Victim characteristics in fatal home accidents. Alcohol, mental disorder, and suicidal intent in officially registered accidents in the home.
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Home accidents are a major health problem; no data about the specific types of home accidents in the pediatric Bedouin population of southern Israel is available. We sought to delineate the specific types of home accidents in Arab Bedouin children in southern Israel. The study was conducted in a primary care clinic in an Arab Bedouin town in southern Israel. An interview of every patient or parent who presented to the clinic for a home accident in a child from December 2000 until mid November 2001 was conducted. A total of 235 accidents were recorded from 219 patients (153 males and 66 females). The most prevalent injury was burns (85 cases--36.1%) followed by falls (67 cases--28.5%), contusions, (31 cases--13.2%), lacerations (29 cases--12.3%), and nail penetrations (19 cases--8%). Thirteen patients were hospitalized, 6 with burns and 7 due to falls. A total of 209 days of hospitalization were recorded, 195 days due to burn and 14 days due to falls, (p < 0.05). Burn rates were highest in children younger than 2 years of age, 39/57 (68.4%), and an increased risk for burns was significantly correlated to younger age (p < 0.0001). We conclude that in our study population, burns represent the most prevalent home accident and that burns cause a much longer hospital stay than any other type of accident. The risk for burns is correlated to younger age. A burn prevention plan is needed.
Home accidents involving children are an important public health problem in developed and developing countries. There is uncertainty concerning the effectiveness of different approaches to child home accident prevention, and a need to evaluate current practice. This paper reports the findings of an interview survey of all 57 health visitors working in Clydebank and the north-west area of Glasgow, concerning their role in child home accident prevention. Their role consisted mainly of education of children and families in home safety, using face-to-face discussion and leaflets. Forty-seven per cent of health visitors reported difficulty in raising home safety issues with families. Ninety-four per cent did not think that the educational approach had been effective in reducing child home accidents and in improving home safety behaviour of families. This poses the question of whether the time of health workers and health service resources should be invested in alternative approaches.
Authors analyse the incidence, demographic relations and data of hospitalization of the home accidents. The significance of the home accidents is emphasized. It is stated that the home accident is the most frequent type of accidents and its ratio is increasing. The incidence was found 45 on 1000 inhabitants, the home accidents give nearly the half of all accidents and more than 1/3 of the hospitalized injured. Attention is called to the possibilities of unutilized possibilities of the prevention of home accidents.
Adolescent and infant deaths due to home accidents pose an important social problem and can be prevented significantly by appropriate measures. The aims of this study about adolescent deaths under the age of 18 and infant deaths due to home accidents were assessment of risk factors and proposals for protective measures. Toward these aims, 414 autopsy reports (Provided by Mortuary Section, Council of Forensic Medicine, Istanbul Turkey, 1996-2000) were reviewed, as well as scene investigation data and information from eyewitnesses. Determination of risk factors, appropriate education, as well as legal regulations for manufacturers of household articles may significantly reduce the number of infant and adolescent deaths due to home accidents.
OBJECTIVES: To determine the incidence and nature of unreported and reported home accidents in older people and to investigate associated environmental factors. DESIGN: Postal questionnaire requesting information on home accidents in the preceding month. SETTING: Inner London general practice. SUBJECTS: All registered patients aged over 65 years (n = 1662), of whom 120 were inappropriately registered and 1293 responded. MAIN OUTCOME MEASURE: Circumstances and consequences of accidents in the home. RESULTS: 108 accidents were recorded in 100 patients, giving a home accident rate of 84/1000 patients, equivalent to an annual rate of 1002/1000. 73 accidents were falls, and 83 were unreported. Of the 25 reported accidents, 19 were reported to general practice and six to accident and emergency departments (5.6% of all events). Rates of home accidents increased with age and were higher in women than men (79/819 upsilon 29/474; chi 2 = 4.5, df = 1, p less than 0.05). CONCLUSIONS: The incidence of home accidents in people aged over 65 years was high but few events were reported to medical services. General practice provided the main contact for patients who reported home accidents, and primary care workers have important opportunities for advising elderly patients on home accident prevention. Improved publicity on home safety targeted at older people and their carers would support the primary health care team in this role.
The present investigation is part of an investigation concerning preschool children's accidents at home. A total of 3,011 homes with preschool children were examined with the object of reducing the number of accidents involving preschool children. Selected risk factors were registered (falls, burns, poisoning) responsible for accidents to preschool children in their homes and this information was compared with information about the type of housing, district and the social status. The investigation revealed that 30% of the homes had "dangerous" windows, 30% had taps which could be swung out over free floor space and 42% did not have special electric safety main switches. Articles for cleaning, medicine and poisons were only stored in locked cupboards in 2.5 and 8% of the homes, respectively. These circumstances were more common in flats than in one-family homes. No significant differences were found between the physical risk factors chosen in the present investigation between the individual social status groups. Prevention of children's accidents in the home consists of increased information to families with children, to architects and manufacturers and increased attention to safety in the home by legislation and guidelines.
On a department for acute surgery 175 patients, older than 64 years of age, who had an accident at home, were reviewed to determine which injuries occurred. Of the patients 76% were female. More than half of the injuries were fractures, of which wrist and hip injuries occurred most frequently. Soft tissue injuries (wounds and bruises) occurred predominantly in males.
1. Between 1989 and 1991, 121,708 children less than 10 years old attended 22 Accident and Emergency (A & E) Departments in the UK as a result of an accident at home; 6,478 of these were cases of suspected poisoning. 2. Two hundred and fifty (124 boys and 126 girls) of 6,478 cases involved pesticides. Forty two per cent of these children were thought to have been poisoned by rodenticides, 33% by a different animal poison, 13% by an herbicide or fungicide, 7% by creosote and 5% by mothballs; a pattern similar to that observed in previous years. 3. Fifty-seven of 250 children (23%) were admitted to hospital. The proportion of children admitted to hospital between 1989 and 1991 is smaller than that observed between 1982-1988 (37%). Forty-six per cent of children were discharged home within one day and 95% within 2 days, whereas between 1982 and 1988 only 35% of children were discharged within one day. No child died during the study confirming the low morbidity. 4. Using these data we estimate that between 1989 and 1991 approximately 1,500 children annually attended an A & E Department in the UK with a diagnosis of suspected pesticide poisoning and that some 350 children were admitted each year.
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Among acute "traumatisms", occupational and domestic accidents chiefly share burn. To compare these two causes of severe burns, we examined clinical records of patients hospitalized from January 1986 to February 1989 in the "Grand Burns Center" at the C.T.O. hospital in Turin. Data exclusively refer to patients over 12 years old. 61 out of 313 cases (19%) were due to occupational burns, 221 (71%) to domestic ones (left cases including burns occurred in different surroundings). Males predominance was very high (95%) in the occupational settings, lower though still relevant (60%) in the domestic ones. The topographic distribution of the burns did not show any relevant difference. Similarly, the two groups did not differ as the affected percent of the body surface area (BSA) is concerned: in both cases burns extended cases. Decreased patients were fairly more numerous among the domestic burns (33%) as compared to the occupational ones (18%). The overwhelming majority (90.5%) of domestic burns were caused by fire; such a predominance, though present, was lower (68.8%) among occupational accidents. More in detail, domestic burns were caused as follows: alcohol spraying to stir a fire (26%), gas burst (25%), flammable substances exposed to heat sources (18%), hot water or different liquid (8%), fall over heating devices (6%), fires from cigarettes in bed (5%), kitchen stoves (with or without clothing fire) (5%), brushwood burning (4%), other (3%). It is worth noting that in as many as 40% of the cases of domestic burns patients were affected by a pre-existing neuro-psychic disorder, namely: personality disorders (15%), psychiatric disorders (%), epilepsy (9%), mental debility (7%).
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OBJECTIVE: road traffic and home accidents are one of the leading causes of death for infants and adolescents between 0-18 years of age. This study aimed to describe the injuries of children in the Lazio Region, in the year 2000. DESIGN: retrospective cohort study. SETTING: road traffic and home accident injury visits to all Emergency Departments (ED) in the Lazio region during 2000, Hospital discharges in the region during 2000-2001, integrated through deterministic linkage strategy PARTICIPANTS: all children aged 0-18 who visited one of the ED for home or road traffic injuries. MAIN OUTCOME MEASURES: we computed ED visits and hospitalisation rates and stratified them by sex, age and place of residence. Cases were classified by body region and type of lesion. IRR and 95% confidence intervals have been estimated using Poisson Regression. RESULTS: the rate of home accident visits was particularly high among children aged 1-5 years (55.2/1000), while the highest rate for road traffic injuries was in 14-18 year old children (53.8/1000). Girls had a lower hospitalisation rate than boys. Higher hospitalisation rates were found for children living outside of Rome. The body region most frequently injured in road traffic accidents was the lower extremities (28.4%), while most frequently injured in home accidents was the head and neck (34.8%). CONCLUSION: this study shows how integrating different systems of surveillance can provide a more complete picture of injuries from road and home accidents, that is difficult to obtain using other sources. The youngest children are at high risk of home accidents while teen-agers are at risk for road traffic injuries.
The objective of the present study was to estimate the incidence of home accidents in Belgium in 2002 and to compare them with the results of 1996. The Belgian network of general practitioners (GPs) is a national network of GPs who collect and report data on selected conditions, including home accidents. The data about home accidents were recorded by 181 GPs in 1996 and by 150 GPs in 2002. The standardized incidence of home accidents decreased from 2935 per 100,000 inhabitants in 1996 (95% CI 2846 - 3026) to 2669 in 2002 (95% CI 2588 - 2751). This corresponds to a decrease of 9% (p < 0.001). A decrease of 14% was observed in the Flemish Community (p < 0.001). The reduction was very important (36%) among women aged between 75 and 89 years (p < 0.001). In the French community the decrease was not significant. The incidence of home accidents observed in general practice decreased in Belgium, especially in the Flemish Community.
A one-month prospective case-control study was conducted in two sectors of Al-Khobar City (Saudi population of 65,070) with the objective of identifying the socioeconomic factors that are related to home accidents among Saudis. All accidents reported to 20 health facilities during the period were recorded and for the home accidents a questionnaire was completed at the Emergency Rooms (ERs) and the subjects were subsequently interviewed at their homes. Of the 1,104 Saudis who reported to the ERs of these health facilities 209 (18.9 percent) had home accidents. 206 were interviewed at home together with 448 families (controls) randomly drawn from the family folders at the primary health care centers in the two sectors. In the event 25 more home accidents were identified and the number of control families was accordingly reduced to 423 while the accidents increased to 231. The overall incidence rate was 355/100,000 Saudis per month, being lower (327.6/100,000) for the first sector (Al-Thougba) with a population of a relatively lower socioeconomic status than the second (Al-Khobar) sector (399.5/100,000). The number of home accidents was related to family size and was also larger in families living in villas and flats compared to single story and portable buildings. Families with home accidents had significantly more members than the controls. It is recommended that extensive community-oriented research be conducted to identify, evaluate, and subsequently control the environmental and human factors that contribute to the incidence and outcome of home accidents in Saudi Arabia.