Caídas en menores de un año: ¿qué hacemos en urgencias?. Rubio García, E., Jiménez de Domingo, A., Marañon Pardillo, R., Triviño Rodríguez, M., Frontado Haiek, L. A., Gilabert Iriondo, N., Ripoll Oliveras, F., Remón García, C., Estopiña Ferrer, G., Muñoz López, C., & en representación del Grupo de Trabajo de Lesiones no Intencionadas de la Sociedad Española de Urgencias de Pediatría Anales De Pediatria (Barcelona, Spain: 2003), 87(5):269–275, 2017. doi abstract bibtex OBJECTIVES: A study was performed in order to describe injuries associated with falls in children aged \textless1 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. PATIENTS AND METHODS: This was a multicentre, descriptive and analytical study that included all patients aged \textless1 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. 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\textless.001), falls from heights \textgreater100cm (P\textless.001), and age \textless3 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\textless.001), and age \textless3 months (P\textless.001). Six percent of the patients required admission to hospital. The risk factors for hospital admission in this group were falls from heights \textgreater50cm and age \textless3 months. CONCLUSIONS: Injuries after falls in infants aged \textless1 year are commonly due to head trauma and frequently require additional diagnostic tests.
@article{rubio_garcia_caien_2017,
title = {Caídas en menores de un año: ¿qué hacemos en urgencias?},
volume = {87},
issn = {1695-9531},
shorttitle = {[{Falls} in less than one year-old infants},
doi = {10.1016/j.anpedi.2016.10.003},
abstract = {OBJECTIVES: A study was performed in order to describe injuries associated with falls in children aged {\textless}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.
PATIENTS AND METHODS: This was a multicentre, descriptive and analytical study that included all patients aged {\textless}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.
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{\textless}.001), falls from heights {\textgreater}100cm (P{\textless}.001), and age {\textless}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{\textless}.001), and age {\textless}3 months (P{\textless}.001). Six percent of the patients required admission to hospital. The risk factors for hospital admission in this group were falls from heights {\textgreater}50cm and age {\textless}3 months.
CONCLUSIONS: Injuries after falls in infants aged {\textless}1 year are commonly due to head trauma and frequently require additional diagnostic tests.},
language = {SPA},
number = {5},
journal = {Anales De Pediatria (Barcelona, Spain: 2003)},
author = {Rubio García, Elena and Jiménez de Domingo, Ana and Marañon Pardillo, Rafael and Triviño Rodríguez, Miriam and Frontado Haiek, Luis Alberto and Gilabert Iriondo, Nuria and Ripoll Oliveras, Francesc and Remón García, Cristina and Estopiña Ferrer, Gloria and Muñoz López, Cristina and {en representación del Grupo de Trabajo de Lesiones no Intencionadas de la Sociedad Española de Urgencias de Pediatría}},
year = {2017},
pmid = {27865726},
keywords = {Caídas, Children, Diagnostic tests, Emergency Department, Falls, Niños, Pruebas complementarias, Radiografías, Radiography, Urgencias},
pages = {269--275},
}
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A.","Gilabert Iriondo, N.","Ripoll Oliveras, F.","Remón García, C.","Estopiña Ferrer, G.","Muñoz López, C.","en representación del Grupo de Trabajo de Lesiones no Intencionadas de la Sociedad Española de Urgencias de Pediatría"],"year":2017,"bibtype":"article","biburl":"https://bibbase.org/zotero/Bibliotecacst","bibdata":{"bibtype":"article","type":"article","title":"Caídas en menores de un año: ¿qué hacemos en urgencias?","volume":"87","issn":"1695-9531","shorttitle":"[Falls in less than one year-old infants","doi":"10.1016/j.anpedi.2016.10.003","abstract":"OBJECTIVES: A study was performed in order to describe injuries associated with falls in children aged \\textless1 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. PATIENTS AND METHODS: This was a multicentre, descriptive and analytical study that included all patients aged \\textless1 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. 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\\textless.001), falls from heights \\textgreater100cm (P\\textless.001), and age \\textless3 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\\textless.001), and age \\textless3 months (P\\textless.001). Six percent of the patients required admission to hospital. The risk factors for hospital admission in this group were falls from heights \\textgreater50cm and age \\textless3 months. CONCLUSIONS: Injuries after falls in infants aged \\textless1 year are commonly due to head trauma and frequently require additional diagnostic tests.","language":"SPA","number":"5","journal":"Anales De Pediatria (Barcelona, Spain: 2003)","author":[{"propositions":[],"lastnames":["Rubio","García"],"firstnames":["Elena"],"suffixes":[]},{"propositions":["Jiménez","de"],"lastnames":["Domingo"],"firstnames":["Ana"],"suffixes":[]},{"propositions":[],"lastnames":["Marañon","Pardillo"],"firstnames":["Rafael"],"suffixes":[]},{"propositions":[],"lastnames":["Triviño","Rodríguez"],"firstnames":["Miriam"],"suffixes":[]},{"propositions":[],"lastnames":["Frontado","Haiek"],"firstnames":["Luis","Alberto"],"suffixes":[]},{"propositions":[],"lastnames":["Gilabert","Iriondo"],"firstnames":["Nuria"],"suffixes":[]},{"propositions":[],"lastnames":["Ripoll","Oliveras"],"firstnames":["Francesc"],"suffixes":[]},{"propositions":[],"lastnames":["Remón","García"],"firstnames":["Cristina"],"suffixes":[]},{"propositions":[],"lastnames":["Estopiña","Ferrer"],"firstnames":["Gloria"],"suffixes":[]},{"propositions":[],"lastnames":["Muñoz","López"],"firstnames":["Cristina"],"suffixes":[]},{"firstnames":[],"propositions":[],"lastnames":["en representación del Grupo de Trabajo de Lesiones no Intencionadas de la Sociedad Española de Urgencias de Pediatría"],"suffixes":[]}],"year":"2017","pmid":"27865726","keywords":"Caídas, Children, Diagnostic tests, Emergency Department, Falls, Niños, Pruebas complementarias, Radiografías, Radiography, Urgencias","pages":"269–275","bibtex":"@article{rubio_garcia_caien_2017,\n\ttitle = {Caídas en menores de un año: ¿qué hacemos en urgencias?},\n\tvolume = {87},\n\tissn = {1695-9531},\n\tshorttitle = {[{Falls} in less than one year-old infants},\n\tdoi = {10.1016/j.anpedi.2016.10.003},\n\tabstract = {OBJECTIVES: A study was performed in order to describe injuries associated with falls in children aged {\\textless}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.\nPATIENTS AND METHODS: This was a multicentre, descriptive and analytical study that included all patients aged {\\textless}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.\nRESULTS: 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{\\textless}.001), falls from heights {\\textgreater}100cm (P{\\textless}.001), and age {\\textless}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{\\textless}.001), and age {\\textless}3 months (P{\\textless}.001). Six percent of the patients required admission to hospital. The risk factors for hospital admission in this group were falls from heights {\\textgreater}50cm and age {\\textless}3 months.\nCONCLUSIONS: Injuries after falls in infants aged {\\textless}1 year are commonly due to head trauma and frequently require additional diagnostic tests.},\n\tlanguage = {SPA},\n\tnumber = {5},\n\tjournal = {Anales De Pediatria (Barcelona, Spain: 2003)},\n\tauthor = {Rubio García, Elena and Jiménez de Domingo, Ana and Marañon Pardillo, Rafael and Triviño Rodríguez, Miriam and Frontado Haiek, Luis Alberto and Gilabert Iriondo, Nuria and Ripoll Oliveras, Francesc and Remón García, Cristina and Estopiña Ferrer, Gloria and Muñoz López, Cristina and {en representación del Grupo de Trabajo de Lesiones no Intencionadas de la Sociedad Española de Urgencias de Pediatría}},\n\tyear = {2017},\n\tpmid = {27865726},\n\tkeywords = {Caídas, Children, Diagnostic tests, Emergency Department, Falls, Niños, Pruebas complementarias, Radiografías, Radiography, Urgencias},\n\tpages = {269--275},\n}\n\n","author_short":["Rubio García, E.","Jiménez de Domingo, A.","Marañon Pardillo, R.","Triviño Rodríguez, M.","Frontado Haiek, L. 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