ArticleBMJ open2017
Fall-related attendance and associated hospitalisation of children and adolescents in Hong Kong: a 12-year retrospective study.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Risk factors for falls among children aged 0-18 years: a systematic review.World journal of pediatrics : WJP · 2022Pooled it
- Global, regional, and national burden of forearm fracture from 1990 to 2021: a study based on GBD 2021.Frontiers in public health · 2025Article
- Development and Validation of Indicators for Population Injury Surveillance in Hong Kong: Development and Usability Study.JMIR public health and surveillance · 2022Review
- Secular trends in fall-related hospitalizations in adolescents, youth and adults: a population-based study.The Lancet regional health. Western Pacific · 2021Article
- The burden of the current curative expenditure of injury in Dalian, China-a study based on the "system of health accounts 2011".BMC public health · 2021Article
- Trends in the U.S. Childhood Emergency Department Visits for Fall-Related Fractures, 2001-2015.Cureus · 2020Article
- Mechanisms of accidental fall injuries and involved injury factors: a registry-based study.Injury epidemiology · 2020Article
- The interventions and outcomes associated with fall-related injuries at tertiary hospitals in the Kingdom of Saudi Arabia: a cross sectional study.The Pan African medical journal · 2020Article
- Mortality And Morbidity of Severe Traumatic Brain Injuries; A Pediatric Intensive Care Unit Experience Over 15 Years.Bulletin of emergency and trauma · 2019Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe present study aimed to examine the trends and characteristics of fall-related attendance in accident and emergency department (AED) by injury type and the trend in associated average length of stay (LOS) among children and adolescents in Hong Kong.
designA retrospective approach was adopted.
settingAED, involving all local public emergency departments from 2001 to 2012.
participants63 557 subjects aged 0-19 years with fall injury record were included in the analysis. PRIMARY OUTCOME MEASURES: Fall-related injury number and rates were calculated and reported. Poisson and negative binomial regression models were used to study the trends of injury incidence rate at different body regions.
resultsAED fall-related attendance rate increased significantly with an annual percentage change of 4.45 (95% CI 3.43 to 5.47%, p<0.0001). The attendance number of male subjects was persistently higher than female subjects. The standardised rate of fracture injury increased by 1.31% (95% CI 0.56 to 2.05%, p<0.0001) and that of non-fracture injury increased by 9.23% (95% CI 7.07 to 11.43%, p<0.0001) annually. Upper limb was the most frequently fractured location. It included forearm/elbow, shoulder/upper arm and wrist/hand with descending order of frequency. On the contrary, head was the most frequent non-fracture location, followed by forearm/elbow.
conclusionsThe rates of fall-related attendance have been increasing and still remain high. There were significant increases in non-fracture injuries. Fractures were most frequently found in the upper extremity of a child while the most common non-fracture location was head. It appears that more efforts should be made and preventive measures should be implemented for children and adolescents in Hong Kong.
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