Incidence and Risk Factor of Unintentional Fall Related Injuries Among Children in Tamil Nadu, India

Manoj P; Logaraj  Muthunarayanan; Kaveri Palanisamy

doi:10.55489/njcm.140420232841

Authors

Manoj P SRM Medical College Hospital & Research Centre, SRM Institute of Science & Technology, Tamilnadu, India
Logaraj Muthunarayanan SRM Medical College Hospital & Research Centre, SRM Institute of Science & Technology, Tamilnadu, India
Kaveri Palanisamy SRM Medical College Hospital & Research Centre, SRM Institute of Science & Technology, Tamilnadu, India

DOI:

https://doi.org/10.55489/njcm.140420232841

Keywords:

Unintentional Injury, Children, Socioeconomic status, fall, Disability

Abstract

Introduction: Injuries are a major global public health problem. There are very few community-based studies on childhood injury from India in this study, we identified the distribution and risk factors for fall-related child injuries in the Chengalpattu district, Tamil Nādu community.

Methodology: A descriptive analysis was done among 710 children of age up to 14 years residing in the Kattankulathur region in Tamil Nādu. The appropriate number of samples were recruited using the cluster sampling method by dividing the subjects into separate clusters and from each cluster 40 samples were obtained. The information on fall-related injury was collected according to mechanism of ‘injury’

Results: The annual incidence of fall-related injuries was 9.1 %. About 72.3% of children had injuries at home and 36% of the persons had fractures in the upper limb. 42% of children had disability in their hands. The age, gender, education and type of family was significant to injury.

Conclusion: Our study reported a higher incidence of Fall injuries in Tamil Nādu when compared other studies done in India. Male children are the most common victims of injury and also identified homes, roads/streets as the most common places for the occurrences of fall injury in children.

References

Global Burden of Disease Child and Adolescent Health Collaboration; Kassebaum, N.; Kyu, H.H.; Zoeckler, L.; Olsen, H.E.; Thomas, K.; Pinho, C.; Bhutta, Z.A et al, child and adolescent health from 1990 to 2015: Findings from the global burden of diseases, injuries, and risk factors 2015 study. JAMA Pediatr. 2017, 171, 573-592.

Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Engl J Med. 1988;319:1701-7. Doi: https://doi.org/10.1056/NEJM198812293192604 PMid:3205267

Alonge O, Hyder AA. Reducing the global burden of childhood unintentional injuries. Arch Dis Child. 2014;99(1):62-69. Doi: https://doi.org/10.1136/archdischild-2013-304177 PMid:24187033

Hyder AA, Sugerman D, Ameratunga S, Callaghan JA. Falls among children in the developing world: a gap in child health burden esti-mations? Acta Paediatr. 2007;96(10):1394-1398. Doi: https://doi.org/10.1111/j.1651-2227.2007.00419.x PMid:17880412

ICECI Coordination and Maintenance Group. International Classification of External Causes of Injuries (ICECI), Version 1.2.

Consumer Safety Institute, Amsterdam and AIHW National Injury Surveillance Unit, Adelaide; 2018. Available from: http://www.iceci. org. Accessed December 7, 2019.

Balan B, Lingam L. Unintentional injuries among children in resource poor settings: where do the fingers point?. Archives of disease in childhood. 2012 Jan 1;97(1):35-8. Doi: https://doi.org/10.1136/archdischild-2011-300589 PMid:21949014

Bassani DG. Kumar R, Awasthi S. Causes of neonatal and child mortality in India: a nationally representative mortality survey. Lancet. 2010;376:1853-60. Doi: https://doi.org/10.1016/S0140-6736(10)61461-4 PMid:21075444

Chapman, R.L.; Buckley, L.; Sheehan, M.; Shochet, I.M. Pilot evaluation of an adolescent risk and injury prevention programme incor-porating curriculum and school connectedness components. Health Educ. Res.2013, 28, 612-625. Doi: https://doi.org/10.1093/her/cyt048 PMid:23503569

Sheriff A, Rahim A, Lailabi MP, Gopi J. Unintentional injuries among children admitted in a tertiary care hospital in North Kerala. In-dian journal of public health. 2011 Apr 1;55(2):125. Doi: https://doi.org/10.4103/0019-557X.85248 PMid:21941048

Parmeswaran GG, Kalaivani M, Gupta SK, Goswami AK, Nongkynrih B. Unintentional childhood injuries in urban Delhi: A communi-ty-based study. Indian journal of community medicine: official publication of Indian Association of Preventive & Social Medicine. 2017 Jan;42(1):8. Doi: https://doi.org/10.4103/0970-0218.199791 PMid:28331247 PMCid:PMC5349010

Alshahethi A, Al Serouri A, Khader YS. Rate and pattern of unintentional injuries among 9-12 grades schoolchildren in Yemen and their associated factors. Journal of injury and violence research. 2018 Jul;10(2):75. Doi: https://doi.org/10.5249/jivr.v10i2.966

Mahboob A, Richmond SA, Harkins JP, Macpherson AK. Childhood unintentional injury: The impact of family income, education lev-el, occupation status, and other measures of socioeconomic status. A systematic review. Paediatrics & child health. 2021 Feb;26(1):e39-45. Doi: https://doi.org/10.1093/pch/pxz145 PMid:33542777 PMCid:PMC7850283

Pathak A, Agarwal N, Mehra L, Mathur A, Diwan V. Incidence, risk and protective factors for unintentional, nonfatal, fall-related inju-ries at home: a community-based household survey from Ujjain, India. Pediatric health, medicine and therapeutics. 2020;11:65. Doi: https://doi.org/10.2147/PHMT.S242173 PMid:32110140 PMCid:PMC7039069

Gupta S, Gupta SK, Devkota S, et al. Fall injuries in Nepal:a countrywide population-based survey. Ann Glob Health. 2015;81(4):487-494. Doi: https://doi.org/10.1016/j.aogh.2015.07.004 PMid:26709280

Mohan D, Kumar A, Varghese M. Childhood injuries in rural north India. International journal of injury control and safety promo-tion. 2010 Mar 1;17(1):45-52. Doi: https://doi.org/10.1080/17457300903524862 PMid:20182938

Chowdhury SM, Rahman A, Mashreky SR, Giashuddin SM, Svanström L, Hörte LG, Rahman F. The horizon of unintentional injuries among children in low-income setting: an overview from Bangladesh health and injury survey. Journal of environmental and public health. 2009 Jan 1;2009. Doi: https://doi.org/10.1155/2009/435403 PMid:20052265 PMCid:PMC2778563

Mathur A, Mehra L, Diwan V, Pathak A. Unintentional childhood injuries in urban and rural Ujjain, India: a community-based survey. Children. 2018 Feb 8;5(2):23. Doi: https://doi.org/10.3390/children5020023 PMid:29419791 PMCid:PMC5835992

Banerjee B, Banerjee R, Ingle GK, Mishra P. Unintentional childhood injuries and their association with activity and location at the time of injury-A case-Crossover study in Delhi. Indian journal of public health. 2021 Oct 1;65(4):352. Doi: https://doi.org/10.4103/ijph.IJPH_55_21 PMid:34975077

Nirgude AS, Haleema M. Epidemiological Study of Unintentional Childhood Injuries in a Rural and Urban Area of Mangaluru Taluk, Dakshina Kannada District, Karnataka State, India.

Fuglkjaer S, Dissing KB, Hestbaek L. Prevalence and incidence of musculoskeletal extremity complaints in children and adolescents. A systematic review. BMC Musculoskelet Disord. 2017;18(1):418. Doi: https://doi.org/10.1186/s12891-017-1771-2 PMid:29047337 PMCid:PMC5648427

Wadhwaniya S, Alonge O, Ul Baset MK, Chowdhury S, Bhuiyan AA, Hyder AA. Epidemiology of fall injury in rural Bangladesh. Int J Environ Res Public Health. 2017;14(8):900. Doi: https://doi.org/10.3390/ijerph14080900 PMid:28796160 PMCid:PMC5580603

Bhuvaneswari N, Prasuna JG, Goel MK, Rasania SK. An epidemiological study on home injuries among children of 0-14 years in South Delhi. Indian J Public Health. 2018;62(1):4-9. doi:10.4103/ijph. IJPH_428_16

Inbaraj LR, Rose A, George K, Bose A. Incidence and impact of unintentional childhood injuries: a communitybased study in rural South India. The Indian Journal of Pediatrics. 2017 Mar;84(3):206-10. Doi: https://doi.org/10.1007/s12098-016-2260-6 PMid:27864749

Mahalakshmy T, Dongre AR, Kalaiselvan G. Epidemiology of childhood i njuries in rural Puducherry, South India. The Indian Journal of Pediatrics. 2011 Jul;78(7):821-5. Doi: https://doi.org/10.1007/s12098-010-0343-3 PMid:21203864