100,000 children.
- Over 95% of children treated for fall injuries were released from the ED.
- Significant age-related patterns were observed in the bodily location of injuries among hospitalized children.
Conclusions:
- Fall-related injuries impose a substantial impact on US emergency departments within the pediatric population.
- National ED data reveals age and gender patterns in pediatric fall injuries previously underestimated.
- Identified injury patterns can guide the development of targeted, age-specific prevention interventions for childhood falls.
Abstract:
This study uses national data to describe the patterns and aetiologies for childhood falls in a high-income country, the United States. We conducted a retrospective analysis of data for children aged 0-17 years from the 2007 Nationwide Emergency Department Sample (NEDS). Sample weights provided by NEDS were used to make national estimates. We estimated that in 2007 there were more than 2.3 million paediatric fall-related emergency department (ED) visits at a rate of 3217 visits per 100,000 children. Over 95% of those seen for fall injuries were treated and released. In addition, government sources made payments for just under one-third of these visits. Of those ED visits that result in hospitalisation, we found marked age patterns in bodily location of injury. The impact of fall-related injuries on EDs in the US is substantial within the paediatric population. The use of national level ED data shows age and gender patterns in paediatric fall injury not readily apparent in previous studies. There are patterns in external cause of injury and bodily location of injury that can be used to guide age specific prevention interventions.
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