Online Program

Factors associated with emergency department visits for television tip-over-related injuries in children in the United States, 2002-2011: A descriptive epidemiological analysis

Sunday, November 3, 2013

Rennie Ferguson, MHS, CPH, Research Department, Safe Kids Worldwide, Washington, DC
Angela D. Mickalide, PhD, MCHES, Research Department, Safe Kids Worldwide, Washington, DC
Background: In the last decade, more than 122,000 children were treated in emergency departments for injuries from TV tip-overs. This research identifies recent trends in these injuries. Methods: We analyzed data from U.S. CPSC NEISS of patients aged 19 and under seen for injuries involving televisions from 2002 to 2011. Individual case narratives were reviewed to determine if instability was a factor in the injury. Results: From 2002 to 2011, an estimated 122,335 children aged 19 and under were seen in EDs for TV tip-over related injuries. The number of cases rose 30.6% from 9,803 (95% CI: 7,905-11,702) to 12,802 (95% CI: 10,885-14,719). The annual incidence injury rate per 100,000 children peaked in 2010, at 18.2 injuries per 100,000 children. Children aged 5 and under were most frequently seen, representing 71.7% of all cases, and the head (37.3%) and the foot (13.8%) were the most commonly involved body parts. 37.6% (95% CI: 33.7%, 41.5%) of TV-related injuries also involved a piece of furniture, most frequently desks/ bureaus (20,254 injuries), television tables/stands (9,189 injuries); and cabinets/shelves (5,925 injuries). Conclusions: Injuries among children from television tip-overs are rising, and there are multiple barriers for parents when selecting a safe position for their television. The findings from this analysis are supported by results of a recent survey which found that only 28% of parents secure their flat screens to the wall, and 2% of parents secure CRTs. Flat screens were most commonly positioned on a TV stand (48%) or an entertainment center (33%).

Learning Areas:


Learning Objectives:
Describe recent trends in injuries from television tip-overs in children aged 19 and under seen in emergency departments in the U.S.

Keyword(s): Children, Injury

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have worked in the field of childhood injury for almost four years, as a researcher and as an educator. I am currently an Injury Epidemiologist at Safe Kids Worldwide, a non-profit focused on reducing preventable childhood injuries. I provided the statistical analysis for a peer-reviewed publication and a public awareness national report, both in the area of childhood injury. One of my professional interests is modeling injury risk factors.
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.