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Han SY, Kim CH. Factors associated with healthcare utilization for infant falls in South Korea: a cross-sectional online survey. CHILD HEALTH NURSING RESEARCH 2023; 29:252-259. [PMID: 37939671 PMCID: PMC10636525 DOI: 10.4094/chnr.2023.29.4.252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2023] [Revised: 08/28/2023] [Accepted: 09/25/2023] [Indexed: 11/10/2023] Open
Abstract
PURPOSE Falls are a common cause of unintentional injuries in infants. This study was conducted to examine the patterns of healthcare utilization following infant falls in South Korea. METHODS This cross-sectional descriptive study utilized an online survey designed to gather information regarding the general characteristics of parents and infants, fall-related variables, and healthcare use. RESULTS The most serious falls identified by parents occurred at an average infant age of 6.97 months. Most fall incidents took place indoors (95.7%), and many occurred under the supervision of caregivers (68.0%). Following the fall, 36.4% of the participants used healthcare services. Logistic regression analysis revealed that healthcare use following an infant fall was significantly associated with being a firstborn child (odds ratio [OR]=5.32, 95% confidence interval [CI], 2.19-15.28) and falling from a caregiver's arms (OR=4.22; 95% CI, 1.45-13.68). CONCLUSION To prevent and decrease the frequency of infant falls, improvements are needed in both the domestic environment and parenting approaches.
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Affiliation(s)
- Soo-Yeon Han
- Assistant Professor, Department of Nursing, Bucheon University, Bucheon, Korea
| | - Cho Hee Kim
- Assistant Professor, College of Nursing, Kangwon National University, Chuncheon, Korea
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Omaki E, Shields W, Rouhizadeh M, Delgado-Barroso P, Stefanos R, Gielen A. Understanding the circumstances of paediatric fall injuries: a machine learning analysis of NEISS narratives. Inj Prev 2023; 29:384-388. [PMID: 37399309 PMCID: PMC10528494 DOI: 10.1136/ip-2023-044858] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2023] [Accepted: 06/09/2023] [Indexed: 07/05/2023]
Abstract
OBJECTIVES Falls are the leading cause of non-fatal injury among young children. The aim of this study was to identify and quantify the circumstances contributing to medically attended paediatric fall injuries among 0-4 years old. METHODS Cross-sectional data for falls among kids under 5 years recorded between 2012 and 2016 in the National Electronic Injury Surveillance System was obtained. A sample of 4546 narratives was manually coded for: (1) where the child fell from; (2) what the child fell onto; (3) the activities preceding the fall and (4) how the fall occurred. A natural language processing model was developed and subsequently applied to the remaining uncoded data to yield a set of 91 325 cases coded for what the child fell from, fell onto, the activities preceding the fall, and how the fall occurred. Data were descriptively tabulated by age and disposition. RESULTS Children most often fell from the bed accounting for one-third (33%) of fall injuries in infants, 13% in toddlers and 12% in preschoolers. Children were more likely to be hospitalised if they fell from another person (7.4% vs 2.6% for all other sources; p<0.01). After adjusting for age, the odds of a child being hospitalised following a fall from another person were 2.1 times higher than falling from other surfaces (95% CI 1.6 to 2.7). CONCLUSIONS The prevalence of injuries due to falling off the bed, and the elevated risk of serious injury from falling from another person highlights the need for more robust and effective communication to caregivers on fall injury prevention.
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Affiliation(s)
- Elise Omaki
- Center for Injury Research and Policy, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA
| | - Wendy Shields
- Center for Injury Research and Policy, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA
| | - Masoud Rouhizadeh
- Department of Pharmaceutical Outcomes & Policy, University of Florida College of Pharmacy, Gainesville, Florida, USA
| | | | - Ruth Stefanos
- Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA
| | - Andrea Gielen
- Center for Injury Research and Policy, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA
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Chen J, Wright WG, Keshner E, Darvish K. Design and usability of a system for the study of head orientation. FRONTIERS IN REHABILITATION SCIENCES 2022; 3:978882. [PMID: 36386774 PMCID: PMC9663472 DOI: 10.3389/fresc.2022.978882] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/26/2022] [Accepted: 09/20/2022] [Indexed: 11/06/2022]
Abstract
The ability to control head orientation relative to the body is a multisensory process that mainly depends on proprioceptive, vestibular, and visual sensory systems. A system to study the sensory integration of head orientation was developed and tested. A test seat with a five-point harness was assembled to provide passive postural support. A lightweight head-mounted display was designed for mounting multiaxis accelerometers and a mini-CCD camera to provide the visual input to virtual reality goggles with a 39° horizontal field of view. A digitally generated sinusoidal signal was delivered to a motor-driven computer-controlled sled on a 6-m linear railing system. A data acquisition system was designed to collect acceleration data. A pilot study was conducted to test the system. Four young, healthy subjects were seated with their trunks fixed to the seat. The subjects received a sinusoidal anterior–posterior translation with peak accelerations of 0.06g at 0.1 Hz and 0.12g at 0.2, 0.5, and 1.1 Hz. Four sets of visual conditions were randomly presented along with the translation. These conditions included eyes open, looking forward, backward, and sideways, and also eyes closed. Linear acceleration data were collected from linear accelerometers placed on the head, trunk, and seat and were processed using MATLAB. The head motion was analyzed using fast Fourier transform to derive the gain and phase of head pitch acceleration relative to seat linear acceleration. A randomization test for two independent variables tested the significance of visual and inertial effects on response gain and phase shifts. Results show that the gain was close to one, with no significant difference among visual conditions across frequencies. The phase was shown to be dependent on the head strategy each subject used.
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Affiliation(s)
- Ji Chen
- Department of Mechanical Engineering, University of the District of Columbia, Washington, DC, United States
- Correspondence: Ji Chen
| | | | - Emily Keshner
- Department of Physical Therapy, Temple University, Philadelphia, PA, United States
| | - Kurosh Darvish
- Department of Mechanical Engineering, Temple University, Philadelphia, PA, United States
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Jović D, Petrović-Tepić S, Knežević D, Dobrovoljski D, Egeljić-Mihailović N, Tepić A, Burgić-Radmanović M. Evaluation of unintentional falls among children and adolescents treated in emergency medical services. SESTRINSKA REC 2022. [DOI: 10.5937/sestrec2285010j] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/26/2023]
Abstract
Introduction: Unintentional falls are the leading cause of traumatic injuries, without fatal consequences, with significant morbidity in the population of children and adolescents. Goal: The main goal of this research was to analyze the manner of falling in relation to age and gender, and to assess the type of injury and the anatomical region of the body affected by the injury sustained during a fall in patients ≤19 years of age treated in the emergency medical services in the Republic of Srpska. Material and methods: A cross-section study with retrospective analysis of the national e-database WebMedic from 11 emergency medical services between January 2018 and December 2020 was conducted. Research included patients with diagnosis of unintentional injury caused by a fall, aged ≤19 years. Descriptive statistics and the Chi-square test were used for comparisons between groups. Results: During the observed period, 857 cases of unintentional falls were identified, where 87.5% were referred for hospitalization. The group of children aged 0 to 9 years (55.7%) was more often treated for falls (p<0.001), and boys were affected 6.7 times more often than girls (p<0.001). Falls from the same level caused different types of injuries depending on the age and gender of the children (p<0.001). According to the type of injury, superficial injuries (36.8%) and open wounds (29.4%) were most often identified, and the most frequently affected body region was the head (52.0%). Conclusion: The group of children up to the age of nine and males were more often affected by superficial injuries and open wounds, with head injuries being predominant in all age groups. These results could indicate the necessity of creating programs with targeted prevention.
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Ekbrand H, Ekman R, Thodelius C, Möller M. Fall-related injuries for three ages groups - Analysis of Swedish registry data 1999-2013. JOURNAL OF SAFETY RESEARCH 2020; 73:143-152. [PMID: 32563386 DOI: 10.1016/j.jsr.2020.02.016] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/15/2018] [Revised: 02/17/2019] [Accepted: 02/25/2020] [Indexed: 06/11/2023]
Abstract
INTRODUCTION The objective of this study was to analyze which factors (including factors pertaining to the individual, the household, and the local area) increase the risk of fall injuries for the three age groups with the highest risk for fall injuries in Sweden. METHOD The study combined longitudinal data covering the period 1999-2013 from several different official registries from Statistics Sweden as well as from the Swedish health care system and fitted the models to data using mixed model regressions. RESULTS Three age groups had a markedly heightened risk for fall injuries: 1-3-year olds, 12-14 year olds, and the elderly (65+). The home was the most common location for fall injuries, as about 40% of all fall injuries occur in the home. Only for the elderly strong predictors for fall injuries were found, and these were: age, single household, and special housing. CONCLUSIONS There is preventive potential in the special residences for the elderly and disabled. People living in these special residences make up a strongly selected group that needs extra safe environments. Our findings indicate that their needs are currently not meet. Practical applications: Design of special residences for the elderly and disabled should aim at reducing the consequences of falling.
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Affiliation(s)
- Hans Ekbrand
- University of Gothenburg, Box 100, SE-405 30 Gothenburg, Sweden.
| | - Robert Ekman
- Chalmers University of Technology, SE-412 96 Gothenburg, Sweden.
| | | | - Michael Möller
- Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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Unguryanu TN, Grjibovski AM, Trovik TA, Ytterstad B, Kudryavtsev AV. Mechanisms of accidental fall injuries and involved injury factors: a registry-based study. Inj Epidemiol 2020; 7:8. [PMID: 32172689 PMCID: PMC7074993 DOI: 10.1186/s40621-020-0234-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2019] [Accepted: 02/14/2020] [Indexed: 11/10/2022] Open
Abstract
Background Falls are the leading cause of injury-related morbidity and mortality worldwide, but fall injury circumstances differ by age. We studied the circumstances of accidental fall injuries by age in Shenkursk District, Northwest Russia, using the data from the population-based Shenkursk Injury Registry. Methods Data on accidental fall injuries (hereafter: fall injuries) occurring in January 2015–June 2018 were extracted from the Shenkursk Injury Registry (N = 1551) and categorized by age group (0–6, 7–17, 18–59, and 60+ years). The chi-square test and ANOVA were used to compare descriptive injury variables across age groups, and a two-step cluster analysis was performed to identify homogeneous groups of fall injuries by preceding circumstances. Results Half of recorded fall injuries in the 0–6 year age group occurred inside dwellings (49%). The largest cluster of falls (64%) mainly included climbing up or down on home furnishings. In the 7–17 year age group, public outdoor residential areas were the most common fall injury site (29%), and the largest cluster of falls (37%) involved physical exercise and sport or play equipment. Homestead lands or areas near a dwelling were the most typical fall injury sites in the age groups 18–59 and 60+ years (31 and 33%, respectively). Most frequently, fall injury circumstances in these groups involved slipping on ice-covered surfaces (32% in 18–59 years, 37% in 60+ years). Conclusion The circumstances of fall injuries in the Shenkursk District varied across age groups. This knowledge can be used to guide age-specific preventive strategies in the study area and similar settings.
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Affiliation(s)
- Tatiana Nikolaevna Unguryanu
- Department of Community Medicine, UiT - The Arctic University of Norway, Hansine Hansens veg 18, Tromsø, Norway. .,Arkhangelsk International School of Public Health, Northern State Medical University, Troitsky Ave., 51, Arkhangelsk, 163000, Russia.
| | - Andrej Mechislavovich Grjibovski
- Arkhangelsk International School of Public Health, Northern State Medical University, Troitsky Ave., 51, Arkhangelsk, 163000, Russia.,North-Eastern Federal University, Belinsky str., 58, Yakutsk, 677027, Russia.,Al-Farabi Kazakh National University, Al-Farabi Ave., 71, Almaty, Kazakhstan, 050040.,West Kazakhstan Marat Ospanov State Medical University, Maresyev str., 68, Aktobe, 030019, Kazakhstan
| | - Tordis Agnete Trovik
- Department of Community Medicine, UiT - The Arctic University of Norway, Hansine Hansens veg 18, Tromsø, Norway
| | - Børge Ytterstad
- Department of Community Medicine, UiT - The Arctic University of Norway, Hansine Hansens veg 18, Tromsø, Norway
| | - Alexander Valerievich Kudryavtsev
- Department of Community Medicine, UiT - The Arctic University of Norway, Hansine Hansens veg 18, Tromsø, Norway.,Arkhangelsk International School of Public Health, Northern State Medical University, Troitsky Ave., 51, Arkhangelsk, 163000, Russia
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Deichman JJ, Graves JM, Klein TA, Mackelprang JL. Characteristics of youth who leave the emergency department without being seen following sports-related concussion. Concussion 2019; 4:CNC68. [PMID: 31969987 PMCID: PMC6964230 DOI: 10.2217/cnc-2019-0010] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023] Open
Abstract
Aim: Despite the rising incidence of emergency department (ED) visits for sports-related concussion, the frequency and characteristics of youth leaving before being seen are unknown. Methodology: National estimates of ED visits for sports-related head injuries among youth (10–18 years) were generated for 2006–2017 using the National Electronic Injury Surveillance System. Logistic regression models estimated the odds of leaving without being seen across patient characteristics and time. Results: From 2006 to 2017, 985,966 (95% CI: 787,296–1,184,637) ED visits were identified for sports-related concussions, of which 5015 (95% CI: 3024–7006) left without being seen. Conclusion: Youth with sports-related concussion must receive timely care and ED improvements may reduce rates of leaving without being seen. Over the last decade, more and more youth have visited the emergency department (ED) for sports-related concussion. At the same time, EDs are becoming more crowded, with long wait times and many patients leaving before being evaluated. An increase in the proportion of youth with concussion who left without being seen (LWBS) is possible. We used national data of ED visits to examine the rate of youth (aged 10–18 years) who LWBS for sports-related concussion from 2006 to 2017. While the rate of LWBS has not changed over time, more nonwhite youth and youth who were not injured at school left before being evaluated.
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Affiliation(s)
- Jacquelyn J Deichman
- College of Nursing, Washington State University, Spokane, WA 99210, USA.,Honors College, Washington State University, Pullman, WA 99164, USA
| | - Janessa M Graves
- College of Nursing, Washington State University, Spokane, WA 99210, USA.,Honors College, Washington State University, Pullman, WA 99164, USA
| | - Tracy A Klein
- College of Nursing, Washington State University, Vancouver, WA 98686, USA
| | - Jessica L Mackelprang
- School of Health Sciences, Swinburne University of Technology, Melbourne, Victoria, 3122, Australia
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