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March 1987

Accidental Injuries in Children in Day-care Centers

Author Affiliations

From the Department of Pediatrics, Sinai Hospital, and the Maryland State Department of Health and Mental Hygiene (Dr P. Landman), and the Department of Developmental/Behavioral Pediatrics, The Johns Hopkins Hospital (Dr G. Landman), Baltimore.

Am J Dis Child. 1987;141(3):292-293. doi:10.1001/archpedi.1987.04460030070027

• A telephone survey of all licensed group day-care centers serving 2- to 6-year-old children in Maryland was conducted to determine the rate of injuries, their nature, and the circumstances of occurrence. Eighty-two percent of the 523 operating centers were contacted. Two centers declined to participate. Twenty-nine injuries were reported. A total of 18 728 children were surveyed (children who attended half a day were given half credit per day) or 92 640 childdays. Yearly injury rates of 7.02% for medically attended injuries, 4.29% for injuries limiting activity, and a total yearly injury rate of 11.30% were calculated. This general injury rate was similar to incidence figures from a nonday-care center injury study. This lack of improvement in injury rates in licensed day care is of concern and deserves increased attention from pediatricians.

(AJDC 1987;141:292-293)