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A Systematic Review of Longitudinal Cohort Studies Examining Unintentional Injury in Young Children
Mark R Zonfrillo1,2, James G Linakis1,2, Eunice S Yang2
1Department of Emergency Medicine, Alpert Medical School of Brown University, Providence, RI, USA.
Insights
Childhood injury is a major concern. A review found limited longitudinal studies on unintentional injuries in children aged 0-5, highlighting a need for more research to understand injury incidence.
Area of Science:
- Pediatrics
- Public Health
- Epidemiology
Background:
- Injury is a primary cause of death and disability in children.
- Longitudinal cohorts track early-life exposures to understand health outcomes.
- Understanding childhood injury requires robust, long-term data.
Purpose of the Study:
- To systematically review longitudinal cohort studies on unintentional injuries in children aged 0-5 years.
- To assess the existing research landscape regarding early childhood injury.
- To identify gaps in the literature on childhood injury incidence.
Main Methods:
- Systematic literature review.
- Searched for studies following children from birth to 5 years.
- Included studies with unintentional injury as the outcome of interest.
Main Results:
- 12 studies published between 2000 and 2013 met the inclusion criteria.
- A significant number of references (1892) were initially screened.
- Included studies showed variability in populations, injury definitions, and incidence rates.
Conclusions:
- Current longitudinal studies on early childhood injury are limited in number and scope.
- The generalizability of existing findings is restricted.
- Population-based longitudinal cohorts are essential for accurate childhood injury incidence estimation.
Abstract:
Objective. Injury is the leading cause of death and long-term disability in children. Longitudinal cohorts are designed to follow subjects longitudinally in order to determine if early-life exposures are related to certain health outcomes. Methods. We conducted a systematic review to identify studies of children from birth through 5 years who were followed longitudinally with unintentional injury as an outcome of interest. Results. Of the 1892 unique references based on the search criteria, 12 (published between 2000 and 2013) were included. The studies varied on the population of focus, injury definition, and incidence rates. Existing studies that longitudinally follow children aged 0 to 5 years are limited in number, scope, and generalizability. Conclusions. Further study using population-based longitudinal cohorts is necessary to more comprehensively estimate incidence of injury in young children.
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