Windows 99: a source of suburban pediatric trauma
| Autor: | Kevin M. Dwyer, Dorraine D. Watts, Ronnie S. Benoit, Christoph Kaufmann, Samir M. Fakhry |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
Male
medicine.medical_specialty Pediatrics Adolescent Poison control Child Welfare Medical Records Trauma Centers Injury prevention Epidemiology Medicine Humans Child Retrospective Studies business.industry Mortality rate Incidence (epidemiology) Incidence Trauma center Head injury Age Factors Virginia Infant medicine.disease Suburban Population Child Preschool Wounds and Injuries Accidental Falls Female business Pediatric trauma |
| Zdroj: | The Journal of trauma. 49(3) |
| ISSN: | 0022-5282 |
| Popis: | Falls from windows in urban areas cause a significant number of pediatric injuries. Window falls have not been well described in the nonurban setting. We describe the epidemiology of window falls from residential homes among pediatric patients at a suburban Level I trauma center.A review of patients admitted from January 1991 through November 1999 to a center serving a rapidly growing suburban area was performed.A total of 2,322 children, ages 0-14 years, were admitted during the study period. Falls comprised 41% of these admissions, and 11% of falls were from windows, greater than twice the national average. More than 39% of children who fell from windows were admitted directly to the intensive care unit. Overall mortality rate was 4%. Ages 0 to 4 years comprised the largest percentage (83%), and all children who died were in this age group. Childrenor = 4 years were more likely to have an Abbreviated Injury Scoreor = 2 (head injury) than those ages 10 to 14 years (p = 0.032). More than 31% of all children injured in window falls seen at the study institution between 1991 and 1999 were admitted in the last 2 years.Pediatric falls from windows in this suburban area appear to be increasing, with an incidence greater than the national average. Children at greatest risk are less than 4 years old. Further research in injury prevention at the national level aimed at suburban areas may be warranted. |
| Databáze: | OpenAIRE |
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