{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T08:59:57Z","timestamp":1780736397056,"version":"3.54.1"},"reference-count":11,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["FOC"],"published-print":{"date-parts":[[2000,1]]},"abstract":"<jats:p>The authors conducted a study to describe the incidence and types of fall-related head injury observed at a pediatric trauma center.<\/jats:p>\n                  <jats:p>We performed a retrospective analysis of all patients under 15 years of age treated for fall-related trauma between 1992 and 1998. Falls were classified as low (&lt; 15 feet) and high level (\u2265 15 feet).<\/jats:p>\n                  <jats:p>Seven hundred twenty-nine cases were identified with a mortality rate of 1.7%. A fall of greater than 15 feet (high-level fall) was associated with a higher mortality rate than low-level falls (2.4% compared with 1.0%, respectively). Ninety-eight patients had sustained a calvarial fracture and 93 experienced a basal skull fracture. Twenty-six patients had suffered a cerebral contusion, 25 a sub-arachnoid hemorrhage, 22 a subdural hematoma, and 12 had an epidural hematoma. Forty-nine patients required surgery for traumatic injuries; of these, 10 underwent craniotomy for evacuation of a blood clot. Height was not predictive of the Glasgow Coma Scale (GCS) score. In all four deaths resulting from a low-level fall there was an admission GCS score of 3, and abnormal findings were demonstrated on computerized tomography scanning. Death from high-level falls was attributable to either intracranial injuries (50%) or severe extracranial injuries (50%).<\/jats:p>\n                  <jats:p>Intracranial injury is the major source of fall-related death in children and, unlike extracranial insults, brain injuries are sustained with equal frequency from low- and high-level falls in this population. The only cause of mortality from low-level falls was intracranial injury. Trauma triage criteria must account for these differences in the pediatric population.<\/jats:p>","DOI":"10.3171\/foc.2000.8.1.154","type":"journal-article","created":{"date-parts":[[2008,1,24]],"date-time":"2008-01-24T06:54:03Z","timestamp":1201157643000},"page":"1-5","source":"Crossref","is-referenced-by-count":29,"title":["Analysis of pediatric head injury from falls"],"prefix":"10.3171","volume":"8","author":[{"given":"K. Anthony","family":"Kim","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael Y.","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela M.","family":"Griffith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Summers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael L.","family":"Levy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"p_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(83)80210-3"},{"key":"p_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199110000-00006"},{"key":"p_3","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/S0031-3955(16)34763-0","volume":"32","author":"Garretson LK","year":"1985","journal-title":"Pediatr Clin North Am"},{"key":"p_4","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198909000-00015"},{"key":"p_5","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199903000-00019"},{"key":"p_6","first-page":"687","volume":"140","author":"Kraus JF","year":"1986","journal-title":"Am J Dis Child"},{"key":"p_7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.1998.tb02663.x"},{"key":"p_8","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199505000-00013"},{"key":"p_9","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199511000-00025"},{"key":"p_10","doi-asserted-by":"publisher","DOI":"10.1016\/S0031-3955(05)70048-1"},{"key":"p_11","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199110000-00005"}],"container-title":["Neurosurgical Focus"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/neurosurg-focus\/8\/1\/foc.2000.8.1.154.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/neurosurg-focus\/8\/1\/foc.2000.8.1.154.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/neurosurg-focus\/8\/1\/foc.2000.8.1.154.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T08:08:25Z","timestamp":1780733305000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/neurosurg-focus\/8\/1\/foc.2000.8.1.154.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2000,1]]},"references-count":11,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.3171\/foc.2000.8.1.154","relation":{},"ISSN":["1092-0684"],"issn-type":[{"value":"1092-0684","type":"electronic"}],"subject":[],"published":{"date-parts":[[2000,1]]}}}