title: Head injuries following television-related accidents in the pediatric population.
abstract: OBJECTIVE
  Current data indicate the rate of head injuries in children caused by falling televisions is increasing. The authors describe these injuries and the cost incurred by them.
  
  
  METHODS
  In a single-institution retrospective review, all children treated for a television-related injury at LeBonheur Children's Hospital, a Level I pediatric trauma center, between 2009 and 2013 were identified through the institution's trauma registry. The type, mechanism, and severity of cranial injuries, surgical interventions, outcome, and costs were examined.
  
  
  RESULTS
  Twenty-six patients were treated for a television-related injury during the study period. Most injuries (22 cases, 85%) occurred in children aged 2-4 years (mean age 3.3 years), and 19 (73%) of the 26 patients were male. Head injuries occurred in 20 patients (77%); these injuries ranged from concussion to skull fractures and subdural, subarachnoid, and intraparenchymal hemorrhages. The average Glasgow Coma Scale score on admission was 12 (range 7-15), and 3 patients (12%) had neurological deficits. Surgical intervention was required in 5 cases (19%). The majority of patients made a full recovery. There were no deaths. The total cost for television-related injuries was $1.4 million, with an average cost of $53,893 per accident.
  
  
  CONCLUSIONS
  A high occurrence of head injuries was seen following television-related accidents in young children. This injury is ideal for a public education campaign targeting parents, health care workers, and television manufacturers.
authors.affiliation: Department of Neurosurgery, University of Tennessee Health Science Center;
authors.forename: Adam Ross
authors.initials: AR
authors.lastname: Befeler
authors.forename: David J
authors.initials: DJ
authors.lastname: Daniels
authors.forename: Susan A
authors.initials: SA
authors.lastname: Helms
authors.forename: Paul
authors.initials: P
authors.lastname: Klimo
authors.forename: Frederick
authors.initials: F
authors.lastname: Boop
mesh_terms: D000061:Accidents, Home / Q000191:economics / Q000706:statistics & numerical data; D017677:Age Distribution; D001131:Arkansas; D001924:Brain Concussion / Q000150:complications; D002391:Catchment Area, Health; D002648:Child; D002675:Child, Preschool; D017281:Cost of Illness; D005260:Female; D015600:Glasgow Coma Scale; D016489:Head Injuries, Closed / Q000150:complications / Q000191:economics / Q000453:epidemiology / Q000209:etiology*; D006760:Hospitalization; D006776:Hospitals, Pediatric; D006801:Humans; D007223:Infant; D008297:Male; D008922:Mississippi; D008923:Missouri; D012189:Retrospective Studies; D012887:Skull Fractures / Q000209:etiology*; D013690:Television; D013714:Tennessee; D014057:Tomography, X-Ray Computed; D014193:Trauma Centers; D014481:United States / Q000453:epidemiology
keywords: ACS = American College of Surgeons; GCS = Glasgow Coma Scale; ICU = intensive care unit; LBCH = Le Bonheur Children's Hospital; head injury; pediatric neurosurgery; television tip-over; television trauma