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Head Injuries from falls in children less than 6 years of age
Falls are a common mechanism in children admitted to hospital with head injury. In this issue Burrows et al review the outcome in 1775 children admitted (median age 18/12, 55% boys). Most (87%) had a normal GCS. 342 had a CT head scan of which 110 were abnormal. 58 had an isolated skull fracture, 47 had intracranial injury (23 had an associated skull fracture). Falls from standing were the most common mechanism. Risk factors for skull fracture/intracranial injury were fall from the persons arms, mean age 1 year, odds ratio 6.94 (95% CI 3–54 to 13.6); fall from a building eg window or attic, mean age 3 years, OR 6.84 (95% CI 2.65 to 17.6); fall from an infant or child product, mean age 21 months 2.75 (1.36 to 5.65). There is more data in the paper—particularly figures one and two. These are useful data which will help inform guidance for imaging, child protection discussions and health promotion initiatives. See page 1032
What the General Paediatrician needs to know about Early Life Programming
This is an important update and Editor's choice this month. Early life programming is the process by which early life events can impact on health throughout the whole life …
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