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[Home and recreational injuries in children under 1year: 10years of experience]
B Lacarra1, S Guyet-Job1, G Pédrono2
1Groupe hospitalier du Havre, urgences pédiatriques, 29, avenue Pierre-Mendès, 76290 Montivilliers, France.
Insights
Home and recreational injuries are common in infants under 12 months, with falls being the leading cause. Most injuries affect the head and neck, with hospitalization rates decreasing as infants age.
Area of Science:
- Pediatric injury epidemiology
- Public health research
- Infant safety
Background:
- Limited research exists on home and recreational injuries in infants under 12 months.
- Domestic accidents cause approximately 50 infant deaths annually in France.
Purpose of the Study:
- To characterize the incidence and nature of home and recreational injuries in infants under 12 months.
- To analyze injury patterns by age group.
Main Methods:
- Retrospective descriptive study using data from the permanent investigation on home and recreational injuries in infants under 12 months (EPAC).
- Data collected from 2004-2013 at Le Havre hospital's pediatric emergency department.
- Analysis included global quantitative and age-group specific analyses (3-month intervals).
Main Results:
- 3708 infants under 1 year experienced home/recreational injuries; average incidence was one case daily.
- 85% of injuries occurred at home, with falls as the primary cause (73%), including falls from stairs (7%).
- Concussions/contusions were common (65%), affecting the head/neck (73%). Foreign body injuries increased after 6 months; hospitalizations decreased with age.
Conclusions:
- This study provides the first characterization of home and recreational injuries in French infants under 12 months.
- Findings highlight the significant burden of domestic accidents on infant health and safety.
- Data can inform targeted prevention strategies for infant home and recreational injuries.
Background:
There is little research on the prevalence and characteristics of home and recreational injuries in infants under 12months of age. However, domestic accidents result in an average of 50 infant deaths in France every year.
Methods:
A descriptive and retrospective study was conducted, based on data from the permanent investigation on home and recreational injuries in infants under 12months of age (EPAC) published by the Institute for Public Health. Data were collected from 2004 to 2013 in the pediatric emergency department of Le Havre hospital. A global quantitative analysis was carried out, as well as age-group-based analyses (groups of infants of similar age within a specific range of 3months of age).
Results:
A total of 3708 infants under 1year of age were victims of home and recreational injuries. The incidence of domestic accidents was found to be an average of one case per day (gender ratio, 1.12). Up to 85% of reported injuries were found to occur in the home. Falls were the leading cause of home accidents or injuries (73% of the total number of reported accidents), 7% of which resulted from a fall from stairs. Children frequently suffered from concussion or contusions (65%). The neck and head were affected in 73% of cases. A higher proportion of foreign body injuries occurred after 6months of age (RR=2.9, p<0.001). The number of hospitalizations decreased with age: 21% of accidents occurred before 3 months of age; 7% occurred between 9 and 11 months of age (RR=0.32, p<0.001). Falling from a changing table accounted for 9% of fall-related hospitalizations.
Conclusions:
This survey characterized for the first time the occurrence of home and recreational injuries in infants under 12months of age in France.
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