Journal article
Pediatric Unintentional Fall-Related Injuries in a Statewide Trauma Registry
Pediatric emergency care, Vol.38(2), pp.e961-e966
02/01/2022
DOI: 10.1097/PEC.0000000000002501
PMID: 34282092
Abstract
The purpose of the study was to evaluate patterns of fall-related injury through childhood and identify risk factors for more severe fall-related injuries with the goal of informing targeted prevention strategies for different ages.
The study population consisted of pediatric patients in the Iowa Trauma Registry from January 1, 2010, to December 31, 2014, who sustained an unintentional fall-related injury (N = 3856 patients). Multinomial logistic regression analysis was used to predict injury severity. Adjusted odds ratios were calculated characterizing the relationship between fall severity and age, sex, race, and fall type.
More males (62%) sustained a fall-related injury during the study period when compared with females (38%; P < 0.0001). Head injuries were the most common type of injury in the younger than 1 year age group (77%), whereas fractures were the predominant injury type in all other age groups, followed by head injuries. Those younger than 1 year (adjusted odds ratio, 4.0; 95% confidence interval, 2.36-6.90) and aged 15 to 18 years (adjusted odds ratio, 1.9; 95% confidence interval, 1.17-3.03) were more likely to have an Injury Severity Score of ≥16 than those aged 10 to 14 years.
Recommendations and prevention strategies need to focus on specific risk factors to reduce the harm of multilevel falls. As we have shown, patterns of fall injuries presenting to trauma hospitals differ by age, thus suggesting that prevention strategies focus on specific age groups.
Details
- Title: Subtitle
- Pediatric Unintentional Fall-Related Injuries in a Statewide Trauma Registry
- Creators
- Jonathan Davis - Departments of Occupational and Environmental HealthTracy Young - From the Injury Prevention Research CenterCarri Casteel - Departments of Occupational and Environmental HealthCorinne Peek-Asa - Departments of Occupational and Environmental HealthJames Torner - Epidemiology, College of Public Health, University of Iowa, Iowa City, IA
- Resource Type
- Journal article
- Publication Details
- Pediatric emergency care, Vol.38(2), pp.e961-e966
- DOI
- 10.1097/PEC.0000000000002501
- PMID
- 34282092
- NLM abbreviation
- Pediatr Emerg Care
- ISSN
- 0749-5161
- eISSN
- 1535-1815
- Language
- English
- Date published
- 02/01/2022
- Academic Unit
- Occupational and Environmental Health; Epidemiology; Surgery; Nursing; Injury Prevention Research Center; Public Policy Center (Archive); Neurosurgery
- Record Identifier
- 9984214833502771
Metrics
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