Injuries associated with baby gates and barriers among young children in the United States, 1990-2010
Objective: To describe the epidemiology of injuries associated with baby gates and barriers among children in the United States. Methods: A retrospective analysis was conducted using nationally representative data from the National Electronic Injury Surveillance System for children ≤6 years who were treated in emergency departments from 1990 through 2010 for injuries associated with gates or barriers. Results: An estimated 37,673 children (95% confidence interval [CI]: 30,169-45,178) were treated in emergency departments for injuries associated with gates and barriers during the study period, yielding an average of 1884 cases annually. Patients were primarily boys (61.0%), <2 years of age (60.4%), who had fallen (72.6%), and were not hospitalized (97.6%). Patients <2 years of age were most often injured by falls down stairs (OR: 6.72; 95% CI: 6.32 -7.16), typically following the collapse of the gate or when the gate had been left open. The resulting injuries were most often soft-tissue (51.3%) or traumatic brain injuries (32.5%). Patients 2 to 6 years old were most often injured by contact with the gate (OR: 2.03; 95% CI: 1.95-2.12), usually when attempting to climb over the gate typically resulting in open-wounds (55.4%) and soft-tissue injuries (24.2%). Conclusions: Given the clear dichotomy between injury characteristics of patients <2 years and patients 2 to 6 years of age, and the prevalence of preventable injuries, greater efforts are needed to promote proper usage, ensure safety in product design, and increase awareness of age-related recommendations for use of baby gates and barriers.
Public health or related education
Describe the epidemiology of injuries associated with baby gates and barriers among children in the United States.
Keyword(s): Injury, Children
Presenting author's disclosure statement:
Qualified on the content I am responsible for because: I have been an author or co-author on multiple manuscripts describing the epidemiology of sports and recreational injuries utilizing the National Electronic Injury Surveillance System.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.