New National Study Finds More Than 40 Percent Increase in Number of Injuries from Furniture Tip-overs

May 4, 2009

Although most parents do not consider furniture and televisions to be dangerous, children are often injured when these items tip over. A recent study conducted by the Center for Injury Research and Policy of The Research Institute at Nationwide Children’s Hospital found that from 1990-2007 an average of nearly 15,000 children younger than 18 years of age visited emergency departments annually for injuries received from furniture tip-overs.

According to the study, published in the online issue of Clinical Pediatrics in May, most furniture tip-over-related injuries occurred among children younger than 7 years of age and resulted from televisions tipping over. More than one quarter of the injuries occurred when children pulled over or climbed on furniture. Children ages 10-17 years were more likely to suffer injuries from desks, cabinets or bookshelves tipping over. Head and neck injuries were most common among younger children, while children older than 9 years were more likely to suffer injuries to the lower body.

Despite warnings from the U.S. Consumer Product Safety Commission, the number of injuries involving televisions and other furniture tipping over onto children has increased in this country since the early 1990s.

“There was a more than 40 percent increase in the number of injuries during the study period, and the injury rate also significantly increased during these years,” said study senior author Gary Smith, MD, DrPH, director of the Center for Injury Research and Policy at Nationwide Children’s Hospital. “This trend demonstrates the inadequacy of current prevention strategies and underscores the need for increased prevention efforts.”

Parents can minimize risks to children by placing televisions low to the ground and near the back of their stands and strapping televisions and furniture to the wall with safety straps or L-brackets. Purchasing furniture with wide legs or with solid bases, installing drawer stops on chests of drawers and placing heavy items close to the floor on shelves will also help prevent tip-overs. Additionally, parents can reduce a child’s desire to climb furniture by not placing attractive items, such as toys or the remote control, high on top of furniture or the television.

“Pediatricians and child caregivers should be aware that furniture tip-overs are an important source of childhood injury,” said Dr. Smith, also a faculty member of The Ohio State University College of Medicine. “Following a few simple prevention steps will decrease the number of injuries to children associated with furniture tip-overs.”

Data for this study were collected from the National Electronic Injury Surveillance System (NEISS), which is operated by the U.S. Consumer Product Safety Commission. The NEISS dataset provides information on consumer product-related and sports and recreation-related injuries treated in hospital emergency departments across the country.

The Center for Injury Research and Policy (CIRP) works globally to reduce injury-related pediatric death and disabilities. With innovative research at its core, CIRP works to continually improve the scientific understanding of the epidemiology, biomechanics, prevention, acute treatment and rehabilitation of injuries. CIRP serves as a pioneer by translating cutting edge injury research into education, advocacy and advances in clinical care. In recognition of CIRP’s valuable research, the Centers for Disease Control and Prevention (CDC) recently named the Center for Injury Research and Policy as one of only 13 centers in the United States to be designated as an Injury Control Research Center. Learn more about the Center for Injury Research and Policy at http://www.injurycenter.org.

About Nationwide Children's Hospital

Named to the Top 10 Honor Roll on U.S. News & World Report’s 2023-24 list of “Best Children’s Hospitals,” Nationwide Children’s Hospital is one of America’s largest not-for-profit free-standing pediatric health care systems providing unique expertise in pediatric population health, behavioral health, genomics and health equity as the next frontiers in pediatric medicine, leading to best outcomes for the health of the whole child. Integrated clinical and research programs, as well as prioritizing quality and safety, are part of what allows Nationwide Children’s to advance its unique model of care. Nationwide Children’s has a staff of more than 14,000 that provides state-of-the-art wellness, preventive and rehabilitative care and diagnostic treatment during more than 1.7 million patient visits annually. As home to the Department of Pediatrics of The Ohio State University College of Medicine, Nationwide Children’s physicians train the next generation of pediatricians and pediatric specialists. The Abigail Wexner Research Institute at Nationwide Children’s Hospital is one of the Top 10 National Institutes of Health-funded free-standing pediatric research facilities. More information is available at NationwideChildrens.org.