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Risk and Protective Factors for Falls From Furniture in Young Children Multicenter Case-Control Study

Lookup NU author(s): Paul Hindmarch

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Abstract

IMPORTANCE Falls from furniture are common in young children but there is little evidence on protective factors for these falls.OBJECTIVE To estimate associations for risk and protective factors for falls from furniture in children aged 0 to 4 years.DESIGN, SETTING, AND PARTICIPANTS Multicenter case-control study at hospitals, minor injury units, and general practices in and around 4 UK study centers. Recruitment commenced June 14, 2010, and ended April 27, 2012. Participants included 672 children with falls from furniture and 2648 control participants matched on age, sex, calendar time, and study center. Thirty-five percent of cases and 33% of control individuals agreed to participate. The mean age was 1.74 years for cases and 1.91 years for control participants. Fifty-four percent of cases and 56% of control participants were male. Exposures included safety practices, safety equipment use, and home hazards.MAIN OUTCOMES AND MEASURES Falls from furniture occurring at the child's home resulting in attendance at an emergency department, minor injury unit, or hospital admission.RESULTS Compared with parents of control participants, parents of cases were significantly more likely not to use safety gates in the home (adjusted odds ratio [AOR], 1.65; 95% CI, 1.29-2.12) and not to have taught their children rules about climbing on kitchen objects (AOR, 1.58; 95% CI, 1.16-2.15). Cases aged 0 to 12 months were significantly more likely to have been left on raised surfaces (AOR, 5.62; 95% CI, 3.62-8.72), had their diapers changed on raised surfaces (AOR, 1.89; 95% CI, 1.24-2.88), and been put in car/bouncing seats on raised surfaces (AOR, 2.05; 95% CI, 1.29-3.27). Cases 3 years and older were significantly more likely to have played or climbed on furniture (AOR, 9.25; 95% CI, 1.22-70.07). Cases were significantly less likely to have played or climbed on garden furniture (AOR, 0.74; 95% CI, 0.56-0.97).CONCLUSIONS AND RELEVANCE If estimated associations are causal, some falls from furniture may be prevented by incorporating advice into child health contacts, personal child health records, and home safety assessments about use of safety gates; not leaving children, changing diapers, or putting children in car/bouncing seats on raised surfaces; allowing children to play or climb on furniture; and teaching children safety rules about climbing on objects.


Publication metadata

Author(s): Kendrick D, Maula A, Reading R, Hindmarch P, Coupland C, Watson M, Hayes M, Deave T

Publication type: Article

Publication status: Published

Journal: JAMA Pediatrics

Year: 2015

Volume: 169

Issue: 2

Pages: 145-153

Print publication date: 01/02/2015

Online publication date: 01/12/2014

ISSN (print): 2168-6203

ISSN (electronic): 2168-6211

Publisher: American Medical Association

URL: http://dx.doi.org/10.1001/jamapediatrics.2014.2374

DOI: 10.1001/jamapediatrics.2014.2374


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