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Infant Walker-Related Injuries in the United States

Ariel Sims1,2, Thitphalak Chounthirath1, Jingzhen Yang1,3

  • 1Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio.

Pediatrics
|September 19, 2018
PubMed

Insights

Infant walker injuries significantly decreased after the 2010 safety standard, with falls down stairs being a major cause. Despite declines, infant walkers remain a preventable injury risk for young children.

Area of Science:

  • Pediatric safety
  • Injury epidemiology
  • Consumer product safety standards

Background:

  • Infant walkers are associated with significant injuries in children under 15 months.
  • Falls, particularly down stairs, are a primary mechanism for these injuries.

Purpose of the Study:

  • To examine the epidemiology of infant walker-related injuries in US emergency departments.
  • To assess the impact of the 2010 federal mandatory safety standard on these injuries.

Main Methods:

  • Analysis of National Electronic Injury Surveillance System data from 1990 to 2014.
  • Comparison of injury rates before and after the 2010 safety standard implementation.

Main Results:

  • Over 230,000 injuries were treated from 1990-2014, with head/neck injuries being most common (90.6%).
  • Falls down stairs accounted for 74.1% of injuries; 37.8% of hospitalized children had skull fractures.
  • A significant decrease in injuries was observed post-2010, with a 22.7% annual reduction in the years following the standard.

Conclusions:

  • The 2010 safety standard appears effective in reducing infant walker injuries.
  • Reduced walker use and fewer older walkers may also contribute to the decline.
  • Infant walkers continue to pose a preventable risk, supporting calls for a ban.
Abstract

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