@article{ref1,
title="Retrospective cohort comparison of fall height in children in the Greater Los Angeles area: targeting populations for injury prevention",
journal="Journal of community health",
year="2018",
author="Zagory, Jessica A. and McLaughlin, Cory and Mallicote, Michael and Arbogast, Helen and Upperman, Jeffrey S. and Jensen, Aaron R.",
volume="43",
number="5",
pages="986-992",
abstract="The purpose of this study was to determine whether falls from significant height occur more frequently in young children. We conducted a 10-year (2004-2014), comparative study using a retrospective cohort of 4713 children (< 18 years) from the Los Angeles county trauma database who were evaluated for a fall. Exposure was fall height, dichotomized into < 10 ft/low-risk fall and > 10 ft/high-risk fall. Primary outcome was age of fall. Secondary outcomes were disposition from emergency department, injuries, resource utilization, and mortality. Of all falls, 4481 (95%) were low-risk and 232 (5%) high-risk. High-risk falls were more frequent in children 1-3 years old (58 vs. 30%, p < 0.01), associated with higher frequency of intracranial hemorrhage (19 vs. 10%, p < 0.01), intubation (11 vs. 1%, p < 0.01), and neurosurgical procedure (2 vs. 0.8%, p = 0.04). There was no difference in mortality (0.86 vs. 0.13%, p = 0.06). In Los Angeles County, children 1-3 years old are most likely to suffer high-risk falls, which are associated with serious injury. Integration of fall prevention education into routine anticipatory guidance should be strongly considered for children 1-3 years old.<p /> <p>Language: en</p>",
language="en",
issn="0094-5145",
doi="10.1007/s10900-018-0515-z",
url="http://dx.doi.org/10.1007/s10900-018-0515-z"
}