Trampolines injuries are bouncing back.

COVID COVID-19 Coronavirus Effect Lockdown Paediatric Pandemic Trampoline Trauma

Journal

Bone & joint open
ISSN: 2633-1462
Titre abrégé: Bone Jt Open
Pays: England
ID NLM: 101770336

Informations de publication

Date de publication:
Feb 2021
Historique:
entrez: 12 2 2021
pubmed: 13 2 2021
medline: 13 2 2021
Statut: ppublish

Résumé

This observational study examines the effect of the COVID-19 pandemic upon the paediatric trauma burden of a district general hospital. We aim to compare the nature and volume of the paediatric trauma during the first 2020 UK lockdown period with the same period in 2019. Prospective data was collected from 23 March 2020 to 14 June 2020 and compared with retrospective data collected from 23 March 2019 to 14 June 2019. Patient demographics, mechanism of injury, nature of the injury, and details of any surgery were tabulated and statistically analyzed using the independent-samples The 2020 lockdown resulted in 30% fewer paediatric trauma presentations (441 vs 306), but no significant change in the number of patients requiring surgery (47 vs 51; p = 0.686). Trampolining injuries increased in absolute numbers by 168% (p < 0.001), almost four times more common when considered as percentage of all injuries observed in 2020 vs 2019. There was a decrease in high energy trauma from road traffic accidents and falls from height (21.5% decrease, p < 0.001). Despite a shift towards more conservative treatment options, trampolining injuries continued to require surgery in similar proportions (19.4 vs 20%; p = 0.708). Qualitative investigation revealed that the most common risk factor for trampolining injury was concurrent usage, especially with an older child. COVID-19 lockdown has resulted in a decrease in paediatric orthopaedic presentations and high energy trauma. However, due to a marked increase in home trampolining injuries, and their unchanged requirement for surgery, there has been no change in the requirement for surgery during the lockdown period. As home exercise becomes more prevalent, a duty of public health falls upon clinicians to advise parents against trampoline usage. Cite this article:

Identifiants

pubmed: 33573399
doi: 10.1302/2633-1462.22.BJO-2020-0152.R1
pmc: PMC7925211
doi:

Types de publication

Journal Article

Langues

eng

Pagination

86-92

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Auteurs

Yahya Ibrahim (Y)

Orthopaedic Department, Broomfield Hospital, Mid Essex Hospital NHS Trust, Chelmsford, UK.

Sumon Huq (S)

Orthopaedic Department, Broomfield Hospital, Mid Essex Hospital NHS Trust, Chelmsford, UK.

Kanatheepan Shanmuganathan (K)

Orthopaedic Department, Broomfield Hospital, Mid Essex Hospital NHS Trust, Chelmsford, UK.

Helen Gille (H)

Orthopaedic Department, Broomfield Hospital, Mid Essex Hospital NHS Trust, Chelmsford, UK.

Pranai Buddhdev (P)

Orthopaedic Department, Broomfield Hospital, Mid Essex Hospital NHS Trust, Chelmsford, UK.

Classifications MeSH