Interventions to reduce accidents in childhood: a systematic review.

Barcelos RS, Del-Ponte B, Santos IS.
J Pediatr (Rio J). 2017 Dec 30. pii: S0021-7557(17)30798-2.
OBJECTIVE: To review the literature on interventions planned to prevent the
incidence of injuries in childhood.
SOURCE OF DATA: The PubMed, Web of Science, and Bireme databases were searched by
two independent reviewers, employing the single terms accidents, accident,
injuries, injury, clinical trial, intervention, educational intervention, and
multiple interventions, and their combinations, present in the article title or
abstract, with no limits except period of publication (2006-2016) and studies in 
human subjects.
SYNTHESIS OF DATA: Initially, 11,097 titles were located. Fifteen articles were
selected for the review. Eleven were randomized trials (four carried out at the
children's households, five in pediatric healthcare services, and two at
schools), and four were non-randomized trials carried out at the children's
households. Four of the randomized trials were analyzed by intention-to-treat and
a protective effect of the intervention was observed: decrease in the number of
risk factors, decrease in the number of medical consultations due to injuries,
decrease in the prevalence of risk behaviors, and increase of the parents'
knowledge regarding injury prevention in childhood.
CONCLUSION: Traumatic injuries in childhood are amenable to primary prevention
through strategies that consider the child's age and level of development, as
well as structural aspects of the environment.