Risk and protective factors for falls on one level in young children: multicentre case-control study

Benford, P. and Young, B. and Coupland, C. and Watson, M. and Hindmarch, P. and Hayes, M. and Goodenough, T. and Majsak-Newman, G. and Kendrick, D. (2015) Risk and protective factors for falls on one level in young children: multicentre case-control study. Injury Prevention, 21 (6). pp. 381-388. ISSN 1475-5785

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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.

Item Type: Article
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
Schools/Departments: University of Nottingham UK Campus > Faculty of Medicine and Health Sciences > School of Medicine > Division of Primary Care
University of Nottingham UK Campus > Faculty of Medicine and Health Sciences > School of Health Sciences
Identification Number: https://doi.org/10.1136/injuryprev-2015-041581
Related URLs:
URLURL Type
http://injuryprevention.bmj.com/content/early/2015/08/13/injuryprev-2015-041581.fullPublisher
Depositing User: McCambridge, Mrs April
Date Deposited: 10 Sep 2015 08:19
Last Modified: 14 Sep 2016 22:32
URI: http://eprints.nottingham.ac.uk/id/eprint/29720

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