Erratum to: Quantifying the iceberg effect for injury: Using comprehensive community health data

Sahai, Vic; Ward, Michele; Zmijowskyj, Tim; Rowe, B. H.

doi:10.1007/bf03405210

Cited by 7 publications

(10 citation statements)

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“…As a result of efforts by the injury prevention community to reduce hazards where children play, these are now extremely rare [ 33 , 83 ]. The vast majority of injuries that do happen are very minor (e.g., sprains and strains, bumps and bruises) [ 84 , 85 , 86 , 87 , 88 ]. Nevertheless, less minor injuries do occur as a result of normal and healthy active play, and these tend to be fractures to the upper limbs.…”

Section: Resultsmentioning

confidence: 99%

Position Statement on Active Outdoor Play

Tremblay

Gray

Babcock³

et al. 2015

IJERPH

310

226

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A diverse, cross-sectorial group of partners, stakeholders and researchers, collaborated to develop an evidence-informed Position Statement on active outdoor play for children aged 3–12 years. The Position Statement was created in response to practitioner, academic, legal, insurance and public debate, dialogue and disagreement on the relative benefits and harms of active (including risky) outdoor play. The Position Statement development process was informed by two systematic reviews, a critical appraisal of the current literature and existing position statements, engagement of research experts (N = 9) and cross-sectorial individuals/organizations (N = 17), and an extensive stakeholder consultation process (N = 1908). More than 95% of the stakeholders consulted strongly agreed or somewhat agreed with the Position Statement; 14/17 participating individuals/organizations endorsed it; and over 1000 additional individuals and organizations requested their name be listed as a supporter. The final Position Statement on Active Outdoor Play states: “Access to active play in nature and outdoors—with its risks— is essential for healthy child development. We recommend increasing children’s opportunities for self-directed play outdoors in all settings—at home, at school, in child care, the community and nature.” The full Position Statement provides context for the statement, evidence supporting it, and a series of recommendations to increase active outdoor play opportunities to promote healthy child development.

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Section: Resultsmentioning

confidence: 99%

Position Statement on Active Outdoor Play

Tremblay

Gray

Babcock³

et al. 2015

IJERPH

310

226

View full text Add to dashboard Cite

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“…The vast majority of risky outdoor play-related injury incidents result in minor injuries requiring minimal or no medical treatment [ 25 , 26 , 27 ]. The importance of preventing these minor injuries has been debated in the injury prevention field.…”

Section: Introductionmentioning

confidence: 99%

What is the Relationship between Risky Outdoor Play and Health in Children? A Systematic Review

Brussoni

Gibbons

Gray

et al. 2015

IJERPH

362

259

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Risky outdoor play has been associated with promoting children’s health and development, but also with injury and death. Risky outdoor play has diminished over time, concurrent with increasing concerns regarding child safety and emphasis on injury prevention. We sought to conduct a systematic review to examine the relationship between risky outdoor play and health in children, in order to inform the debate regarding its benefits and harms. We identified and evaluated 21 relevant papers for quality using the GRADE framework. Included articles addressed the effect on health indicators and behaviours from three types of risky play, as well as risky play supportive environments. The systematic review revealed overall positive effects of risky outdoor play on a variety of health indicators and behaviours, most commonly physical activity, but also social health and behaviours, injuries, and aggression. The review indicated the need for additional “good quality” studies; however, we note that even in the face of the generally exclusionary systematic review process, our findings support the promotion of risky outdoor play for healthy child development. These positive results with the marked reduction in risky outdoor play opportunities in recent generations indicate the need to encourage action to support children’s risky outdoor play opportunities. Policy and practice precedents and recommendations for action are discussed.

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“…Minor injuries, however, are far more common, accounting for the vast majority of injuries treated at healthcare institutions each year (Centers for Disease Control and Prevention, 2013). If the burden of injury were illustrated as a pyramid, the peak of the pyramid would represent fatalities, the center of the pyramid as hospitalizations, and the wide base of the pyramid as emergency department visits for minor injuries (from both intentional and unintentional causes) where evaluation, treatment, and discharge occur within a relatively short period of time (Sahai, Ward, Zmijowskyj, & Rowe, 2005; Wadman, Muelleman, Coto, & Kellermann, 2003). Minor injuries contribute to 37.3% of disability adjusted life years, exceeding the contribution of serious injuries (33.3%) and fatalities (29.6%) (Polinder, Haagsma, Toet, & Van Beeck, 2012).…”

Section: Introductionmentioning

confidence: 99%

The effect of early psychological symptom severity on long-term functional recovery: A secondary analysis of data from a cohort study of minor injury patients

Jacoby

Shults

Richmond

2017

International Journal of Nursing Studies

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Background The mental health consequences of injuries can interfere with recovery to pre-injury levels of function and long term wellbeing. Objectives The purpose of this study was to explore the relationship between psychological symptoms after minor injury and long-term functional recovery and disability. Design This exploratory study uses secondary data derived from a longitudinal cohort study of psychological outcomes after minor injury. Setting Participants were recruited from the Emergency Department of an urban hospital in the United States. Participants A cohort of 275 patients was randomly selected from 1100 consecutive emergency department admissions for minor injury. Potential participants were identified as having sustained minor injury by the combination of three standard criteria including: presentation to the emergency department for medical care within 24 hours of a physical injury, evidence of anatomical injury defined as minor by an injury severity score between 2 and 8 and normal physiology as defined by a triage-Revised Trauma Score of 12. Patients with central nervous system injuries, injury requiring medical care in the past 2 years and/or resulting from domestic violence, and those diagnosed with major depression or psychotic disorders were excluded. Methods Psychological symptom severity was assessed within 2 weeks of injury, and outcome measures for functional limitations and disability were collected at 3, 6 and 12 months. A quasi-least squares approach was used to examine the relationship between psychological symptom scores at intake and work performance and requirement for bed rest in the year after injury. Results Adjusting for demographic and injury covariates, depression symptoms at the time of injury significantly predicted (p≤0.05) both poorer work performance and increased number of days in bed due to health in the year after injury. Anxiety symptoms significantly predicted (p≤0.05) bed days at 3, 6, and 12 months and work performance at 3 months. Conclusions Depression and anxiety soon after minor injury may help predict important markers of long-term recovery. With further research, simple assessment tools for psychological symptoms may be useful to screen for patients who are at higher risk for poor long-term recoveries and who may benefit from targeted interventions.

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Erratum to: Quantifying the iceberg effect for injury: Using comprehensive community health data

Abstract: In Table II in the above article, the total number is listed as 98,656,800. This should read 9,865,600.

Cited by 7 publications

References 0 publications

Position Statement on Active Outdoor Play

Position Statement on Active Outdoor Play

What is the Relationship between Risky Outdoor Play and Health in Children? A Systematic Review

The effect of early psychological symptom severity on long-term functional recovery: A secondary analysis of data from a cohort study of minor injury patients

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