[Babywalker use (baby-trot, youpala): an unsafe practice].
OBJECTIVE
Epidemiological analysis of accidents related to babywalker use admitted to a pediatric emergency department.


METHODS
Retrospective, descriptive study of injuries related to babywalkers admitted to the pediatric emergency department between January 1st, 2003 and December 31st, 2005.


RESULTS
One hundred and seventy-eight children were admitted due to an accident related to babywalker use. The sex ratio was 1.7 with a male prevalence. Mean age was 11+/-4 months. Seventy-eight percent of babywalker-related injuries were attributable to fall down a flight of stairs. The mean number of steps that a child fell down was 7 (range 1-20 steps). The repartition of accidents was bimodal: during the year, 1 peak in May and 1 in October; during the week: 54% of the cases occurred on Thursday or on the weekend; during the day (1 peak between 10 a.m. and 1 p.m. and 1 peak between 4 p.m. and 7 p.m.). Non-severe head traumas represented the most frequent injury (72%). Twenty-one children were hospitalised for concussion (N=15), cranial fractures (N=3), forearm fracture (N=1), dental subluxation (N=1) and extradural hematoma (N=1). A social problem (families with unsafe domestic practices) was identified in 26 children (15%), 16 of these situations were recognized due to the retrospective character of the study and the analysis of hospital admissions after the first accident.


CONCLUSIONS
Stairway related falls associated with babywalker use and fall down in the stairs are very frequent in children less than 1 year-old. This resulted in babywalkers being prohibited in Canada since 2004. In several countries, advocates are working to ban babywalkers. Active or passive prevention methods have shown their limits. This unsafe and dangerous practice should be banned in France.
Claudet
I
I
POSU Pédiatrique, Hôpital des Enfants, CHU de Toulouse, 330, avenue de Grande-Bretagne, TSA 70034, 31059 Toulouse cedex 09, France. claudet.i@chu-toulouse.fr
Fédérici
S
S
Debuisson
C
C
Laporte-Turpin
E
E
Micheau
P
P
Pajot
C
C
Grouteau
E
E
Sérignac
C
C
Huguenin
M
M
D000058:Accidental Falls; D000061:Accidents, Home / Q000706:statistics & numerical data*; D000367:Age Factors; D005260:Female; D006760:Hospitalization; D006801:Humans; D007223:Infant; D015370:Infant Equipment / Q000009:adverse effects*; D008297:Male; D015995:Prevalence; D012189:Retrospective Studies; D012621:Seasons; D012737:Sex Factors; D014947:Wounds and Injuries / Q000453:epidemiology* / Q000209:etiology