Childhood injuries and deaths due to falls from windows

Kimberuy E. Stone, Bruce P. Lanphear, Wendyj Pomerantz, Jane Khoury

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Background. Unintentional injuries are the leading cause of death in children, and falls are the most common type of unintentional injury in the US. The incidence of falls from windows, a common cause of death in urban areas, has not been described outside major cities such as New York and Chicago, and rates in urban and suburban areas have not been compared. Objective. To estimate the incidence and identify the population at risk for falls from windows among children in Hamilton County, Ohio. Design. Retrospective case series identified using Cincinnati Children's Hospital Medical Center (CHMC) Trauma Registry. Setting. Hamilton County, Ohio, which has urban and nonurban areas. Participants. Children less than 15 years old residing in Hamilton County, Ohio, presenting to CHMC in Cincinnati, Ohio, after a fall from a window between January 1, 1991, and December 31, 1997. Outcome Measure. Annual incidence by age, race, gender, and residence of those who fell from windows. Results. Over the 7-year study period, 86 (6.3%) of 1,363 falls were from windows. The mortality rate for falls from windows was 4.7%, compared to 0.07% for all other falls presenting to CHMC (P < .0001). Children 0-4 years old had a higher rate of falls than children aged 5-14 (14.6/100,000 vs. 2.0/100,000) (P < .0001). Males were twice as likely to fall as females (P < .016), and black children were three times more likely to fall than non-black children (P < .002). The incidence of falls in the city of Cincinnati was four times that of the non-urban area (P < .0002). Conclusions. Injuries from falls from windows are a public health problem in Hamilton County, Ohio, especially for young, urban children.

Original languageEnglish (US)
Pages (from-to)26-33
Number of pages8
JournalJournal of Urban Health
Volume77
Issue number1
DOIs
StatePublished - Mar 2000
Externally publishedYes

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childhood
death
Wounds and Injuries
children's hospital
incidence
cause of death
Incidence
Cause of Death
urban area
trauma
suburban area
Trauma Centers
mortality
public health
Registries
gender
Public Health
Outcome Assessment (Health Care)
Mortality
hospital

Keywords

  • Childhood Injury
  • Injury Prevention
  • Urban Trauma
  • Window Falls

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health

Cite this

Childhood injuries and deaths due to falls from windows. / Stone, Kimberuy E.; Lanphear, Bruce P.; Pomerantz, Wendyj; Khoury, Jane.

In: Journal of Urban Health, Vol. 77, No. 1, 03.2000, p. 26-33.

Research output: Contribution to journalArticle

Stone, Kimberuy E. ; Lanphear, Bruce P. ; Pomerantz, Wendyj ; Khoury, Jane. / Childhood injuries and deaths due to falls from windows. In: Journal of Urban Health. 2000 ; Vol. 77, No. 1. pp. 26-33.
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abstract = "Background. Unintentional injuries are the leading cause of death in children, and falls are the most common type of unintentional injury in the US. The incidence of falls from windows, a common cause of death in urban areas, has not been described outside major cities such as New York and Chicago, and rates in urban and suburban areas have not been compared. Objective. To estimate the incidence and identify the population at risk for falls from windows among children in Hamilton County, Ohio. Design. Retrospective case series identified using Cincinnati Children's Hospital Medical Center (CHMC) Trauma Registry. Setting. Hamilton County, Ohio, which has urban and nonurban areas. Participants. Children less than 15 years old residing in Hamilton County, Ohio, presenting to CHMC in Cincinnati, Ohio, after a fall from a window between January 1, 1991, and December 31, 1997. Outcome Measure. Annual incidence by age, race, gender, and residence of those who fell from windows. Results. Over the 7-year study period, 86 (6.3{\%}) of 1,363 falls were from windows. The mortality rate for falls from windows was 4.7{\%}, compared to 0.07{\%} for all other falls presenting to CHMC (P < .0001). Children 0-4 years old had a higher rate of falls than children aged 5-14 (14.6/100,000 vs. 2.0/100,000) (P < .0001). Males were twice as likely to fall as females (P < .016), and black children were three times more likely to fall than non-black children (P < .002). The incidence of falls in the city of Cincinnati was four times that of the non-urban area (P < .0002). Conclusions. Injuries from falls from windows are a public health problem in Hamilton County, Ohio, especially for young, urban children.",
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