Volunteer driven home safety intervention results in significant reduction in pediatric injuries: A model for community based injury reduction

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• 作者：Richard A. Falcone Jr. ; ^{richard.falcone@cchmc.org" class="auth_mail" title="E-mail the corresponding author} ; Patrick Edmunds ^{patrick.edmunds@cchmc.org" class="auth_mail" title="E-mail the corresponding author} ; Emily Lee ^{emily.lee@cchmc.org" class="auth_mail" title="E-mail the corresponding author} ; Dawne Gardner ^{dawne.gardner@cchmc.org" class="auth_mail" title="E-mail the corresponding author} ; Kimberly Price ^{kljprice@hotmail.com" class="auth_mail" title="E-mail the corresponding author} ; Michael Gittelman ^{michael.gittelman@cchmc.org" class="auth_mail" title="E-mail the corresponding author} ; Wendy Pomerantz ^{wendy.pomerantz@cchmc.org" class="auth_mail" title="E-mail the corresponding author} ; John Besl ^{john.besl@cchmc.org" class="auth_mail" title="E-mail the corresponding author} ; Gowri Madhavan ^{gowri.madhavan@cchmc.org" class="auth_mail" title="E-mail the corresponding author} ; Kieran J. Phelan ^{kieran.phelan@cchmc.org" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Pediatric ; Injury ; Home safety ; Community based
• 刊名：Journal of Pediatric Surgery
• 出版年：2016
• 出版时间：July 2016
• 年：2016
• 卷：51
• 期：7
• 页码：1162-1169
• 全文大小：743 K

文摘

Home based injuries account for a significant number of injuries to children between 1 and 5 years old. Evidence-based safety interventions delivered in the home with installation of safety equipment have been demonstrated to reduce injury rates. The aim of this study was to evaluate the impact of a community based volunteer implemented home safety intervention.

Methods

In partnership with a community with high injury rates for children between 1 and 5 years old, a home safety bundle was developed and implemented by volunteers. The safety bundle included installing evidence based safety equipment. Monthly community emergency room attended injury rates as well as emergency room attended injuries occurring in intervention and nonintervention homes was tracked throughout the study.

Results

Between May 2012 and May 2014 a total of 207 homes with children 1–5 years old received the home safety bundle. The baseline monthly emergency room attended injury rate for children aged 1–5 years within our target community was 11.3/1000 and that within our county was 8.7/1000. Following the intervention current rates are now 10.3/1000 and 9.2/1000 respectively. Within intervention homes the injury rate decreased to 4.2/1000 while the rate in the homes not receiving the intervention experienced an increase in injury rate to 12/1000 (p < 0.05). When observed vs. expected injuries were examined the intervention group demonstrated 59% fewer injuries while the nonintervention group demonstrated a 6% increase (p < 0.05).

Conclusion

Children in homes that received a volunteer-provided, free home safety bundle experienced 59% fewer injuries than would have been expected. By partnering with community leaders and organizing volunteers, proven home safety interventions were successfully provided to 207 homes during a two-year period, and a decline in community injury rates for children younger than 5 years was observed compared to county wide injury rates.