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J Korean Soc Emerg Med > Volume 28(4); 2017 > Article
Journal of The Korean Society of Emergency Medicine 2017;28(4): 354-361.
학령전기 소아 추락 손상의 특징과 위험요인
이광춘1, 이지숙2, 김경환1, 박준석1, 신동운1, 김훈1, 박준민1, 김현종1, 신희준3, 전우찬1
1인제대학교 일산백병원 응급의학과
2아주대학교 의과대학 응급의학교실
3순천향대학교 부천병원 응급의학과
Characteristics and Risk Factors of Fall-down Injuries in Preschool Aged Children
Kwangchun Lee1, Ji Sook Lee2, Kyung Hwan Kim1, Junseok Park1, Dong Wun Shin1, Hoon Kim1, Joon Min Park1, Hyunjong Kim1, Hee Jun Shin3, Woochan Jeon1
1Department of Emergeny Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea
2Department of Emergeny Medicine, Ajou University School of Medicine, Suwon, Korea
3Department of Emergeny Medicine, College of Medicine, Soon Chun Hyang University Hospital, Bucheon, Korea
Correspondence  Woochan Jeon ,Tel: 031-910-9781, Fax: 031-910-7188, Email: woowoochan@gmail.com,
Received: May 12, 2017; Revised: May 16, 2017   Accepted: July 10, 2017.  Published online: August 31, 2017.
ABSTRACT
Purpose:
Falling is one of the most common causes of injury for preschool children. Here, we aim to identify the characteristics and risk factors of injuries by falling-down in preschool children.
Method:
Between January 2010 and December 2011, we enrolled patients under the age of 7 years, who were injured by falling down and visited an urban regional emergency center. We retrospectively surveyed the medical record of these patients, including age, sex, place and height of fall, type of floor, guardian’s witness, traumatic brain injury (TBI), and fracture of extremities.
Results:
The odds ratios sex (male), age (under 2 years old), height of fall, type of floor (hard), and guardian’s witness (presence) that resulted in TBI were 1.35 (95% confidence interval [Cl], 0.72?2.55; p=0.352), 3.83 (95% Cl, 1.78?8.65; p<0.05), 6.38 (95% Cl, 3.27-12.44;p<0.05), 3.58 (95% Cl, 0.47-27.30; p=0.218), and 1.47 (95% Cl, 0.63-3.43; p=0.377), respectively. The odds ratios sex (male), age (over 2 years old), height of fall, type of floor (soft), and guardian’s witness (absence) that resulted in fractures were 1.19 (95% Cl, 0.78-1.81; p=0.433), 3.10 (95%Cl, 1.99-4.84; p<0.05), 1.98 (95%Cl, 1.19-3.29; p<0.05), 2.41 (95% Cl, 1.29-4.54; p<0.05), and 1.15 (95%Cl, 0.72-1.85, p=0.554), respectively.
Conclusion:
In preschool children who experienced an injury from falling down, TBI was increased with younger patients and higher height of fall, but it was not related with patient’s sex, type of floor, and guardian’s witness; conversely, fractures were increased with older patients, higher height of fall, and soft floor, but not related with patient’s sex and guardian’s witness.
Key words: Injuries, Child, preschool, Accidental falls, Brain injuries, traumatic, Fractures
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