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Revista de la Sociedad Boliviana de Pediatría

On-line version ISSN 1024-0675

Abstract

DE AVILA ABURDENE, Reynaldo  and  CASTRO KUKOC, Maríely. Accidents in relation to walking, crawling and baby walkers. Rev. bol. ped. [online]. 2005, vol.44, n.1, pp. 11-14. ISSN 1024-0675.

In order to verify the hypothesis that the use of walkers cause delay in the time that walk occurs, and crawling has a positive effect in the onset of walking. We perform a case and controls prospective study. Parents were interview applying a form based in the Denver II development scale at the pediatric out patient office in Caja Petrolera de Salud La Paz Bolivia. The findings were checked with physical exam when the answers were in doubt. The study was carried out between August and November 2003. 301 patients where include between 14 and 24 months of age. We considered cases: Children delayed in the onset of walking at 17 month of age. And controls: The group that walked before this time. These results where correlated to the use of walkers and crawling. The use of walkers was correlated as well to the occurrence of accidents. We found a relationship between the use of walkers and the delay of onset of walking OR 3.5 IC (1.82 - 6.72) P 0.0000977. A protective effect against the delay of walking when the baby crawls was found. OR 0.48 IC (0.28-0.83). P 0.00496. And important finding was a high frequency in the use of walkers. The use in one fourth of the cases was indicated by a physician. More than half of the cases of the children using walkers where involved in accidents. We found a 23 fold probability of suffer an accident when the children uses a Walter. OR 24.03 IC (10.77 - 54.99). The data where analyzed in the Excel informatics system. The OR and the confidence intervals where calculate using Epiinfo 6.0 (1)

Keywords : delay of onset of walking; crawling; accidents.

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