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Television Tip-Over Related Head Injuries: A Particular Type of Child Neglect
Burak Eren1, Abdurrahim Tas, Feyza Karagoz Guzey
1Health Sciences University, Bagcilar Training and Research Hospital, Department of Neurosurgery, Istanbul, Turkey.
Insights
Television (TV) tip-over incidents pose serious risks, especially to children, with maternal education level identified as a key risk factor. Simple precautions can prevent these potentially fatal injuries.
Area of Science:
- Pediatric Neurosurgery
- Public Health
- Injury Prevention
Background:
- Television tip-overs are a significant cause of pediatric head trauma.
- Previous studies have highlighted the dangers, but specific risk factors require further elucidation.
Purpose of the Study:
- To identify and report risk factors associated with television (TV) tip-over incidents.
- To raise awareness regarding the preventable nature of these injuries.
Main Methods:
- Retrospective study of 86 children hospitalized for TV tip-over related head trauma.
- Data collected on patient demographics, injury mechanisms, and outcomes.
Main Results:
- Low maternal education level was identified as a significant risk factor (p=0.009).
- All injuries involved cathode ray tube (CRT) TVs; none were secured to stands or walls.
- Significant injuries included intracranial hemorrhage (13.9%) and skull fractures (22%); one fatality occurred.
Conclusions:
- TV tip-overs can lead to severe neurological damage and death.
- Preventable through simple safety measures like securing televisions.
- Increased awareness and preventative strategies are crucial.
Aim:
To identify, report, and raise awareness of the risk factors for television (TV) tip-over.
Material And Methods:
In total, 86 children who were brought to the emergency service and hospitalized at the neurosurgery clinic because of TV tip-over-related head trauma between August 2011 and August 2016 were included in the study.
Results:
The 86 patients consisted of 47 males and 39 females. The mean age was 38.8 ± 19.5 (9â€"102) months. Low education level of the mother was a risk factor for this type of accident (p=0.009). In all the patients, injuries were caused by the tip-over of a cathode ray tube (CRT) TV. In 66 patients (77%), only the TV tipped over onto the child, whereas in 20 cases (23%), the TV tipped over with the TV stand. The TVs were not fixed to the stand or the wall in any of the homes. According to computerized tomography findings, 12 patients (13.9%) had intracranial hemorrhage and 19 patients (22%) had skull fractures. Five patients underwent neurosurgical intervention. Eighty-four patients (97.6%) were discharged with a GCS level of 15. One patient was discharged with a GCS level of 9/15 with a tracheostomy and nasogastric tube. One patient died.
Conclusion:
TV tip-over causes physical injury that may result in serious neurological damage and even death. It is becoming more common and may be prevented by taking simple precautions.
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