P. Benford
Risk and protective factors for falls on one level in young children: multicentre case-control study
Benford, P.; Young, B.; Coupland, C.; Watson, M.; Hindmarch, P.; Hayes, M.; Goodenough, T.; Majsak-Newman, G.; Kendrick, D.
Authors
B. Young
CAROL COUPLAND carol.coupland@nottingham.ac.uk
Professor of Medical Statistics
M. Watson
P. Hindmarch
M. Hayes
T. Goodenough
G. Majsak-Newman
DENISE KENDRICK DENISE.KENDRICK@NOTTINGHAM.AC.UK
Professor of Primary Care Research
Abstract
Background: Childhood falls are an important global public health problem, but there is a lack of evidence about their prevention. Falls on one level result in considerable morbidity and they are costly to health services.
Objective: To estimate odds ratios for falls on one level in children aged 0-4 years for a range of safety behaviours, safety equipment use and home hazards.
Design, setting and participants: Multicentre case-control study at hospitals, minor injury units and general practices in and around 4 UK study centres. Participants included 582 children less than 5 years of age with a medically attended fall injury occurring at home and 2460 controls matched on age, sex, calendar time and study centre.
Main outcome measure: Fall on one level.
Results: Cases’ most common injuries were bangs on the head (52%), cuts or grazes not needing stitches (29%) or cuts or grazes needing stitches (17%). Comparing cases to community controls in the adjusted analyses, significant findings were observed for only 2 exposures. Injured children were significantly less likely to live in a household without furniture corner covers (adjusted odds ratio (AOR) 0.72, 95%CI 0.55, 0.95), or without rugs and carpets firmly fixed to the floor (AOR 0.76, 95% CI 0.59, 0.98).
Conclusions: We did not find any safety practices, use of safety equipment or home hazards associated with a reduced risk of fall on one level. Our findings do not provide evidence to support changes to current injury prevention practice.
Journal Article Type | Article |
---|---|
Publication Date | Dec 1, 2015 |
Deposit Date | Sep 10, 2015 |
Publicly Available Date | Dec 1, 2015 |
Journal | Injury Prevention |
Print ISSN | 1353-8047 |
Electronic ISSN | 1475-5785 |
Publisher | BMJ Publishing Group |
Peer Reviewed | Peer Reviewed |
Volume | 21 |
Issue | 6 |
DOI | https://doi.org/10.1136/injuryprev-2015-041581 |
Public URL | https://nottingham-repository.worktribe.com/output/980710 |
Publisher URL | http://injuryprevention.bmj.com/content/21/6/381.abstract |
Related Public URLs | http://injuryprevention.bmj.com/content/early/2015/08/13/injuryprev-2015-041581.full |
Additional Information | This article has been accepted for publication in Injury Prevention following peer review. The definitive copyedited, typeset version: Benford P, et al. Risk and protective factors for falls on one level in young children: multicentre case-control study. Injury Prevention 2015;21:381-388 is available online at: http://injuryprevention.bmj.com/content/21/6/381.abstract |
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