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Published in: World Journal of Emergency Surgery 1/2017

Open Access 01-12-2017 | Research article

Pediatric falls from windows and balconies: incidents and risk factors as reported by newspapers in the United Arab Emirates

Authors: Michal Grivna, Hanan M. Al-Marzouqi, Maryam R. Al-Ali, Nada N. Al-Saadi, Fikri M. Abu-Zidan

Published in: World Journal of Emergency Surgery | Issue 1/2017

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Abstract

Background

Falls of children from heights (balconies and windows) usually result in severe injuries and death. Details on child falls from heights in the United Arab Emirates (UAE) are not easily accessible. Our aim was to assess the incidents, personal, and environmental risk factors for pediatric falls from windows/balconies using newspaper clippings.

Methods

We used a retrospective study design to electronically assess all major UAE national Arabic and English newspapers for reports of unintentional child falls from windows and balconies during 2005–2016. A structured data collection form was developed to collect information. Data were entered into an Excel sheet and descriptive analysis was performed.

Results

Newspaper clippings documented 96 fall incidents. After cleaning the data and excluding duplicate cases and intentional injuries, 81 cases were included into the final analysis. Fifty-three percent (n = 42) were boys. The mean (range) age was 4.9 years (1–15). Thirty-eight (47%) children fell from windows and 36 (44%) from balconies. Twenty-two (27%) children climbed on the furniture placed on a balcony or close to a window. Twenty-five (31%) children were not alone in the apartment when they fell. Twenty-nine children fell from less than 5 floors (37%), 33 from 5 to 10 floors (42%) and 16 from more than 10 floors (21%). Fifteen children (19%) were hospitalized and survived the fall incident, while 66 died (81%).

Conclusions

Newspapers proved to be useful to study pediatric falls from heights. It is necessary to improve window safety by installing window guards and raising awareness.
Literature
1.
go back to reference Scuffham P, Chaplin S, Legood R. Incidence and costs of unintentional falls in older people in the United Kingdom. J Epidemiol Community Health. 2003;57:740–4.CrossRefPubMedPubMedCentral Scuffham P, Chaplin S, Legood R. Incidence and costs of unintentional falls in older people in the United Kingdom. J Epidemiol Community Health. 2003;57:740–4.CrossRefPubMedPubMedCentral
2.
go back to reference World Health Organization. WHO global report on falls prevention in older age. Geneva: World Health Organization; 2007. World Health Organization. WHO global report on falls prevention in older age. Geneva: World Health Organization; 2007.
4.
go back to reference Author unknown. The book of accidents. New Haven: Designed for Young Children; 1830. Author unknown. The book of accidents. New Haven: Designed for Young Children; 1830.
5.
go back to reference Spiegel CN, Lindaman FC. Children Can’t fly: a program to prevent childhood morbidity and mortality from window falls. Am J Public Health. 1977;12:1143–7.CrossRef Spiegel CN, Lindaman FC. Children Can’t fly: a program to prevent childhood morbidity and mortality from window falls. Am J Public Health. 1977;12:1143–7.CrossRef
6.
go back to reference Barlow B, Niemirska M, Gandhi RP, Leblanc W. Ten years of experience with falls from height in children. J Pediatr Surg. 1983;18:509–11.CrossRefPubMed Barlow B, Niemirska M, Gandhi RP, Leblanc W. Ten years of experience with falls from height in children. J Pediatr Surg. 1983;18:509–11.CrossRefPubMed
8.
go back to reference Grivna M, Aw TC, El-Sadeg M, Loney T, Sharif A, Thomsen J, et al. The legal framework and initiatives for promoting safety in the United Arab Emirates. Int J Inj Control Saf Promot. 2012;19:278–89.CrossRef Grivna M, Aw TC, El-Sadeg M, Loney T, Sharif A, Thomsen J, et al. The legal framework and initiatives for promoting safety in the United Arab Emirates. Int J Inj Control Saf Promot. 2012;19:278–89.CrossRef
9.
go back to reference Istre GR, McCoy MA, Stowe M, Davies K, Zane D, Anderson RJ, et al. Childhood injuries due to falls from apartment balconies. Inj Prev. 2003;9:349–52.CrossRefPubMedPubMedCentral Istre GR, McCoy MA, Stowe M, Davies K, Zane D, Anderson RJ, et al. Childhood injuries due to falls from apartment balconies. Inj Prev. 2003;9:349–52.CrossRefPubMedPubMedCentral
11.
go back to reference Mayer L, Meuli M, Lis U, Frey B. The silent epidemic of falls from buildings: analysis of risk factors. Pediatr Surg Int. 2006;22:743–8.CrossRefPubMed Mayer L, Meuli M, Lis U, Frey B. The silent epidemic of falls from buildings: analysis of risk factors. Pediatr Surg Int. 2006;22:743–8.CrossRefPubMed
12.
go back to reference Freyne B, Doyle J, McNAmara R, Nicholson AJ. Epidemiology of high falls from windows in children. Ir Med J. 2014;2:57–9. Freyne B, Doyle J, McNAmara R, Nicholson AJ. Epidemiology of high falls from windows in children. Ir Med J. 2014;2:57–9.
13.
go back to reference Melo JRT, Di Rocco F, Lemos-Junior LP, Roujeau T, Thelot B, Sainte-Rose C, et al. Defenestration in children younger than 6 years old: mortality predictors in severe head trauma. Childs Nerv Syst. 2009;25:1077–83.CrossRefPubMed Melo JRT, Di Rocco F, Lemos-Junior LP, Roujeau T, Thelot B, Sainte-Rose C, et al. Defenestration in children younger than 6 years old: mortality predictors in severe head trauma. Childs Nerv Syst. 2009;25:1077–83.CrossRefPubMed
14.
go back to reference Khambalia A, Joshi P, Brussoni M, Raina P, Morrngiello B, McArthur C. Risk factors for unintentional injuries due to falls in children aged 0-6 years: a systematic review. Inj Prev. 2006;12:378–81.CrossRefPubMedPubMedCentral Khambalia A, Joshi P, Brussoni M, Raina P, Morrngiello B, McArthur C. Risk factors for unintentional injuries due to falls in children aged 0-6 years: a systematic review. Inj Prev. 2006;12:378–81.CrossRefPubMedPubMedCentral
15.
go back to reference American Academy of Pediatrics, Committee on Injury and Poison Prevention. Falls from heights: windows, roofs and balconies. Pediatrics. 2001;107:1188–91.CrossRef American Academy of Pediatrics, Committee on Injury and Poison Prevention. Falls from heights: windows, roofs and balconies. Pediatrics. 2001;107:1188–91.CrossRef
16.
18.
go back to reference Barss P, Subait OM, Ali MHA, Grivna M. Drowning in a high-income developing country in the Middle East: newspapers as an essential resource for injury surveillance. J Sci Med Sport. 2009;12:164-170. Barss P, Subait OM, Ali MHA, Grivna M. Drowning in a high-income developing country in the Middle East: newspapers as an essential resource for injury surveillance. J Sci Med Sport. 2009;12:164-170.
19.
go back to reference Baullinger J, Quan L, Bennett E, Cummings P, Williams K. Use of Washington state newspapers for submersion injury surveillance. Inj Prev. 2001;7:339–42.CrossRefPubMedPubMedCentral Baullinger J, Quan L, Bennett E, Cummings P, Williams K. Use of Washington state newspapers for submersion injury surveillance. Inj Prev. 2001;7:339–42.CrossRefPubMedPubMedCentral
21.
go back to reference Grivna M, Hani OE, Abu-Zidan FM. Epidemiology, morbidity and mortality from fall-related injuries in the United Arab Emirates. Scand J Trauma Resusc Emerg Med. 2014;22:51.CrossRefPubMedPubMedCentral Grivna M, Hani OE, Abu-Zidan FM. Epidemiology, morbidity and mortality from fall-related injuries in the United Arab Emirates. Scand J Trauma Resusc Emerg Med. 2014;22:51.CrossRefPubMedPubMedCentral
22.
go back to reference Grivna M, Barss P, Stanculescu C, Hani OE, Abu-Zidan FM. Home and other nontraffic injuries among children and youth in a high-income middle eastern country: a trauma registry study. Asia Pac J Public Health. 2015;27:NP1707–18.CrossRefPubMed Grivna M, Barss P, Stanculescu C, Hani OE, Abu-Zidan FM. Home and other nontraffic injuries among children and youth in a high-income middle eastern country: a trauma registry study. Asia Pac J Public Health. 2015;27:NP1707–18.CrossRefPubMed
Metadata
Title
Pediatric falls from windows and balconies: incidents and risk factors as reported by newspapers in the United Arab Emirates
Authors
Michal Grivna
Hanan M. Al-Marzouqi
Maryam R. Al-Ali
Nada N. Al-Saadi
Fikri M. Abu-Zidan
Publication date
01-12-2017
Publisher
BioMed Central
Published in
World Journal of Emergency Surgery / Issue 1/2017
Electronic ISSN: 1749-7922
DOI
https://doi.org/10.1186/s13017-017-0156-z

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