title: [Epidemiology and risk factors in injuries due to fall in infants under one year-old].
abstract: OBJECTIVE
  To describe the epidemiological characteristics of unintentional injuries due to falls in children under one year and to analyse the risk factors associated with severe injuries.
  
  
  METHODS
  This multicentre, observational and cross-sectional study included all children less than one year treated for unintentional fall in the Emergency Departments of 8 Spanish Hospitals, belonging to the «Unintentional Paediatric Injury Workshop» of the Spanish Paediatric Emergency Society, between March 1st, 2014 and February 28th, 2015.
  
  
  RESULTS
  Out of 289,887 emergency department cases, 1,022 were due to unintentional falls. The median age was 8 months and 52.5% were males. Fall injuries were more frequent among children aged 9-12 months (37.6%), and 83.5% occurred at home. The most common mechanism was fall from nursery equipment (69.4%), and 47.8% occurred from a height under 50cm. More than two-thirds (68%) of falls were witnessed, but in half of the cases (329) the caregiver was not in area. Serious injuries were seen in 12% of cases. In this study, a fall height greater than 50cm, falls in the street, from the arms of the carer, and from the stairs were identified as independent risk factors for worse outcomes.
  
  
  CONCLUSIONS
  The most serious injuries occur in children <3 months and from a height of >50cm, though not related to unwitnessed falls. Because the most common serious injury mechanism is the fall from the arms of the carer, from stairs, and falls in the street, these facts should be highlighted in order to avoid morbidity.
authors: Hospital General Universitario Gregorio Marañón, Madrid, España. Electronic address: annajd87@hotmail.com.
authors: Ana
authors: A
authors: Jiménez de Domingo
authors: Hospital General Universitario Gregorio Marañón, Madrid, España.
authors: Elena
authors: E
authors: Rubio García
authors: Hospital General Universitario Gregorio Marañón, Madrid, España.
authors: Rafael
authors: R
authors: Marañon Pardillo
authors: Hospital Sant Joan de Déu Barcelona, Esplugues de Llobregat, Barcelona, España.
authors: Vanessa
authors: V
authors: Arias Constanti
authors: Hospital General del Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, España.
authors: Luis Alberto
authors: LA
authors: Frontado Haiek
authors: Hospital Universitario Son Espases, Palma de Mallorca, España.
authors: Marta
authors: M
authors: Soriano Arola
authors: Hospital Universitari de Girona Doctor Josep Trueta, Gerona, España.
authors: Francesc
authors: F
authors: Ripoll Oliveras
authors: Hospital Universitario Puerta del Mar, Cádiz, España.
authors: Cristina
authors: C
authors: Remón García
authors: Consorci Sanitari de Terrassa, Terrassa, España.
authors: Gloria
authors: G
authors: Estopiña Ferrer
authors: Hospital Universitario Infanta Leonor, Madrid, España.
authors: Jorge
authors: J
authors: Lorente Romero
mesh_terms: D000058:Accidental Falls / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007223:Infant; D015601:Injury Severity Score; D008297:Male; D012307:Risk Factors; D014947:Wounds and Injuries / Q000453:epidemiology* / Q000209:etiology*
keywords: Caídas; Children; Dispositivos infantiles; Factores de riesgo; Falls; Niños; Nursery equipment; Prevención; Prevention; Risk factors