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Table 5 Recommendations and sources of the evidence for preventing falls

From: Prevention of unintentional injuries in children under five years

Recommendations

Guidelines and/or institutions recommending the intervention

Source of the evidence

Replace or modify unsafe products

- WHO 2008; European region [1]

(See original documents)

Safety equipment

- Install stair gates

- Install windows guards or locks

- Possession of non-slip bathmats or decals

- WHO 2008; European region [1]

- RCPCH 2019 [2]

- CDC 2019 [16]

- NICE 2010b [45]

- EuroSafe 2006 [13]

- Kendrick 2013; Cochrane systematic review [51]

- Kendrick 2012; Cochrane systematic review [46]

- Watson 2005; RCT [67]

- Towner 2001, systematic review [63]

Protective equipment

- Use of helmet while riding a horse

- Use of helmet, wrist guards, and knee and elbow pads while skating

- WHO 2008; European region [1]

- CDC 2019 [16]

(See original documents)

Playground

- Implementation of playground standards (eg. surface material)

- WHO 2008; European region [1]

- CDC 2019 [16]

- EuroSafe 2006 [13]

- Khambalia 2006, systematic review [68]

- Towner 2001, systematic review [63]

Education

- Implementation of multifaceted community programmes

- WHO 2008; European region [1]

- Towner 2001, systematic review [63]

- McClure 2005, systematic review [69]

Do not use baby walkers

- Legislation banning baby walkers or requiring product modification

- PrevInfad 2011 [42]

- RCPCH 2019 [2]

- EuroSafe 2006 [13]

- Kendrick 2012; Cochrane systematic review [46]

- Khambalia 2006, systematic review [68]

Supervision

- Supervise at all time around fall hazards

- RCPCH 2019 [2]

- CDC 2019 [16]

- Kendrick 2012; Cochrane systematic review [46]

  1. Abbreviations: CDC Centers for Disease Control and Prevention, NICE National Institute for Health and Care Excellence, PrevInfad PrevInfad workgroup from the Spanish Association of Primary Care Pediatrics, RCPCH Royal College of Paediatrics and Child Health, WHO World Health Organization