Evidence map›Paper›PMID 41175187›Full record

ArticlePediatric surgery international2025

Geographic analysis and socioeconomic factors associated with pediatric window fall injuries in Utah: a nine-year retrospective study.

Abigail J Alexander, Anastasia M Kahan, Justin Sorensen, Melissa J Boggan, Kacey L Barnes, Hsuan-Yu Wan, Víctor de Cos, Zachary J Kastenberg, Robert A Swendiman, Romeo C Ignacio and 1 more

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Article in Pediatric surgery international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Abigail J AlexanderDivision of Pediatric Surgery, Department of Surgery, University of Utah Health, 100 Mario Capecchi Dr., Salt Lake City, UT, 84113, USA.
Anastasia M KahanDivision of Pediatric Surgery, Department of Surgery, University of Utah Health, 100 Mario Capecchi Dr., Salt Lake City, UT, 84113, USA. Sasha.kahan@hsc.utah.edu.
Justin SorensenGIS Services, J. Willard Marriott Library, University of Utah, Salt Lake City, USA.
Melissa J BogganPrimary Children's Hospital, Intermountain Health, Salt Lake City, UT, USA.
Kacey L BarnesPrimary Children's Hospital, Intermountain Health, Salt Lake City, UT, USA.
Hsuan-Yu WanPrimary Children's Hospital, Intermountain Health, Salt Lake City, UT, USA.
Víctor de CosRady Children's Health, San Diego, CA, USA.
Zachary J KastenbergDivision of Pediatric Surgery, Department of Surgery, University of Utah Health, 100 Mario Capecchi Dr., Salt Lake City, UT, 84113, USA.
Robert A SwendimanDivision of Pediatric Surgery, Department of Surgery, University of Utah Health, 100 Mario Capecchi Dr., Salt Lake City, UT, 84113, USA.
Romeo C IgnacioRady Children's Health, San Diego, CA, USA.
Katie W RussellDivision of Pediatric Surgery, Department of Surgery, University of Utah Health, 100 Mario Capecchi Dr., Salt Lake City, UT, 84113, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFalls from windows are a source of significant morbidity and mortality among pediatric trauma patients. Public health initiatives to prevent these injuries are crucial, but to appropriately deploy these initiatives, understanding where to target these interventions is critical. The purpose of this study was to identify geographic locations of these injuries to develop targeted injury prevention strategies.

methodsThis study conducted a retrospective analysis of all window fall injuries that presented to Utah's only Level 1 Pediatric Trauma Center from 2015 to 2024. A geographic analysis was performed using ArcGIS mapping software, and linear and logistic regression models were employed to examine the relationships between patient characteristics and Area Deprivation Index (ADI) values.

resultsA total of 223 window fall injuries were identified over the 9-year study period. The median age at presentation was 3.8 [2.8-5.2] years. Most patients were male (58%) and lived in single-family homes (58%). The median injury severity score was 9 [2-14], and 37% of patients had an Abbreviated Injury Scale (AIS) score of greater than 3, indicating a significant injury, for the head and neck region. There was no relationship between state or national ADI and injury severity score, length of stay, Glasgow coma scale, or intensive care unit admission. Younger patients were more likely to live in a more disadvantaged neighborhood based on state ADI (p = 0.03), but not based on national ADI (p = 0.06).

conclusionsThe geographic distribution and patient injury characteristics of window fall injuries from the state of Utah over a 9-year period were not correlated with state or national ADI, contrary to what has been seen in other locations. From these data, key communities where these injuries have been most common have been identified and will be the focus of targeted prevention strategies moving forward.

Indexed as

Accidental FallsWounds and InjuriesChildChild, PreschoolFemaleHumansInfantInjury Severity ScoreMaleRetrospective StudiesRisk FactorsSocioeconomic FactorsTrauma CentersUtahArea deprivation indexHealth disparitiesNeighborhood disadvantagePediatric traumaWindow falls

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.