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Are We Aware of the Risks of Children's Fractures From Bunk Beds?

Monica Y

Children frequently suffer trauma as a result of falls from heights. On the other hand, BBR fractures are poorly understood. We were interested in learning more about the most common BBR fracture types and age ranges. Methods and Materials: From January 2014 to December 2021, we examined the medical records and imaging procedures of patients under the age of 18 who were treated in our department for a bunk bed injury. Demographic data were used to evaluate the age groups, mechanisms, types, and anatomical regions of fractures. 162 patients, ranging in age from 0 to 15, were included, with 59.9% being men. There were 80 fractures, representing 49.4 percent, and 49 contusions and abrasions, representing 30.2%. 44.8 percent of children under the age of three, 50.8 percent of children under the age of five, 58.5 percent of children under the age of six, and 28.5 percent of children under the age of ten were affected by BBR fractures. The clavicle (n = 13, 16.3 percent), humerus (n = 10, 12.5 percent), foot (n = 8, 10 percent), hand (n = 5, 6.3 percent), lower leg (n = 5, 6.3 percent), and skull (n = 5, 6.3 percent) were the most common fractures. One hundred twenty-one patients, or 16.3%, were admitted to the hospital, where they remained for an average of two days and 1.6 hours. Twelve cases, or 15.0%, required surgery, with closed reduction (n = 7) and closed reduction with internal fixation (n = 5) being the most common types. Parents ought to be aware that children and adolescents, particularly those under the age of 10, suffer a significant amount of severe trauma from bunk beds. Information and techniques for preventing BBR fractures that are supported by evidence would be beneficial to caregivers.