Variation in management of in-hospital newborn falls: a single-center experience

Journal of Neurosurgery. Pediatrics
Doron J KahnDean A Hertzler

Abstract

OBJECTIVE There are only 3 small case series in the literature that report on the management of in-hospital newborn falls (NFs), and recommendations are unclear. The authors performed a retrospective review to determine outcome and differences in management and to understand why management of NFs varies at their institution. METHODS All NFs occurring within the authors' institution over a 3.5-year period were reviewed. Post-fall management and outcomes of each incident were compared. RESULTS There were 24 NFs out of 40,349 deliveries (5.9 NFs/10,000 deliveries). The mechanism of injury was nearly identical in 22 of 24 falls (the newborn fell to the floor from a parent in a bed or chair), and physical examination findings were normal or benign in all cases. Unexplained management variation based solely on clinician preference was noted, including observation only (in 13 cases), skull radiograph (in 7), head CT scan (in 6), bone survey (in 4), and head ultrasound examination (in 1), with some babies having more than 1 study. Two babies had nondepressed linear parietal fractures diagnosed by skull radiograph, and 2 babies had small subdural hemorrhages diagnosed by head CT scan. All 24 babies had normal findings on examination at ...Continue Reading

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Citations

May 21, 2020·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Joanna Beachy, Shahana Perveen
May 26, 2018·Pediatric Radiology·Arabinda Kumar ChoudharyAmaka C Offiah
Feb 27, 2019·MCN. the American Journal of Maternal Child Nursing·Hester CarrPatricia Scheans
Jul 28, 2020·Clinical Pediatrics·Jacob C ScherbaEmily A Hannon
Aug 17, 2020·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·UNKNOWN Association of Women’s Health, Obstetric and Neonatal Nurses
Aug 17, 2020·Nursing for Women's Health·UNKNOWN Association of Women’s Health, Obstetric and Neonatal Nurses
Feb 16, 2021·MCN. the American Journal of Maternal Child Nursing·Nora P KnipperNancy M Albert
Aug 3, 2021·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Kenisha KarlssonDavid Mulkey
Dec 30, 2018·Pediatrics·Colleen A Hughes DriscollRichard Lichenstein

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