Characteristics of injuries among infants who fall from bed |
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| Institution: | 1. Department of Biosciences and Diagnostic Imaging, College of Veterinary Medicine, University of Georgia, Athens, GA 30602-7382, USA;2. Key Laboratory of Wetland Ecology and Environment, Northeast Institute of Geography and Agroecology, Chinese Academy of Sciences, Changchun 130102, China;3. College of Animal Science, Yangtze University, Jingzhou City, Hubei Province 434025, China;4. Institute for Food and Drug Control of Shandong Province, Jinan City, Shandong 250012, China;5. Department of Pharmacology and Toxicology, Virginia Commonwealth University, Richmond, VA 23298-0613, USA;1. Peking University Third Hospital, Peking University Eye Center, Beijing, China;2. Key Laboratory of Restoration of Damaged Ocular Nerve, Beijing, P.R. China;3. Tsinghua University Affiliated Beijing Tsinghua Changung Hospital, Beijing, P.R. China;1. Department of War Surgery, Kirov Military Medical Academy, 6 Lebedeva Street, Saint-Petersburg 194044, Russian Federation;2. Russian National Service of Sanitary Aviation, 56 Pilotov Street, Saint-Petersburg 196210, Russian Federation;3. Digestive Diseases Department, Brighton and Sussex University Hospitals, Barry Building, Eastern Rd, Brighton BN2 5BE, United Kingdom;1. Israel Defense Forces, Medical Corps, Tel Hashomer, Ramat Gan, Israel;2. Department of Otolaryngology-Head and Neck Surgery, Rabin Medical Center, Petah Tikva, Israel;3. Department of General Surgery and Transplantation, Chaim Sheba Medical Center, Tel Hashomer, Israel;4. Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel;5. Bar-Ilan University, Ramat Gan, Israel;6. Hebrew University of Jerusalem, Faculty of Medicine, Israel;1. Department of Surgery, Shamir Medical Center, Zeriffin, affiliated with Sackler Faculty of Medicine. Tel Aviv University, Tel Aviv, Zerifin 70300, Israel;2. National Center for Trauma and Emergency Medicine Research, Gertner Institute for Epidemiology and Health Policy Research, Tel Hashomer, Israel;3. The Department of Emergency Management &Disaster Medicine, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel;4. Surgical Division, Hillel Yaffe Medical Center, Hadera, Israel, affiliated with Rappoport Medical School, Technion, Haifa, Israel |
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| Abstract: | IntroductionAccidental falls are the most common causes of injury among infants. Due to their limited ability to move independently, falling from bed or other types of furniture (such as sofas or armchairs) is considered the most common reason for such injury. However, little is known about the frequency and types of injury associated with this type of fall among infants. This study aimed to determine the incidence and characteristics of injury among infants presented at emergency departments (ED) after falling from bed or similar furniture.MethodsThe retrospective analysis of infants under one year old presenting at ED after falling from bed (or similar furniture) was performed over a four-year period (2016–2019). Patient demographics, incidence and patterns of injury, outcomes, and ED resources use were evaluated as part of the study.ResultsIn total, 1,439 infants were included in the study, of whom 782 (54.3%) were male and 657 (45.7%) female. The median age of the patients was 7 months (interquartile range IQR]: 6–9 months). More than half the infants (n = 812, 56.4%) had minor injuries, such as abrasions, bruising, contusions, and lacerations. There were significant injuries for 135 (9.4%) infants. The most common fracture was skull fracture (n = 59, 4.1%), followed by proximal fracture of the upper extremities (n = 26, 1.8%). Six (0.4%) patients had radial head subluxation. Traumatic brain injury featured for 30 (2.1%) infants (intracranial hemorrhage/cerebral contusion). While the majority of patients (n = 1352, 94%) were discharged from ED, 86 (6%) infants were hospitalized, all due to head injuries. A neurosurgical intervention was performed with three (0.2% of all patients) of the hospitalized patients.ConclusionFalling from bed causes skull fractures, traumatic brain injury, and long bone fractures among infants. Therefore, campaigns should be organized to raise awareness of these risks among parents and caregivers of infants. In addition, the use of safety equipment (such as bed rails) and creating a safe environment can help prevent significant injuries. |
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