Risk factors for falls among children aged 0-18 years: a systematic review

Lan Wang1, Mao-Lin Qian1, Xiao Shan1

  • 1School of Medicine, Nantong University, No. 19, Qi Xiu Street, Nantong, 226007 , China.

Insights

Accidental falls are a major cause of childhood injury. This study identified 12 key risk factors, including age, sex, and environmental influences, to help prevent pediatric falls.

Area of Science:

  • Pediatric injury prevention
  • Childhood health and safety
  • Epidemiology of accidental injuries

Background:

  • Accidental falls represent the leading cause of injury in children.
  • Pediatric falls result in significant pain, injury, and socioeconomic costs.
  • Understanding fall risk factors is crucial for effective prevention strategies.

Purpose of the Study:

  • To systematically identify and analyze the risk factors associated with accidental falls in children aged 0-18 years.
  • To inform targeted interventions for reducing pediatric fall injuries.

Main Methods:

  • A systematic literature review was conducted on studies of falls in children aged 0-18 years.
  • Studies involving falls from a height of 1 meter or more were excluded.
  • Included studies were analyzed to extract and categorize fall-related risk factors.

Main Results:

  • Nine articles published between 1995 and 2021 were included in the analysis.
  • Identified risk factors encompass individual characteristics (age, sex, extroversion, history of falls, disease factors), medication use, and medical procedures (intravenous therapy, tests requiring movement).
  • Environmental and social factors such as rural settings, family dynamics, caregiver influences, and prolonged hospital stays were also found to be significant.

Conclusions:

  • A comprehensive set of 12 risk factors contributing to falls in children was identified.
  • These factors span individual, familial, and societal domains, highlighting the multifactorial nature of pediatric falls.
  • The findings provide a foundation for developing evidence-based strategies to mitigate fall risks in pediatric populations.
Abstract

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