title: Inappropriate use of infant seating devices increases risks of injury.
abstract: OBJECTIVE
  The purpose of our study was to investigate the epidemiology and resulting injuries following falls sustained by infants seated in a variety of seating devices.
  
  
  METHODS
  A retrospective chart review of a cohort of infants less than 12 months old who presented to our institution from 1991 to 2010 after a fall from various seating devices was performed.
  
  
  RESULTS
  Two hundred five infants were identified, including 146 patients who were admitted to our institution (1991-2010) and 59 patients who were seen and discharged from the ED (2008-2010). Mean age of admitted infants was younger (3.5 vs. 5.3 months). Two patients (1%) required surgery for a depressed skull fracture. Overall, 18% had an intra-cranial hemorrhage. More patients requiring an admission secondary to their injuries fell from a table or counter (42% vs. 27%).
  
  
  CONCLUSIONS
  Falls sustained by children seated in a variety of devices are frequent. Failure to restrain children in seating devices or improperly placing them on a table/counter is associated with more significant injuries. In order to minimize such injuries, it is important to educate caregivers of the risk in utilizing such seating devices.
authors.affiliation: Division of Pediatric General Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. mariannebeaudin333@gmail.com
authors.forename: Marianne
authors.initials: M
authors.lastname: Beaudin
authors.forename: Todd
authors.initials: T
authors.lastname: Maugans
authors.forename: Dickens
authors.initials: D
authors.lastname: St-Vil
authors.forename: Richard A
authors.initials: RA
authors.lastname: Falcone
mesh_terms: D000056:Accident Prevention; D000058:Accidental Falls / Q000706:statistics & numerical data*; D000061:Accidents, Home / Q000706:statistics & numerical data*; D001930:Brain Injuries / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000209:etiology; D057207:Child Restraint Systems / Q000009:adverse effects; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D004868:Equipment Failure / Q000706:statistics & numerical data; D006776:Hospitals, Pediatric / Q000706:statistics & numerical data; D006786:Hospitals, Urban / Q000706:statistics & numerical data; D006801:Humans; D007223:Infant; D015370:Infant Equipment / Q000009:adverse effects*; D007231:Infant, Newborn; D015278:Intensive Care Units, Pediatric / Q000706:statistics & numerical data; D059906:Neuroimaging / Q000706:statistics & numerical data; D009820:Ohio / Q000453:epidemiology; D011859:Radiography; D012042:Registries; D012189:Retrospective Studies; D012306:Risk; D012887:Skull Fractures / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000209:etiology; D014947:Wounds and Injuries / Q000453:epidemiology / Q000209:etiology*