Epidemiología y factores de riesgo de las lesiones por caídas en niños menores de un año.

OBJECTIVES: To describe the epidemiological characteristics of unintentional injuries due to falls in children under one year and to analyse the risk factors associated with severe injuries. PATIENTS AND METHODS: This multicentre, observational and cross-sectional study included all children less th...

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Autores: Jiménez de Domingo A, Rubio García E, Marañon Pardillo R, Arias Constanti V, Frontado Haiek LA, Soriano Arola M, Ripoll Oliveras F, Remón García C, Estopiña Ferrer G, Lorente Romero J
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2017
País:España
Institución:Fundació Sant Joan de Déu
Repositorio:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
OAI Identifier:oai:fsjd.fundanetsuite.com:p8992
Acceso en línea:https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=8992
Access Level:acceso abierto
Palabra clave:Caídas
Children
Dispositivos infantiles
Factores de riesgo
Falls
Niños
Nursery equipment
Prevención
Prevention
Risk factors
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spelling Epidemiología y factores de riesgo de las lesiones por caídas en niños menores de un año.Jiménez de Domingo ARubio García EMarañon Pardillo RArias Constanti VFrontado Haiek LASoriano Arola MRipoll Oliveras FRemón García CEstopiña Ferrer GLorente Romero JCaídasChildrenDispositivos infantilesFactores de riesgoFallsNiñosNursery equipmentPrevenciónPreventionRisk factorsOBJECTIVES: To describe the epidemiological characteristics of unintentional injuries due to falls in children under one year and to analyse the risk factors associated with severe injuries. PATIENTS AND METHODS: This multicentre, observational and cross-sectional study included all children less than one year treated for unintentional fall in the Emergency Departments of 8 Spanish Hospitals, belonging to the «Unintentional Paediatric Injury Workshop» of the Spanish Paediatric Emergency Society, between March 1st, 2014 and February 28th, 2015. RESULTS: Out of 289,887 emergency department cases, 1,022 were due to unintentional falls. The median age was 8 months and 52.5% were males. Fall injuries were more frequent among children aged 9-12 months (37.6%), and 83.5% occurred at home. The most common mechanism was fall from nursery equipment (69.4%), and 47.8% occurred from a height under 50cm. More than two-thirds (68%) of falls were witnessed, but in half of the cases (329) the caregiver was not in area. Serious injuries were seen in 12% of cases. In this study, a fall height greater than 50cm, falls in the street, from the arms of the carer, and from the stairs were identified as independent risk factors for worse outcomes. CONCLUSIONS: The most serious injuries occur in children <3 months and from a height of >50cm, though not related to unwitnessed falls. Because the most common serious injury mechanism is the fall from the arms of the carer, from stairs, and falls in the street, these facts should be highlighted in order to avoid morbidity.EDICIONES DOYMA S A2017info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=8992ANALES DE PEDIATRIAISSN: 16954033ISSNe: 16959531reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déuinstname:Fundació Sant Joan de DéuEspañolinfo:eu-repo/semantics/openAccessoai:fsjd.fundanetsuite.com:p89922026-05-27T12:37:41Z
dc.title.none.fl_str_mv Epidemiología y factores de riesgo de las lesiones por caídas en niños menores de un año.
title Epidemiología y factores de riesgo de las lesiones por caídas en niños menores de un año.
spellingShingle Epidemiología y factores de riesgo de las lesiones por caídas en niños menores de un año.
Jiménez de Domingo A
Caídas
Children
Dispositivos infantiles
Factores de riesgo
Falls
Niños
Nursery equipment
Prevención
Prevention
Risk factors
title_short Epidemiología y factores de riesgo de las lesiones por caídas en niños menores de un año.
title_full Epidemiología y factores de riesgo de las lesiones por caídas en niños menores de un año.
title_fullStr Epidemiología y factores de riesgo de las lesiones por caídas en niños menores de un año.
title_full_unstemmed Epidemiología y factores de riesgo de las lesiones por caídas en niños menores de un año.
title_sort Epidemiología y factores de riesgo de las lesiones por caídas en niños menores de un año.
dc.creator.none.fl_str_mv Jiménez de Domingo A
Rubio García E
Marañon Pardillo R
Arias Constanti V
Frontado Haiek LA
Soriano Arola M
Ripoll Oliveras F
Remón García C
Estopiña Ferrer G
Lorente Romero J
author Jiménez de Domingo A
author_facet Jiménez de Domingo A
Rubio García E
Marañon Pardillo R
Arias Constanti V
Frontado Haiek LA
Soriano Arola M
Ripoll Oliveras F
Remón García C
Estopiña Ferrer G
Lorente Romero J
author_role author
author2 Rubio García E
Marañon Pardillo R
Arias Constanti V
Frontado Haiek LA
Soriano Arola M
Ripoll Oliveras F
Remón García C
Estopiña Ferrer G
Lorente Romero J
author2_role author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Caídas
Children
Dispositivos infantiles
Factores de riesgo
Falls
Niños
Nursery equipment
Prevención
Prevention
Risk factors
topic Caídas
Children
Dispositivos infantiles
Factores de riesgo
Falls
Niños
Nursery equipment
Prevención
Prevention
Risk factors
description OBJECTIVES: To describe the epidemiological characteristics of unintentional injuries due to falls in children under one year and to analyse the risk factors associated with severe injuries. PATIENTS AND METHODS: This multicentre, observational and cross-sectional study included all children less than one year treated for unintentional fall in the Emergency Departments of 8 Spanish Hospitals, belonging to the «Unintentional Paediatric Injury Workshop» of the Spanish Paediatric Emergency Society, between March 1st, 2014 and February 28th, 2015. RESULTS: Out of 289,887 emergency department cases, 1,022 were due to unintentional falls. The median age was 8 months and 52.5% were males. Fall injuries were more frequent among children aged 9-12 months (37.6%), and 83.5% occurred at home. The most common mechanism was fall from nursery equipment (69.4%), and 47.8% occurred from a height under 50cm. More than two-thirds (68%) of falls were witnessed, but in half of the cases (329) the caregiver was not in area. Serious injuries were seen in 12% of cases. In this study, a fall height greater than 50cm, falls in the street, from the arms of the carer, and from the stairs were identified as independent risk factors for worse outcomes. CONCLUSIONS: The most serious injuries occur in children <3 months and from a height of >50cm, though not related to unwitnessed falls. Because the most common serious injury mechanism is the fall from the arms of the carer, from stairs, and falls in the street, these facts should be highlighted in order to avoid morbidity.
publishDate 2017
dc.date.none.fl_str_mv 2017
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=8992
url https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=8992
dc.language.none.fl_str_mv Español
language_invalid_str_mv Español
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv EDICIONES DOYMA S A
publisher.none.fl_str_mv EDICIONES DOYMA S A
dc.source.none.fl_str_mv ANALES DE PEDIATRIA
ISSN: 16954033
ISSNe: 16959531
reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
instname:Fundació Sant Joan de Déu
instname_str Fundació Sant Joan de Déu
reponame_str r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
collection r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.812455

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