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Preventing childhood falls within the home: Overview of systematic reviews and a systematic review of primary studies

机译：预防儿童落入家庭：系统综述和基础研究的系统概述

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摘要

In most countries falls are the most common medically attended childhood injury and the majority of injuries in pre-school children occur at home. Numerous systematic reviews have reviewed evidence of the effectiveness of falls prevention interventions, but this evidence has not been synthesised into an overview, making it difficult for policy makers and practitioners to easily access the evidence. To synthe-sise all available evidence, we conducted an overview of reviews of home safety interventions targeting childhood falls, extracted data from primary studies included in the reviews and supplemented this with a systematic review of primary studies published subsequent to the reviews. Bibliographic databases, websites, conference proceedings, journals and bibliographies of included studies were searched for systematic reviews of studies with experimental or controlled observational designs. Thirteen reviews were identified containing 24 primary studies. Searches for additional primary studies identified five further studies not included in reviews. Evidence of the effect of interventions on falls or fall injuries was sparse, with only one of three primary studies reporting this outcome finding a reduction in falls. Interventions were effective in promoting the use of safety gates and furniture corner covers. There was some evidence of a reduction in baby walker use. The effect on the use of window safety devices, non-slip bath mats/decals and the reduction of tripping hazards was mixed. There was limited evidence that interventions were effective in improving lighting in corridors, altering furniture layout and restricting access to roofs. Most interventions to prevent childhood falls at home have not been evaluated in terms of their effect on reducing falls. Policy makers and practitioners should promote use of safety gates and furniture covers and restriction of baby walker use. Further research evaluating the effect of interventions to reduce falls and falls-related injuries is urgently required.
机译：在大多数国家，跌倒是医学上最常见的儿童期伤害，而学龄前儿童的大多数伤害发生在家里。许多系统的评论已经审查了预防跌倒干预措施有效性的证据，但是该证据尚未被综合起来，使决策者和从业人员难以轻松获得证据。为了综合所有可用的证据，我们对针对儿童跌倒的居家安全干预措施进行了综述，从综述中包括的主要研究中提取数据，并对这些研究之后发表的主要研究进行了系统的补充。搜索书目数据库，网站，会议论文集，期刊和纳入研究的书目，以系统评价实验或受控观察设计的研究。确定了13篇评论，其中包含24篇主要研究。对其他基础研究的搜索确定了五项未纳入评论的进一步研究。干预措施对跌倒或跌倒受伤影响的证据很少，只有三项主要研究结果表明跌倒的减少。干预有效地促进了安全门和家具角罩的使用。有一些证据表明婴儿学步车的使用有所减少。对使用车窗安全装置，防滑浴垫/贴花和减少绊倒危险的影响混合在一起。仅有有限的证据表明，干预措施可有效改善走廊的照明，改变家具布局并限制进入屋顶。多数预防儿童跌倒的干预措施对减少跌倒的效果尚未评估。政策制定者和从业人员应提倡使用安全门和家具盖，并限制婴儿学步车的使用。迫切需要进一步的研究，以评估减少跌倒和跌倒相关伤害的干预措施的效果。

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  • 来源
    《Accident Analysis & Prevention》 |2013年第11期|158-171|共14页
  • 作者

    Ben Young; Persephone M. Wynn; Zhimin He; Denise Kendrick;

  • 作者单位

    University of Nottingham, Division of Primary Care, 13th Floor Tower Building, University Park, Nottingham NG7 2RD, UK;

    University of Nottingham, Division of Primary Care, 13th Floor Tower Building, University Park, Nottingham NG7 2RD, UK;

    University of Nottingham, Division of Primary Care, 13th Floor Tower Building, University Park, Nottingham NG7 2RD, UK;

    University of Nottingham, Division of Primary Care, 13th Floor Tower Building, University Park, Nottingham NG7 2RD, UK;

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  • 原文格式 PDF
  • 正文语种 eng
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  • 关键词

    Falls; Prevention; Home; Children; Systematic review;

    机译：下降;预防;家;儿童;系统评价;

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