Childhood Injuries - Reduced by home visit
Clinical Bottom Line
Home visiting can reduce the number of unintentional.
Roberts, I., Kramer, M.S., and Suissa, S. Does home visiting prevent childhood injury? BMJ 312:29-33, 1996 .
In children, can home visiting reduce the injury rate?
'home visiting' and 'child' and 'injury' and 'randomised-controlled-trial'
Systematic review of 11 RCTs including 3433 participants.
Pooled OR of home visiting Vs 'control' for unintentional injuries is 0.74 (95% CI 0.6 to 0.92).
If baseline risk for unintentional injuries is 5%, NNT is 80.
If baseline risk for unintentional injuries is 15%, NNT is 29.
- The populations in all trials were disadvantaged.
- Interventions varied: visits were by non-professionals and occurred during and/or after pregnancy and at different intensities.
- Outcomes varied from hospital attendance to parent recall of injuries.
- The review on intentional injuries is difficult to interpret as reporting of injuries was confounded by increased detection in the home visiting groups.
O. Duperrex and R. Gilbert; 03 Mar. 1999