Objective: To compare characteristics associated with backyard trampoline injuries (BTI) and trampoline park injuries (TPI) using records from the electronic Canadian Hospitals Injury Reporting and Prevention Program (eCHIRPP). Methods: eCHIRPP records for trampoline injuries (2012 to 2016) were extracted using variable codes and narratives, and injuries were examined among individuals 17 years and younger. Descriptive estimates for BTI and TPI, as well as age and sex adjusted odds ratios (OR) for the mechanism, source, body part and type of injury associated with TPIs relative to BTIs, are presented. Results: Trampoline injuries are increasing in Canada (P<0.01). Patients with TPIs were older than those with BTIs. Relative to BTIs, TPIs were more associated with impact as the mechanism (OR 2.6, 95% CI: 2.2 to 3.1), trampoline beds as the source (OR 1.7, 95% CI: 1.4 to 2.1), lower extremity as the body part (OR 3.7, 95% CI: 3.0 to 4.4) and sprains as the type of injury (OR 2.0, 95% CI: 1.6 to 2.4). In contrast, another jumper (OR 0.5, 95% CI: 0.4 to 0.6) or fall (OR 0.4, 95% CI: 0.4 to 0.6) as the mechanism, surface (OR 0.7, 95% CI: 0.5 to 0.9) or another jumper (OR 0.5, 95% CI: 0.4 to 0.7) as the source, face or neck (OR 0.6, 95% CI: 0.4 to 0.7) as the body part, and lacerations (OR 0.6, 95% CI: 0.3 to 0.9) or soft tissue injury (OR 0.7, 95% CI: 0.6 to 0.9) as the type of injury were more associated with BTIs relative to TPIs. Conclusion: Trampoline parks result in injuries different than those from backyard trampolines. This examination into the distinct injury characteristics can help to inform future prevention measures.
Introduction: Inexperience, inadequate training and differential hazard exposure may contribute to a higher risk of injury in young workers. This study describes features of work-related injuries in young Canadians to identify areas for potential occupational injury prevention strategies.
Background Injuries are among the top 10 leading causes of death in Canada. However, the types and rates of injuries vary between rural versus urban settings. Injury rates increase with rurality, particularly those related to motor vehicle collisions. Factors such as type of work, hazardous environments and longer driving distances contribute to the difference in rural and urban injury rates. Further examination of injuries comparing rural and urban settings with increased granularity in the nature of injuries and severity is needed. Methods The study population consisted of records from the electronic Canadian Hospitals Injury Reporting and Prevention Program (eCHIRPP) from between 2011 and July 2017. Rural and urban status was determined based on postal codes as defined by Canada Post. Proportionate injury ratios (PIRs) were calculated to compare rural and urban injury rates by nature and severity of injury and sex, among other factors. Results Rural injuries were more likely to involve multiple injuries (PIR = 1.66 for 3 injuries) and crush injuries (PIR = 1.72). More modestly elevated PIRs for rural settings were found for animal bites (1.14), burns (1.22), eye injuries (1.32), fractures (1.20) and muscle or soft tissue injuries (1.11). Injuries in rural areas were more severe, with a higher likelihood of cases being admitted to hospital (1.97), and they were more likely to be due to a motor vehicle collision (2.12). Conclusion The nature of injuries in rural settings differ from those in urban settings. This suggests a need to evaluate current injury prevention efforts in rural settings with the aim to close the gap between rural and urban injury rates.
Contexte Les blessures se classent parmi les dix principales causes de décès au Canada. Cependant, les types et les taux de blessures varient en fonction du type de milieu, rural ou urbain. Les taux de blessures augmentent avec la ruralité, particulièrement les blessures liées à des collisions de véhicules motorisés. Le type de travail, un environnement dangereux et de longues distances à parcourir sont des facteurs qui contribuent aux différences entre les taux de blessures en milieu rural et ceux en milieu urbain. Il faut approfondir les analyses des blessures en fonction du type de milieu (rural‑urbain), en particulier en ce qui concerne la nature et la gravité des blessures. Méthodologie La population à l’étude provient des données de 2011 à juillet 2017 de la base électronique du Système canadien hospitalier d’information et de recherche en prévention des traumatismes (eSCHIRPT). Le type de milieu (rural ou urbain) a été déterminé à partir du code postal de Postes Canada. On a calcué les rapports proportionnels des blessures (RPB) afin de comparer les taux de blessures en milieu rural et ceux en milieu urbain en fonction de la nature et de la gravité des blessures ainsi que du sexe et de plusieurs autres facteurs. Résultats En milieu rural, les cas de blessures étaient plus susceptibles d’être des blessures multiples (RPB = 1,66 pour 3 blessures) et des lésions par écrasement (RPB = 1,72). On a relevé des RPB un peu moins élevés en ce qui concerne les morsures d’animaux (1,14), les brûlures (1,22), les lésions oculaires (1,32), les fractures (1,20) et les blessures aux muscles ou aux tissus mous (1,11). Par comparaison avec celles survenues en milieu urbain, les blessures survenues en milieu rural étaient plus graves, davantage susceptibles d’entraîner une hospitalisation (1,97) et d’être attribuables à une collision impliquant un ou plusieurs véhicules motorisés (2,12). Conclusion La nature des blessures survenues en milieu rural diffère de la nature des blessures survenues en milieu urbain. Il faudrait réviser les programmes en vigueur en matière de prévention des blessures en milieu rural afin de combler l’écart dans les taux de blessures entre les deux milieux.
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