Trampoline Injuries in Children and Adolescents: A Jumping Threat.
Journal
Pediatric emergency care
ISSN: 1535-1815
Titre abrégé: Pediatr Emerg Care
Pays: United States
ID NLM: 8507560
Informations de publication
Date de publication:
01 Feb 2022
01 Feb 2022
Historique:
pubmed:
3
8
2021
medline:
3
2
2022
entrez:
2
8
2021
Statut:
ppublish
Résumé
As trampoline use grows more popular in the United States, the frequency of injuries continues to climb. We hypothesized that toddlers would be at the highest risk for trampoline injuries requiring hospitalization. The National Electronic Injury Surveillance System database was examined for trampoline injuries from 2009 to 2018. Patients were categorized into 3 main age groups: toddlers (<2 years), children (2-12 years), and adolescents (13-18 years). Regression models were used to identify patients at high risk for injury or hospitalization. There was a total of 800,969 meeting inclusion criteria, with 433,827 (54.2%) occurring at their own homes and 86,372 (18.1%) at the sporting venue. Of the total, 36,789 (4.6%) were admitted to a hospital. Fractures (N = 270,884, 34%), strain/sprain injuries (N = 264,990, 33%), followed by skin contusions/abrasions (N = 115,708, 14%) were the most common diagnoses. The most frequent injury sites were lower and upper extremities accounting for 329,219 (41.1%) and 244,032 (30.5%), whereas 175,645 (21.9%) had head and neck injuries. Musculoskeletal injuries (74%) and concussions (2.6%) were more frequent in adolescents than children (67.6% and 1.6%) and toddlers (56.3% and 1.3%). Internal organ and soft tissue injuries were frequent in toddlers. There were no fatalities reported in the injured patients. Multivariate analysis showed adolescents, female sex, extremity injuries, and musculoskeletal injuries were associated with hospitalization. Injury at a sporting venue was not associated with hospitalization. Adolescents and girls are at increased risk of trampoline injury, warranting hospitalization. Safety standards may help prevent extremity and musculoskeletal injuries in the pediatric population. Finally, use of trampolines at sporting venues does not appear to be particularly dangerous.
Identifiants
pubmed: 34339161
doi: 10.1097/PEC.0000000000002457
pii: 00006565-202202000-00099
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e894-e899Informations de copyright
Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
Disclosure: The authors declare no conflict of interest.
Références
Trampolines at home, school, and recreational centers. American Academy of Pediatrics. Committee on Injury and Poison Prevention and Committee on Sports Medicine and Fitness. Pediatrics . 1999;103(5 pt 1):1053–1056.
Smith GA. Injuries to children in the United States related to trampolines, 1990–1995: a national epidemic. Pediatrics . 1998;101(3 Pt 1):406–412.
Black GB, Amadeo R. Orthopedic injuries associated with backyard trampoline use in children. Can J Surg . 2003;46:199–201.
Shields BJ, Fernandez SA, Smith GA. Comparison of minitrampoline- and full-sized trampoline-related injuries in the United States, 1990–2002. Pediatrics . 2005;116:96–103.
Ashby K, Pointer S, Eager D, et al. Australian trampoline injury patterns and trends. Aust N Z J Public Health . 2015;39:491–494.
Loder RT, Schultz W, Sabatino M. Fractures from trampolines: results from a national database, 2002 to 2011. J Pediatr Orthop . 2014;34:683–690.
Kasmire KE, Rogers SC, Sturm JJ. Trampoline Park and Home Trampoline Injuries. Pediatrics . 2016;138:e20161236.
Paul SP, Barnden J, Kane M. Garden hazards: trampoline injuries. Br J Nurs . 2016;25:975.
Sharwood LN, Adams S, Blaszkow T, et al. Increasing injuries as trampoline parks expand within Australia: a call for mandatory standards. Aust N Z J Public Health . 2018;42:153–156.
Lee G, Kim DK, Park JW, et al. Trampoline-related injuries in children: a nationwide cross-sectional study in South Korea. Clin Exp Emerg Med . 2020;7:190–196.
Chen M, Cundy P, Antoniou G, et al. Children bouncing to the emergency department: changes in trampoline injury patterns. J Paediatr Child Health . 2019;55:175–180.
Chambers G, Holton C, Kraft JK. Radiological trends in trampoline-related paediatric injuries in a major paediatric trauma Centre: a 6-year experience. J Public Health . 2019;1–9.
Fitzgerald RE, Freiman SM, Kulwin R, et al. Demographic changes in US trampoline-related injuries from 1998 to 2017: cause for alarm. Inj Prev . 2021;27:55–60.
Yule MS, Krishna S, Rahiri JL, et al. Trampoline-associated injuries are more common in children in spring. N Z Med J . 2016;129:37–43.
Sandler G, Nguyen L, Lam L, et al. Trampoline trauma in children: is it preventable? Pediatr Emerg Care . 2011;27:1052–1056.
Bhangal KK, Neen D, Dodds R. Incidence of trampoline related pediatric fractures in a large district general hospital in the United Kingdom: lessons to be learnt. Inj Prev . 2006;12:133–134.
Wootton M, Harris D. Trampolining injuries presenting to a children's emergency department. Emerg Med J . 2009;26:728–731.
Meyerber M, Fraisse B, Dhalluin T, et al. Trampoline injuries compared with other child activities. Arch Pediatr . 2019;26:282–284.
Yvenou S, Berne G, Kergaravat P, et al. Épidémiologie des accidents liés à l'usage privé de trampoline. Annales françaises de médecine d'urgence . 2017;7:16–21.
Muljadi JA, Chaijenkij K, Arirachakaran A, et al. Comparative surgical risk between type of trampoline (size and place) and type of patients (age and sex) in trampoline related injury: a systematic review and indirect meta-analysis. BMC Sports Sci Med Rehabil . 2020;12:37.
Beno S, Ackery A, Colaco K, et al. Parental knowledge of trampoline safety in children. Acad Pediatr . 2018;18:166–171.
Woodward GA, Furnival R, Schunk JE. Trampolines revisited: a review of 114 pediatric recreational trampoline injuries. Pediatrics . 1992;89(5 Pt 1):849–854.
Chaudhary MA, Sharma M, Scully RE, et al. Universal insurance and an equal access healthcare system eliminate disparities for Black patients after traumatic injury. Surgery . 2018;163:651–656.
Haider AH, Chang DC, Efron DT, et al. Race and insurance status as risk factors for trauma mortality. Arch Surg . 2008;143:945–949.
Scott JW, Salim A, Sommers BD, et al. Racial and regional disparities in the effect of the affordable care Act's dependent coverage provision on young adult trauma patients. J Am Coll Surg . 2015;221:495–501.e1.
Taghavi S, Jayarajan SN, Duran JM, et al. Does payer status matter in predicting penetrating trauma outcomes? Surgery . 2012;152:227–231.
Taghavi S, Srivastav S, Tatum D, et al. Did the affordable care act reach penetrating trauma patients? J Surg Res . 2020;250:112–118.
Breathett K, Liu WG, Allen LA, et al. African Americans are less likely to receive care by a cardiologist during an intensive care unit admission for heart failure. JACC Heart Fail . 2018;6:413–420.
Kelly DL, Kreyenbuhl J, Dixon L, et al. Clozapine underutilization and discontinuation in African Americans due to leucopenia. Schizophr Bull . 2007;33:1221–1224.
Manhapra A, Canto JG, Barron HV, et al. Underutilization of reperfusion therapy in eligible African Americans with acute myocardial infarction: role of presentation and evaluation characteristics. Am Heart J . 2001;142:604–610.