{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T21:03:58Z","timestamp":1765832638403,"version":"3.48.0"},"reference-count":33,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2016,10,5]]},"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The present study aimed to examine the trends and characteristics of fall-related attendance in accident and emergency department (AED) by injury type and the trend in associated average length of stay (LOS) among children and adolescents in Hong Kong.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A retrospective approach was adopted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>AED, involving all local public emergency departments from 2001 to 2012.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>63\u2005557 subjects aged 0\u201319\u2005years with fall injury record were included in the analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary outcome measures<\/jats:title>\n                    <jats:p>Fall-related injury number and rates were calculated and reported. Poisson and negative binomial regression models were used to study the trends of injury incidence rate at different body regions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>AED fall-related attendance rate increased significantly with an annual percentage change of 4.45 (95% CI 3.43 to 5.47%, p&lt;0.0001). The attendance number of male subjects was persistently higher than female subjects. The standardised rate of fracture injury increased by 1.31% (95% CI 0.56 to 2.05%, p&lt;0.0001) and that of non-fracture injury increased by 9.23% (95% CI 7.07 to 11.43%, p&lt;0.0001) annually. Upper limb was the most frequently fractured location. It included forearm\/elbow, shoulder\/upper arm and wrist\/hand with descending order of frequency. On the contrary, head was the most frequent non-fracture location, followed by forearm\/elbow.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The rates of fall-related attendance have been increasing and still remain high. There were significant increases in non-fracture injuries. Fractures were most frequently found in the upper extremity of a child while the most common non-fracture location was head. It appears that more efforts should be made and preventive measures should be implemented for children and adolescents in Hong Kong.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2016-013724","type":"journal-article","created":{"date-parts":[[2017,2,7]],"date-time":"2017-02-07T20:40:36Z","timestamp":1486500036000},"page":"e013724","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Fall-related attendance and associated hospitalisation of children and adolescents in Hong Kong: a 12-year retrospective study"],"prefix":"10.1136","volume":"7","author":[{"given":"James Chun-Yin","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Paediatrics and Adolescent Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keith Tsz-Suen","family":"Tung","sequence":"additional","affiliation":[{"name":"Department of Paediatrics and Adolescent Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tim M H","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Paediatrics and Adolescent Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frederick Ka-Wing","family":"Ho","sequence":"additional","affiliation":[{"name":"Department of Paediatrics and Adolescent Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Ip","sequence":"additional","affiliation":[{"name":"Department of Paediatrics and Adolescent Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wilfred Hing-Sang","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Paediatrics and Adolescent Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chun-Bong","family":"Chow","sequence":"additional","affiliation":[{"name":"Department of Paediatrics and Adolescent Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,2,7]]},"reference":[{"key":"2025121513014789000_7.2.e013724.1","first-page":"407","article-title":"Epidemiological survey of the prevalence of non-fatal injury among children aged 5\u201314 years in China","volume":"25","author":"Hu","year":"2012","journal-title":"Biomed Environ Sci"},{"key":"2025121513014789000_7.2.e013724.2","doi-asserted-by":"crossref","first-page":"1248","DOI":"10.1186\/s12889-015-2613-5","article-title":"Epidemiology of non-fatal injuries among Egyptian children: a community-based cross-sectional survey","volume":"15","author":"Halawa","year":"2015","journal-title":"BMC Public Health"},{"key":"2025121513014789000_7.2.e013724.3","doi-asserted-by":"publisher","DOI":"10.1136\/ip.9.2.173"},{"key":"2025121513014789000_7.2.e013724.4","doi-asserted-by":"publisher","DOI":"10.1136\/ip.3.3.190"},{"key":"2025121513014789000_7.2.e013724.5","doi-asserted-by":"publisher","DOI":"10.1136\/ip.6.1.20"},{"key":"2025121513014789000_7.2.e013724.6","unstructured":"Department of Health. 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