@article{ref1,
title="Stairway-related injuries in children",
journal="Pediatrics",
year="1994",
author="Chiaviello, C. T. and Christoph, R. A. and Bond, G. Randall",
volume="94",
number="5",
pages="679-681",
abstract="OBJECTIVE. To identify the pattern and severity of injury associated with stairway-related falls in children. METHODS. During a 2-year period, all children less than 5 years of age presenting to the University of Virginia Pediatric Emergency Department with a stairway-related injury were prospectively studied. At the time of the emergency department visit, demographic and epidemiologic information was obtained. Injuries were assigned E codes and N codes. A Modified Injury Severity Scale (MISS) score was calculated for each child. Excluded from the study were children with suspected intentional trauma and children with walker-related stairway injuries. RESULTS. Sixty-nine children were enrolled in the study. The median age was 2 years. Head and neck injuries occurred in 90% of the patients, extremity injuries in 6%, and truncal injuries in 4%. Injury to more than one body region did not occur. The majority of injuries were minor. Ninety-six percent had a total MISS score < or = 2. Fifteen patients (22%) suffered significant injuries, including concussion in 11 (16%), skull fracture in 5 (7%), cerebral contusion in 2 (3%), subdural hematoma in 1 (1%), and a C-2 fracture in 1 (1%). CONCLUSIONS. The majority of stairway-related injuries are minor. Injuries to the head and neck region predominate. Injuries to multiple body regions are rare. However, significant stairway-related injuries may be more common than previously reported.<p /> <p>Language: en</p>",
language="en",
issn="0031-4005",
doi="",
url="http://dx.doi.org/"
}