Department of Emergency Medicine, Ümraniye Training and Research Hospital, University of Health Sciences, İstanbul, Turkey.
Department of Emergency Medicine, Ümraniye Training and Research Hospital, University of Health Sciences, İstanbul, Turkey.
Injury. 2021 Feb;52(2):281-285. doi: 10.1016/j.injury.2020.10.015. Epub 2020 Oct 5.
Accidental 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.
The 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.
In 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.
Falling 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.
意外跌落是婴儿受伤的最常见原因。由于他们独立移动的能力有限，从床上或其他类型的家具（如沙发或扶手椅）上跌落被认为是此类伤害最常见的原因。然而，对于这种类型的跌落导致的婴儿受伤的频率和类型知之甚少。本研究旨在确定因从床上或类似家具上跌落而到急诊部（ED）就诊的婴儿受伤的发生率和特征。
对四年间（2016-2019 年）因从床上（或类似家具）跌落而到 ED 就诊的一岁以下婴儿进行回顾性分析。评估了患者的人口统计学特征、受伤发生率和模式、结局和 ED 资源使用情况。
共有 1439 名婴儿纳入研究，其中 782 名（54.3%）为男性，657 名（45.7%）为女性。患者的中位年龄为 7 个月（四分位距 [IQR]：6-9 个月）。超过一半的婴儿（n=812，56.4%）有轻微损伤，如擦伤、瘀伤、挫伤和撕裂伤。有 135 名（9.4%）婴儿有明显损伤。最常见的骨折是颅骨骨折（n=59，4.1%），其次是上肢近端骨折（n=26，1.8%）。6 名（0.4%）患者有桡骨头半脱位。30 名（2.1%）婴儿有创伤性脑损伤（颅内出血/脑挫伤）。大多数患者（n=1352，94%）从 ED 出院，86 名（6%）婴儿住院，均因头部受伤。对 3 名（所有住院患者的 0.2%）住院患者进行了神经外科干预。
婴儿从床上跌落会导致颅骨骨折、创伤性脑损伤和长骨骨折。因此，应组织宣传活动，提高父母和婴儿看护者对这些风险的认识。此外，使用安全设备（如床栏）和创造安全环境有助于防止严重受伤。
