title: Fall-related injuries among youth under 20 years old who were treated in Nicaraguan emergency departments, 2004.
abstract: OBJECTIVE
  To describe the circumstances of fall-related injuries among youth 0-19 years treated in emergency departments in Nicaragua; to estimate the incidence rates (IR) of falls; and, to identify areas for prevention efforts.
  
  
  METHODS
  All patients <20 years who were residents of Managua, León, Jinotepe, and Ciudad Sandino (6593) were selected for analysis. Data were collected with the 2004 Injury Surveillance System.
  
  
  RESULTS
  In 2004, the IR of falls for youth <20 years old was 104.2 incidents per 10000 persons. The IR for male youth was twice that of female youth. Overall, trees (23.3%) and beds (15.2%) were the main objects involved in falls. Fractures were the leading injuries sustained.
  
  
  CONCLUSIONS
  This study identifies three areas that can be addressed: furniture, recreation, and physical environment. Interventions that may be most useful for caregivers and adolescents include changes in the home environment and recreation play areas, as well as educational programs.
authors.affiliation: Facultad de Ciencias Médicas, Universidad Nacional Autónoma de Nicaragua, León, Nicaragua.
authors.forename: María de Lourdes
authors.initials: Mde L
authors.lastname: Martínez-Trujillo
authors.forename: Julio
authors.initials: J
authors.lastname: Rocha-Castillo
authors.forename: Carme
authors.initials: C
authors.lastname: Clavel-Arcas
authors.forename: Karin A
authors.initials: KA
authors.lastname: Mack
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control / Q000706:statistics & numerical data*; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D015994:Incidence; D007223:Infant; D008297:Male; D009527:Nicaragua; D014947:Wounds and Injuries / Q000453:epidemiology* / Q000209:etiology* / Q000517:prevention & control / Q000628:therapy; D055815:Young Adult