TY  - JOUR
PY  - 2016//
TI  - Falls in less than one year-old infants: management in the emergency department
JO  - Anales de Pediatria
A1  - Rubio García, Elena
A1  - Jiménez de Domingo, Ana
A1  - Marañon Pardillo, Rafael
A1  - Triviño Rodríguez, Miriam
A1  - Frontado Haiek, Luis Alberto
A1  - Gilabert Iriondo, Nuria
A1  - Ripoll Oliveras, Francesc
A1  - Remón García, Cristina
A1  - Estopiña Ferrer, Gloria
A1  - Muñoz López, Cristina
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVES: A study was performed in order to describe injuries associated with falls in children aged <1 year who attended the emergency department. The approaches used were examined, as well as the factors associated with the greater use of these approaches, and the management of the patient. <br><br>PATIENTS AND METHODS: This was a multicentre, descriptive and analytical study that included all patients aged <1 year who had experienced a fall for which they attended the emergency departments of one of 8 Spanish Hospitals belonging to the "Unintentional Paediatric Injury Working Group" of the Spanish Paediatric Society. A record was made of the data regarding the visit, circumstances before arrival at the hospital, injuries observed, and the diagnostic and therapeutic approaches used. <br><br>RESULTS: A total of 1022 patients had experienced falls, that is, 0.35% of the emergencies attended in the study hospitals (95% CI, 0,348-0,352). The most commonly affected part was the head (58%). Cranial radiography was ordered in 31.8% of cases, and was associated with the presence of bruising or signs of fracture on examination (P<.001), falls from heights >100cm (P<.001), and age <3 months (P=.004). Minor head injury was the most common finding (85.6%), followed by fractures, especially cranial fractures (7.1%), which were associated with bruising or signs of fracture on examination (P<.001), and age <3 months (P<.001). Six percent of the patients required admission to hospital. The risk factors for hospital admission in this group were falls from heights >50cm and age <3 months. <br><br>CONCLUSIONS: Injuries after falls in infants aged <1 year are commonly due to head trauma and frequently require additional diagnostic tests.<br><br>Copyright © 2016. Publicado por Elsevier España, S.L.U.<p />  <p>Language: es</p>
LA  - es
SN  - 1695-4033
UR  - http://dx.doi.org/10.1016/j.anpedi.2016.10.003
ID  - ref1
ER  -