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Published on: September 21, 2017
Pediatric injuries associated with high chairs and chairs in the United States, 2003-2010
Rachel M Kurinsky1, Lynne M Rochette, Gary A Smith
11The Research Institute at Nationwide Children's Hospital, Columbus, OH, USA.
Insights
Injuries in young children from high chairs and regular chairs are common, with high chair injuries increasing significantly. Falling is the primary cause, often resulting in closed head injuries, highlighting the need for safety restraints.
Area of Science:
- Pediatrics
- Public Health
- Injury Prevention
Background:
- Injuries in children under 3 years old are a significant public health concern.
- High chairs and regular chairs are common household items associated with pediatric injuries.
- Understanding injury patterns is crucial for developing effective prevention strategies.
Purpose of the Study:
- To analyze the epidemiology of injuries in children aged 3 years and younger associated with high chairs compared to regular chairs.
- To identify trends in high chair-related injuries over time.
- To determine common injury mechanisms and diagnoses.
Main Methods:
- Retrospective analysis of data from the National Electronic Injury Surveillance System (NEISS) in the United States.
- Data collected from 2003 to 2010.
- Focus on injuries treated in emergency departments for children ≤3 years old.
Main Results:
- An estimated 402,479 injuries related to high chairs and chairs were treated in US emergency departments between 2003 and 2010.
- High chair-related injuries averaged 9,421 annually and showed a significant 22.4% increase from 2003 to 2010.
- Falling was the most common injury mechanism (92.8% for high chairs, 87.3% for chairs), with closed head injury being the most frequent diagnosis (37.3% for high chairs).
Conclusions:
- Pediatric injuries associated with high chairs are increasing, with falls being the predominant cause.
- Closed head injuries are a common and rising concern in high chair-related incidents.
- Caregivers must ensure proper use of high chair safety restraints and supervise children to prevent injuries.
Abstract:
This study describes the epidemiology of injuries among children ≤3 years old associated with high chairs compared with chairs by retrospectively analyzing data from the National Electronic Injury Surveillance System from 2003 to 2010. An estimated 402 479 (95% confidence interval = 335 116-469 842) injuries associated with high chairs and chairs were treated in United States emergency departments, with an average of 9421 high chair-related injuries and 40 889 chair-related injuries annually. The number of high chair-related injuries significantly increased by 22.4% from 8926 injuries in 2003 to 10 930 injuries in 2010. Falling was the most common injury mechanism associated with high chairs (92.8%) and chairs (87.3%). Closed head injury was the most common diagnosis associated with high chairs (37.3%), and increased in number (P = .005) and rate (P = .006) from 2003 to 2010. Child caregivers should properly engage high chair safety restraint systems and encourage appropriate behaviors by young children when using chairs.
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