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Unintentional Window Falls in Children and Adolescents

Michael R Flaherty1, Toby Raybould2, Jeffrey Savarino3

  • 1Division of Pediatric Critical Care Medicine, MassGeneral Hospital for Children (MR Flaherty and P Yager), Boston, Mass; Northeast Pediatric Intensive Care Consortium (MR Flaherty, P Yager, JS Giuliano, and C McKiernan), Boston, Mass.

Academic Pediatrics
|July 13, 2020
PubMed

Insights

Unintentional window falls in children remain a serious concern, particularly for those under 6. While national emergency visits decreased, regional data shows no change, highlighting the need for continued prevention efforts.

Area of Science:

  • Pediatric injury prevention
  • Public health surveillance
  • Trauma epidemiology

Background:

  • Unintentional window falls are a significant cause of severe injury and death in children.
  • Despite prevention campaigns, these incidents persist nationwide.
  • Understanding risk factors and trends is crucial for effective interventions.

Purpose of the Study:

  • To identify risk factors and trends in pediatric unintentional window falls.
  • To analyze national and regional data on window fall injuries.
  • To inform targeted prevention strategies.

Main Methods:

  • Retrospective analysis of emergency department (ED) visits using the National Electronic Injury Surveillance System (NEISS).
  • Inclusion of patient encounters from trauma registries at 10 children's hospitals in New England (2007-2017).
  • Calculation of fall rates per 100,000 population using census data.

Main Results:

  • Over 38,000 ED visits and 496 regional cases of pediatric window falls were recorded.
  • Most falls involved children under 6, often from the second story or below.
  • National ED visits showed a decreasing trend, but regional trauma center rates remained unchanged.

Conclusions:

  • Window falls pose a high risk for severe pediatric disability.
  • Updated epidemiologic data supports targeted intervention programs.
  • Continued education and advocacy are essential for prevention.
Abstract

Keywords:
fallsinjurytrauma

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