Incidence and risk factors of fall injuries among infants: a study in Greece.


Dedoukou, X; Spyridopoulos, T; Kedikoglou, S; Alexe, DM; Dessypris, N; Petridou, E; (2004) Incidence and risk factors of fall injuries among infants: a study in Greece. Archives of pediatrics & adolescent medicine, 158 (10). pp. 1002-6. ISSN 1072-4710 DOI: https://doi.org/10.1001/archpedi.158.10.1002

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Abstract

OBJECTIVE: To assess the incidence of fall injuries among infants in Greece, overall and by type of nursery equipment. DESIGN: Review of data from a large injury database. SETTING: The Emergency Department Injury Surveillance System in Greece. PATIENTS: A total of 2672 injured infants. INTERVENTIONS: Specially trained health visitors performed in-person interviews with the children's guardians, using a precoded questionnaire. The results of an independent survey of 777 mothers of noninjured children younger than 2 years attending the same emergency departments were used to allow quantification of the role of specific nursery equipment in the causation of infant fall injuries. MAIN OUTCOME MEASURES: Annual rate of injury by falling in infants, overall and by cause. RESULTS: About 4400 infant fall injuries occur annually in Greece, corresponding to an annual incidence rate of 44 injuries per 1000 infants. The incidence of falls increases with increasing infant age. A high percentage of severe injuries was detected, most of them concussions (14.3%) and fractures (9.4%). Approximately 10% of infants with fall-related injuries required hospitalization. More than 36% of fall injuries involved nursery equipment. Infant walker use was associated with a higher incidence of falls (about 9 per 1000 infant-years), and these falls occasionally involved stairs and caused serious injuries. Infant bouncers, strollers, and changing tables were all associated with a similar incidence of falls (about 4 per 1000 infant-years). CONCLUSIONS: Falls are a common cause of serious infant injuries, and nursery equipment is frequently involved in the injury-causing event.

Item Type: Article
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Non-Communicable Disease Epidemiology
PubMed ID: 15466690
Web of Science ID: 224279200010
URI: http://researchonline.lshtm.ac.uk/id/eprint/11131

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