Accidents & Violence, Author Interviews, JAMA, Pediatrics / 02.12.2014
Childhood Falls May Be Decreased By Supervision and Safety Devices
MedicalResearch.com Interview with:
Prof. Denise Kendrick
Professor of Primary Care Research
Division of Primary Care, University Park
Nottingham UK
Medical Research: What is the background for this study? What are the main findings?
Prof. Kendrick: More than 1 million US children aged 0-4 years attend emergency departments because of a fall each year. Approximately half of all ED attendances in this age group are for falls, and most of these are falls from furniture, most commonly from beds, chairs , baby walkers, bouncers, changing tables and high chairs. In the US around 18,000 0-4 year olds are admitted to hospital following a fall each year and in 2012 there were 31 deaths in the US in 0-4 year olds from falls. Healthcare costs for falls in the US were estimated at $439 million for hospitalised children and $643 million for ED attendances in 2005.
We found that children were more likely to attend hospital because of a fall from furniture in families that did not use safety gates across doorways or on stairs. For infants (aged 0-12 months) we found they were more likely to attend hospital because of a fall from furniture if they had been left on a raised surface (e.g. beds, sofas, work tops etc), had diapers changed on a raised surface or been put in a car seat or bouncing cradle on a raised surface. We also found that children aged over 3 years who had climbed or played on furniture were more likely to have a fall requiring a hospital visit than children who had not. Finally we found that children whose parents had not taught their children rules about climbing on objects in the kitchen were more likely to have a fall needing a hospital visit than children whose parents had taught these rules.
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