{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,9]],"date-time":"2024-06-09T16:10:48Z","timestamp":1717949448594},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Children who live, work, and play on farms with barn design that includes hay-holes are at risk for a particular type of fall. This study retrospectively reviews all children admitted to a pediatric trauma center with injuries due to fall through a hay-hole over a 19-year period. This study is the first to specifically describe hay-hole fall injuries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective review from a 19-year period at a rural pediatric trauma center identified 66 patients who sustained injuries from a hay-hole fall. Charts were reviewed for patient demographics, injuries, interventions, and hospital course.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sixty-six patients sustained injuries from hay-hole falls. Median patient age was 4 years, and median Injury Severity Score was 14. Forty-one percent of patients were admitted to the intensive care unit, and 26% of patients were intubated. Injuries included skull fracture (73%), facial fracture (27%), intracranial hemorrhage (53%), and noncraniofacial injuries (12%). Eighteen percent required a therapeutic intervention. There was 1 fatality (2%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Hay-hole fall appears to be a distinct injury mechanism, and patients present with different injury patterns than other types of falls. In this study, a high proportion of patients were young, and craniofacial injuries accounted for the majority of injuries. Only a small proportion of patients sustained noncraniofacial injuries. Injury prevention strategies should be targeted to this unique agrarian injury.<\/jats:p><\/jats:sec>","DOI":"10.1097\/pec.0000000000000450","type":"journal-article","created":{"date-parts":[[2015,6,18]],"date-time":"2015-06-18T12:49:58Z","timestamp":1434631798000},"page":"455-458","source":"Crossref","is-referenced-by-count":6,"title":["Childhood Injuries Due to Hay-Hole Falls"],"prefix":"10.1097","volume":"32","author":[{"given":"Brett W.","family":"Engbrecht","sequence":"first","affiliation":[{"name":"From the Divisions of *Pediatric Surgery, \u2020Pediatric Neurosurgery, and \u2021Newborn Medicine, Penn State Hershey Children\u2019s Hospital, Penn State Milton S. Hershey Medical Center, Hershey, PA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Afif N.","family":"Kulaylat","sequence":"additional","affiliation":[{"name":"From the Divisions of *Pediatric Surgery, \u2020Pediatric Neurosurgery, and \u2021Newborn Medicine, Penn State Hershey Children\u2019s Hospital, Penn State Milton S. Hershey Medical Center, Hershey, PA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Dias","sequence":"additional","affiliation":[{"name":"From the Divisions of *Pediatric Surgery, \u2020Pediatric Neurosurgery, and \u2021Newborn Medicine, Penn State Hershey Children\u2019s Hospital, Penn State Milton S. Hershey Medical Center, Hershey, PA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James W.","family":"Kendig","sequence":"additional","affiliation":[{"name":"From the Divisions of *Pediatric Surgery, \u2020Pediatric Neurosurgery, and \u2021Newborn Medicine, Penn State Hershey Children\u2019s Hospital, Penn State Milton S. Hershey Medical Center, Hershey, PA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert E.","family":"Cilley","sequence":"additional","affiliation":[{"name":"From the Divisions of *Pediatric Surgery, \u2020Pediatric Neurosurgery, and \u2021Newborn Medicine, Penn State Hershey Children\u2019s Hospital, Penn State Milton S. 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