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June 1996

Injury Prevention Counseling Opportunities in Pediatric Otolaryngology

Arch Otolaryngol Head Neck Surg. 1996;122(6):609-611. doi:10.1001/archotol.1996.01890180017006

Objective:  To determine the prevalence of injury prevention counseling opportunities in children referred to a pediatric otolaryngologist.

Design:  A caregiver questionnaire was administered during office registration.

Setting:  Hospital-based pediatric otolaryngology practice in a metropolitan area.

Patients:  Random sample of 300 caregiver questionnaires stratified by the age of the child.

Main Outcome Measures:  Prevention counseling opportunities, defined as ignorance of hottest water temperature, child exposure to passive smoke, missing smoke detectors on one or more floors in the home, or failure to use a seat belt or bicycle helmet.

Results:  The hottest water temperature was unknown by 72% of the caregivers, smokers were present in 25% of the households, bicycle helmets were not used by 22% of the children, car seats or seat belts were not used by 11% of the children, and 10% of the homes did not have a working smoke alarm on each floor. Older children were significantly less likely to use a seat belt than were younger children. Although 98% of the caregivers had a regular pediatrician, 91% of the families still offered one or more counseling opportunities (95% confidence interval, 87% to 94%).

Conclusions:  Substantial opportunities exist for injury prevention counseling in pediatric otolaryngology. At least one opportunity for counseling is present for about 90% of the families, most often concerning the maximum safe hot water temperature.(Arch Otolaryngol Head Neck Surg. 1996;122:609-611)