caa a22 4500 475784162 CHVBK 20180406123653.0 cr unu---uuuuu 170329e20000501xx s 000 0 eng 10.1007/s004310051303 doi (NATIONALLICENCE)springer-10.1007/s004310051303 Bunk beds - a still underestimated risk for accidents in childhood? [Elektronische Daten] [Johannes M. Mayr, Ursula Seebacher, Karin Lawrenz, Patricia Pesendorfer, Andrea Berghold, Shamsalddin Baradaran] A retrospective analysis of 218 bunk-bed accidents and a random sample survey with 991 family interviews were performed in order to establish guidelines for bunk-bed accident prevention. Falls from the top bed during sleep (35.1%) or while playing (34.4%) and falling off the ladder (23.2%) are the leading causes of bunk-bed accidents. Of the 218 children, 91 (41.7%) had sustained major injuries, including 3 polytrauma, 7 skull fractures, 44 cerebral concussions, 33 long bone fractures, 2 Lisfranc injuries, and 2 lacerations of the spleen. Of these accidents, 58.3% resulted in minor injuries with 18 fractures in other locations than the long bones or cranial vault, 89 contusions and sprains, 18 skin lacerations and 2 tooth fractures. A total of 23.8% of the accidents occurred in children under 3 years of age. The random sample survey demonstrated that in relation to age groups of children 30.8% (0%-45.8%) of families interviewed had been using bunk beds, with peaks at 3 years (29.8%), 7 years (36.5%) and 11 years (45.8%) of age. Of these bunk beds, 75.3% were equipped with side-rails, 57.3% had placed carpets alongside the bunk bed and 43.0% had used night lights. Conclusion There is only one recommendation: no bunk beds!!! Springer-Verlag Berlin Heidelberg, 2000 Key words Injury prevention nationallicence Bunk bed nationallicence Child nationallicence Fall nationallicence Side-rail nationallicence Mayr Johannes M. Department of Paediatric Surgery, University of Graz, Auenbruggerplatz 34, 8036 Graz, Austria e-mail: johannes.mayr@kfunigraz.ac.at Tel.: +43-316-3853762; Fax: +43-316-3853775, AT aut Seebacher Ursula Department of Paediatric Surgery, University of Graz, Auenbruggerplatz 34, 8036 Graz, Austria e-mail: johannes.mayr@kfunigraz.ac.at Tel.: +43-316-3853762; Fax: +43-316-3853775, AT aut Lawrenz Karin Department of Paediatric Surgery, University of Graz, Auenbruggerplatz 34, 8036 Graz, Austria e-mail: johannes.mayr@kfunigraz.ac.at Tel.: +43-316-3853762; Fax: +43-316-3853775, AT aut Pesendorfer Patricia Department of Paediatric Surgery, University of Graz, Auenbruggerplatz 34, 8036 Graz, Austria e-mail: johannes.mayr@kfunigraz.ac.at Tel.: +43-316-3853762; Fax: +43-316-3853775, AT aut Berghold Andrea Institute for Medical Informatics, University of Graz, Auenbruggerplatz 34, 8036 Graz, Austria, AT aut Baradaran Shamsalddin Department of Paediatric Surgery, University of Graz, Auenbruggerplatz 34, 8036 Graz, Austria e-mail: johannes.mayr@kfunigraz.ac.at Tel.: +43-316-3853762; Fax: +43-316-3853775, AT aut https://doi.org/10.1007/s004310051303 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004310051303 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Mayr Johannes M. Department of Paediatric Surgery, University of Graz, Auenbruggerplatz 34, 8036 Graz, Austria e-mail: johannes.mayr@kfunigraz.ac.at Tel.: +43-316-3853762; Fax: +43-316-3853775, AT aut NATIONALLICENCE 700 1- Seebacher Ursula Department of Paediatric Surgery, University of Graz, Auenbruggerplatz 34, 8036 Graz, Austria e-mail: johannes.mayr@kfunigraz.ac.at Tel.: +43-316-3853762; Fax: +43-316-3853775, AT aut NATIONALLICENCE 700 1- Lawrenz Karin Department of Paediatric Surgery, University of Graz, Auenbruggerplatz 34, 8036 Graz, Austria e-mail: johannes.mayr@kfunigraz.ac.at Tel.: +43-316-3853762; Fax: +43-316-3853775, AT aut NATIONALLICENCE 700 1- Pesendorfer Patricia Department of Paediatric Surgery, University of Graz, Auenbruggerplatz 34, 8036 Graz, Austria e-mail: johannes.mayr@kfunigraz.ac.at Tel.: +43-316-3853762; Fax: +43-316-3853775, AT aut NATIONALLICENCE 700 1- Berghold Andrea Institute for Medical Informatics, University of Graz, Auenbruggerplatz 34, 8036 Graz, Austria, AT aut NATIONALLICENCE 700 1- Baradaran Shamsalddin Department of Paediatric Surgery, University of Graz, Auenbruggerplatz 34, 8036 Graz, Austria e-mail: johannes.mayr@kfunigraz.ac.at Tel.: +43-316-3853762; Fax: +43-316-3853775, AT aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer