{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T15:33:20Z","timestamp":1786116800031,"version":"build-2736575974"},"reference-count":26,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Inj Prev"],"accepted":{"date-parts":[[2025,3,31]]},"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Context<\/jats:title>\n                    <jats:p>Falls from beds are a leading cause of unintentional injuries in infants under 1 year of age. While most cases result in mild outcomes, the potential for severe injuries, such as skull fractures or intracranial haemorrhages, exists. Despite the prevalence of these incidents, no systematic review has focused specifically on injuries from bed falls in this specific age.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the risk and severity of injuries caused by falls from beds in infants under 1 year of age through a systematic review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data sources<\/jats:title>\n                    <jats:p>We searched in PubMed, Embase, Cochrane Library and Lilacs Scielo for studies published between 1984 and December 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study selection<\/jats:title>\n                    <jats:p>We included observational studies that reported injuries from falls from beds in infants under 1 year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data extraction<\/jats:title>\n                    <jats:p>We extracted the relevant data from the included study details, recruitment setting, study design, sample size and outcome measures. We conducted a quality assessment using the Newcastle-Ottawa Scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Out of 297 initially identified studies, three met inclusion criteria, comprising a total of 2034 infants under 1 year of age. Most falls resulted in minor or no injuries. Warrington\n                      <jats:italic>et al<\/jats:italic>\n                      reported &lt;1% of cases leading to concussion or fractures. Samuel\n                      <jats:italic>et al<\/jats:italic>\n                      identified two cases of intracranial haemorrhage and linear skull fractures without intervention. Kolulu\n                      <jats:italic>et al<\/jats:italic>\n                      observed significant injuries, including skull fractures and cerebral contusions, in 10.2% of infants.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Falls from beds are frequent in infants under 1 year, with most resulting in minor outcomes. However, serious injuries occur in around 5% of infants below 1-year old, emphasising the need for prevention strategies and clinical guidelines for managing post-fall assessments. Further research is required to refine understanding and improve prevention and management practices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PROSPERO registration number<\/jats:title>\n                    <jats:p>CRD42024626255.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/ip-2025-045660","type":"journal-article","created":{"date-parts":[[2025,4,9]],"date-time":"2025-04-09T13:20:17Z","timestamp":1744204817000},"page":"366-370","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Injuries from falling out of bed in infants under 1 year of age: a systematic review"],"prefix":"10.1136","volume":"32","author":[{"given":"Camile Lima Barros","family":"Ourem Campos","sequence":"first","affiliation":[{"name":"Faculdade Pernambucana de Saude, Recife, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriela Carneiro","family":"de Farias Evangelista","sequence":"additional","affiliation":[{"name":"Faculdade Pernambucana de Saude, Recife, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucas Victor","family":"Alves","sequence":"additional","affiliation":[{"name":"Neuropediatrics, Instituto de Medicina Integral Professor Fernando Figueira, Recife, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9170-0808","authenticated-orcid":false,"given":"Joao Guilherme","family":"Alves","sequence":"additional","affiliation":[{"name":"Pediatrics, Instituto de Medicina Integral Professor Fernando Figueira, Recife, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,4,9]]},"reference":[{"key":"2026080605200761000_32.3.366.1","unstructured":"Peden M , Oyegbite K , Ozanne-Smith J , et al . WHO guidelines approved by the guidelines review committee. Geneva World Report on Child Injury Prevention; 2008."},{"key":"2026080605200761000_32.3.366.2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.111.4.e365"},{"key":"2026080605200761000_32.3.366.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2023.03.055"},{"key":"2026080605200761000_32.3.366.4","doi-asserted-by":"publisher","DOI":"10.1177\/003335490512000111"},{"key":"2026080605200761000_32.3.366.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2004.09.016"},{"key":"2026080605200761000_32.3.366.6","doi-asserted-by":"publisher","DOI":"10.1136\/ip-2023-044858"},{"key":"2026080605200761000_32.3.366.7","doi-asserted-by":"publisher","DOI":"10.1136\/ip.2006.012161"},{"key":"2026080605200761000_32.3.366.8","unstructured":"Centers for Disease Control and Prevention, National Centers for Injury Pre- vention and Control . Web-based injury statistics query and reporting sys- tem (wisqars): leading causes of nonfatal injury reports 20 0 0\u20132018. 2020. Available: https:\/\/webappa.cdc.gov\/sasweb\/ncipc\/nfilead.html [Accessed 7 2020]."},{"key":"2026080605200761000_32.3.366.9","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.13568"},{"key":"2026080605200761000_32.3.366.10","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0000000000001157"},{"key":"2026080605200761000_32.3.366.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.anpede.2015.12.007"},{"key":"2026080605200761000_32.3.366.12","doi-asserted-by":"crossref","DOI":"10.1186\/s12891-021-04438-8","article-title":"Epidemiology of skeletal trauma and skull fractures in children younger than 1 year in Shenzhen: a retrospective study of 664 patients","volume":"22","author":"Deng","year":"2021","journal-title":"BMC Musculoskelet Disord"},{"key":"2026080605200761000_32.3.366.13","doi-asserted-by":"crossref","DOI":"10.1186\/s40621-018-0147-x","article-title":"Pediatric falls ages 0-4: understanding demographics, mechanisms, and injury severities","volume":"5","author":"Chaudhary","year":"2018","journal-title":"Inj Epidemiol"},{"key":"2026080605200761000_32.3.366.14","doi-asserted-by":"publisher","DOI":"10.3171\/2010.3.PEDS09357"},{"key":"2026080605200761000_32.3.366.15","doi-asserted-by":"publisher","DOI":"10.1136\/adc.85.2.104"},{"key":"2026080605200761000_32.3.366.16","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-198703000-00014"},{"key":"2026080605200761000_32.3.366.17","doi-asserted-by":"publisher","DOI":"10.1007\/s004310051303"},{"key":"2026080605200761000_32.3.366.18","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1542\/peds.92.1.125","article-title":"Falling out of bed: a relatively benign occurrence","volume":"92","author":"Lyons","year":"1993","journal-title":"Pediatrics"},{"key":"2026080605200761000_32.3.366.19","doi-asserted-by":"publisher","DOI":"10.1136\/ip.6.4.291"},{"key":"2026080605200761000_32.3.366.20","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2020.10.015"},{"key":"2026080605200761000_32.3.366.21","doi-asserted-by":"publisher","DOI":"10.3109\/02699052.2015.1017005"},{"key":"2026080605200761000_32.3.366.22","doi-asserted-by":"crossref","DOI":"10.1186\/2046-4053-4-1","article-title":"Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement","volume":"4","author":"Moher","year":"2015","journal-title":"Syst Rev"},{"key":"2026080605200761000_32.3.366.23","unstructured":"Higgins J , Thomas J , Chandler J , et al . Cochrane Handbook for Systematic Reviews of Iterventions. Version 6.5.2024. Available: https:\/\/training.cochrane.org\/handbook\/current"},{"key":"2026080605200761000_32.3.366.24","unstructured":"Wells GA , Shea B , Peterson J , et al . The Newcastle-Ottawa Scale (NOS) for Assessing the Quality of Nonrandomized Studies in Meta-Analyses . 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