Retrospective Cohort Comparison of Fall Height in Children in the Greater Los Angeles Area: Targeting Populations for Injury Prevention
| Autor: | Cory McLaughlin, Jeffrey S. Upperman, Michael U. Mallicote, Jessica A. Zagory, Helen Arbogast, Aaron R. Jensen |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Health (social science) Adolescent Databases Factual Thoracic Injuries medicine.medical_treatment Child Welfare Poison control Suicide prevention Occupational safety and health 03 medical and health sciences Age Distribution 0302 clinical medicine 030225 pediatrics Injury prevention Prevalence medicine Humans Intubation Child Retrospective Studies business.industry Public Health Environmental and Occupational Health Infant 030208 emergency & critical care medicine Retrospective cohort study Emergency department Los Angeles Intracranial Hemorrhage Traumatic Spinal Injuries Child Preschool Wounds and Injuries Accidental Falls Female Emergency Service Hospital business Fall prevention |
| Zdroj: | Journal of Community Health. 43:986-992 |
| ISSN: | 1573-3610 0094-5145 |
| DOI: | 10.1007/s10900-018-0515-z |
| Popis: | The purpose of this study was to determine whether falls from significant height occur more frequently in young children. We conducted a 10-year (2004-2014), comparative study using a retrospective cohort of 4713 children ( 18 years) from the Los Angeles county trauma database who were evaluated for a fall. Exposure was fall height, dichotomized into 10 ft/low-risk fall and 10 ft/high-risk fall. Primary outcome was age of fall. Secondary outcomes were disposition from emergency department, injuries, resource utilization, and mortality. Of all falls, 4481 (95%) were low-risk and 232 (5%) high-risk. High-risk falls were more frequent in children 1-3 years old (58 vs. 30%, p 0.01), associated with higher frequency of intracranial hemorrhage (19 vs. 10%, p 0.01), intubation (11 vs. 1%, p 0.01), and neurosurgical procedure (2 vs. 0.8%, p = 0.04). There was no difference in mortality (0.86 vs. 0.13%, p = 0.06). In Los Angeles County, children 1-3 years old are most likely to suffer high-risk falls, which are associated with serious injury. Integration of fall prevention education into routine anticipatory guidance should be strongly considered for children 1-3 years old. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink