TY - JOUR T1 - Falls in less than one year-old infants: Management in the emergency department JO - Anales de Pediatría (English Edition) T2 - AU - Rubio García,Elena AU - Jiménez de Domingo,Ana AU - Marañon Pardillo,Rafael AU - Triviño Rodríguez,Miriam AU - Frontado Haiek,Luis Alberto AU - Gilabert Iriondo,Nuria AU - Ripoll Oliveras,Francesc AU - Remón García,Cristina AU - Estopiña Ferrer,Gloria AU - Muñoz López,Cristina SN - 23412879 M3 - 10.1016/j.anpede.2016.10.017 DO - 10.1016/j.anpede.2016.10.017 UR - https://analesdepediatria.org/en-falls-in-less-than-one-articulo-S2341287917301576 AB - ObjectivesA study was performed in order to describe injuries associated with falls in children aged <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 methodsThis was a multicentre, descriptive and analytical study that included all patients aged <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. ResultsA 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<0.001), falls from heights >100cm (p<0.001), and age <3 months (p=0.004). 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<0.001), and age <3 months (p<0.001). Six percent of the patients required admission to hospital. The risk factors for hospital admission in this group were falls from heights >50cm and age <3 months. ConclusionsInjuries after falls in infants aged <1 year are commonly due to head trauma and frequently require additional diagnostic tests. ER -