Accidents due to falls from roof slabs

Authors

  • Bruno Alves Rudelli Irmandade da Santa Casa de São Paulo
  • Marcelo Valério Alabarce da Silva Irmandade da Santa Casa de São Paulo
  • Miguel Akkari Irmandade da Santa Casa de São Paulo
  • Claudio Santili Irmandade da Santa Casa de São Paulo

Keywords:

Accidental falls, Child, Adolescent, Public health, Accident prevention

Abstract

CONTEXT AND OBJECTIVE: Falls from the roof slabs of houses are accidents of high potential severity that occur in large Brazilian cities and often affect children and adolescents. The aims of this study were to characterize the factors that predispose towards this type of fall involving children and adolescents, quantify the severity of associated lesions and suggest preventive measures. DESIGN AND SETTING: Descriptive observational prospective longitudinal study in two hospitals in the metropolitan region of São Paulo. METHODS: Data were collected from 29 cases of falls from roof slabs involving children and adolescents between October 2008 and October 2009. RESULTS: Cases involving males were more prevalent, accounting for 84%. The predominant age group was schoolchildren (7 to 12 years old; 44%). Leisure activities were most frequently being practiced on the roof slab at the time of the fall (86%), and flying a kite was the most prevalent game (37.9%). In 72% of the cases, the children were unaccompanied by an adult responsible for them. Severe conditions such as multiple trauma and traumatic brain injuries resulted from 79% of the accidents. CONCLUSION: Falls from roof slabs are accidents of high potential severity, and preventive measures aimed towards informing parents and guardians about the dangers and risk factors associated with this type of accident are needed, along with physical protective measures, such as low walls around the slab and gates with locks to restrict free access to these places.

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Author Biographies

Bruno Alves Rudelli, Irmandade da Santa Casa de São Paulo

I Resident. Department of Orthopedics and Traumatology, Hospital da Clínicas (HC), Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, Brazil.

Marcelo Valério Alabarce da Silva, Irmandade da Santa Casa de São Paulo

MD. Resident in Sports Medicine, Universidade Federal de São Paulo (Unifesp), São Paulo. Brazil.

Miguel Akkari, Irmandade da Santa Casa de São Paulo

MD, PhD. Professor in the School of Medical Sciences and Head of the Pediatric Orthopedic Group, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo, Brazil.

Claudio Santili, Irmandade da Santa Casa de São Paulo

MD, PhD. Adjunct Professor in the School of Medical Sciences and Attending Physician in the Pediatric Orthopedic Group, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo, Brazil.

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Published

2013-05-05

How to Cite

1.
Rudelli BA, Silva MVA da, Akkari M, Santili C. Accidents due to falls from roof slabs. Sao Paulo Med J [Internet]. 2013 May 5 [cited 2025 Mar. 12];131(3):153-7. Available from: https://periodicosapm.emnuvens.com.br/spmj/article/view/1305

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Original Article