title: Global childhood unintentional injury study: multisite surveillance data.
abstract: OBJECTIVE
  We aimed to analyze the epidemiology of childhood unintentional injuries presenting to hospitals in 5 select sites in low- and middle-income countries (LMICs) (Bangladesh, Colombia, Egypt, Malaysia, and Pakistan).
  
  
  METHODS
  We collected standardized data from children ages 0 to 12 years at participating emergency departments (EDs) in 2007. Statistical analyses were conducted to compare the characteristics of these injuries and to explore the determinants of injury outcomes.
  
  
  RESULTS
  Among 2686 injured children, falls (50.4%) and road traffic injuries (16.4%) were the most common, affecting boys more often (64.7%). Home injuries were more common among younger children (average 5.41 vs 7.06 years) and girls (38.2% vs 31.7%). Following an ED visit, 24% of injured children were admitted to the hospital, and 6 died. Injury outcomes were associated with risk factors, such as age and sex, to varying extents.
  
  
  CONCLUSIONS
  Standardized ED surveillance revealed unintentional injuries are a threat to child health. The majority of events took place inside the home, challenging traditional concepts of children's safety and underscoring the need for intensified context-appropriate injury prevention.
authors.affiliation: Siran He, Jeffrey C. Lunnen, Prasanthi Puvanachandra, Nukhba Zia, and Adnan A. Hyder are with Johns Hopkins International Injury Research Unit, Bloomberg School of Public Health, Baltimore, MD. Amar Singh is with the Paediatric Department, Ipoh General Hospital, Perak, Malaysia.
authors.forename: Siran
authors.initials: S
authors.lastname: He
authors.forename: Jeffrey C
authors.initials: JC
authors.lastname: Lunnen
authors.forename: Prasanthi
authors.initials: P
authors.lastname: Puvanachandra
authors.lastname: Amar-Singh
authors.forename: Nukhba
authors.initials: N
authors.lastname: Zia
authors.forename: Adnan A
authors.initials: AA
authors.lastname: Hyder
mesh_terms: D000059:Accidents; D001459:Bangladesh / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D003105:Colombia / Q000453:epidemiology; D016001:Confidence Intervals; D004534:Egypt / Q000453:epidemiology; D005260:Female; D006786:Hospitals, Urban; D006801:Humans; D007223:Infant; D016015:Logistic Models; D008296:Malaysia / Q000453:epidemiology; D008297:Male; D008485:Medical Audit; D016017:Odds Ratio; D010154:Pakistan / Q000453:epidemiology; D011159:Population Surveillance / Q000379:methods*; D012307:Risk Factors; D014947:Wounds and Injuries / Q000145:classification / Q000453:epidemiology* / Q000209:etiology