Trampoline injuries compared with other child activities

Meyerber, M.; Fraisse, Bernard; Dhalluin, Thibault; Ryckewaert, A.; Violas, Philippe

doi:10.1016/j.arcped.2019.05.008

Cited by 16 publications

(14 citation statements)

References 16 publications

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“…However, a simple educational pamphlet may be adequate to increase awareness around safe trampoline practices and injury 20 . Further to the need for injury prevention efforts, while trampoline‐related paediatric fracture rates may be similar to those of other sport‐related incidents, surgical management is twice as likely to be required 21 and 37.5% of our trampoline injuries were classified moderate or major severity compared to 23.9% of climbing equipment injuries. This highlights the burden of trampoline injuries to the child affected and hospital resources.…”

Section: Discussionmentioning

confidence: 93%

Paediatric playground and tree‐related injuries: Hospital admissions in the Midland region of New Zealand

Bentley

Amey

Smith

et al. 2021

J Paediatrics Child Health

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To examine the incidence and outcomes of paediatric playground and tree-related injuries in the Midland region of New Zealand. Methods: A retrospective review of Midland Trauma Registry hospitalisation data between January 2012 and December 2018 was undertaken. Cases included children aged 0-14 years hospitalised for playground and tree-related injuries. Demographic and event information, injury severity and hospital-related outcomes were examined. Results: Playground and tree-related hospitalisations (n = 1941) occurred with an age-standardised rate of 144.3/100 000 (confidence interval (CI) 127.3-161.3) and increased 1.4% (CI 1.3-4.2%) annually. The highest incidence was observed in 5-9-year olds (248.8/100 000) with 0-4 and 10-14-year olds at 86.0 and 89.2/100 000, respectively. Injuries most commonly occurred at home, school or pre-school (77.1%), 93.7% were due to falls and, the upper extremity was the most frequently injured body region (69.9%), particularly due to forearm (55.6%) and upper arm (34.7%) fractures. Tree-related incidents comprised 11.6% of all injuries and explained 57.1% of injuries classified as major severity. Fifty-eight percent of children were hospitalised for 1 day and 97.0% for less than 5 days. Estimated hospital costs were NZ$1.2 million annually with a median of NZ $3898 per incident. Injuries classified as minor severity accounted for 86.5% of the total estimated cost. Conclusion: Children aged 5-9 years' experience high rates of costly hospitalisation for playground and tree-related injuries. Targeted injury prevention initiatives, particularly in the home and school environments, are imperative to reduce the incidence and burden of playground and tree-related injuries to affected children, their families and hospital resources.

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Section: Discussionmentioning

confidence: 93%

Paediatric playground and tree‐related injuries: Hospital admissions in the Midland region of New Zealand

Bentley

Amey

Smith

et al. 2021

J Paediatrics Child Health

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“…Adult supervision, which differs in children at different ages and in different play settings, may mitigate injury risk and severity. Unfortunately, the evidence base in support of supervision is mixed and limited at best, [25][26][27][28][29][30] and the NEISS database does not record this for inclusion in our analyses. Rather than relying on narrative descriptions of mechanisms, future work should focus on collaborating with trampoline parks to capture video injury footage to better understand the mechanisms and antecedents of injury through root-cause analysis.…”

Section: Discussionmentioning

confidence: 99%

Seasonal variability and age‐related risk in youth trampoline injuries

Williams

Harwood

Markiewitz

et al. 2021

Pediatrics International

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Background: The aim of this work was to estimate the difference in severity between musculoskeletal trampoline park injuries (TPIs) and home trampoline injuries (HTI) and identify the factors that might mediate or modify that effect. Methods: The National Electronic Injury Surveillance System database was used to identify musculoskeletal home trampoline injuries and TPIs in pediatric patients occurring in the 2009-2017 period. Injury mechanism and body region were inductively coded. The effect of TPI on risk of admission was estimated using a doubly robust logistic regression model for confounding adjustment. Adjustments were made for date, age, gender, injury mechanism, and body region. The comparative importance of injury mechanism and location and the effect modification of patient characteristics was explored using likelihood ratio tests. Results: Trampoline park injuries were more likely to result in admission even in the model adjusted for injury mechanism and body region (odds ratio (OR) = 2.12 [1.30, 3.45]). Injuries sustained from falling off the trampoline were associated with significantly fewer hospitalizations (OR = 0.119 [0.029, 0.495]) than injuries from falling while on the trampoline. Patient age significantly modified the effect of setting on risk of admission (P = 0.042). Adolescents demonstrated an increased risk at trampoline parks (15 years old OR = 3.23 [1.38, 7.56]), whereas younger children demonstrated a marginally lower risk (5 years old OR = 0.77 [0.44, 1.35]). Conclusions: Trampoline park musculoskeletal injuries demonstrate an increased risk of admission even after rigorous adjustment for confounding. Injuries to the proximal limbs were associated with a much higher risk of admission than distal injuries. Adolescents face an increased risk of admission after TPI, underscoring the importance of public health interventions that target this age group.

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“…Nach der aktuellen Studienlage, wie der von Ibrahim et al (2019) durchgeführten Studie, erforderten trampolinassoziierte Verletzungen eine chirurgische Behandlung in einem ähnlichen Ausmaß wie hochenergetische Traumen, beispielsweise nach Verkehrsunfällen [26]. Auch bei der von Meyerber et al (2019) verfassten Arbeit, in der trampolinassoziierte Verletzungen bei Kindern und Jugendlichen mit anderen Sportarten (u. a. Fußball, Radfahren oder Klettern) verglichen wurden, mussten die betroffenen Patienten doppelt so häufig operiert werden [27].…”

Section: Patienten Mit Mehr Als 1 Verletzungunclassified

Die spezifischen Auswirkungen und Merkmale von Trampolinpark-assoziierten Verletzungen

Prados

Salmanton‐García

Bullmann

et al. 2020

Sportverletz Sportschaden

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Zusammenfassung Einleitung In den letzten Jahrzehnten wurden Verletzungsmuster im Zusammenhang mit Trampolinspringen und Indoor-Trampolinparks (ITP) in mehreren Studien untersucht, jedoch zeigten diese unterschiedlichste Ergebnisse. Da in Deutschland bislang keine derartige Arbeit veröffentlicht wurde, war das Ziel der vorliegenden Studie, die spezifischen Trampolinpark-assoziierten Verletzungsmuster in unserer Bevölkerung zu analysieren. Methode Retrospektiv wurden alle Patienten, die zwischen dem 01.10.2016 und dem 30.04.2018 eine ITP-bedingte Verletzung erlitten hatten, in die Studie eingeschlossen. Die Patientendaten beinhalteten neben demografischen Angaben wie Alter und Geschlecht auch Angaben zur verletzten Körperregion, Verletzungsdiagnose, Dauer der Aufnahme und Behandlung (operativ/konservativ). Ergebnisse Im Betrachtungszeitraum von 19 Monaten erlitten 258 Patienten ITP-assoziierte Verletzungen. Bei 250 Patienten wurde eine ITP-bedingte Verletzung als Monoverletzung diagnostiziert. Das durchschnittliche Alter der Verletzten betrug 22 Jahre (IQR 15–28). 126 (50,4 %) der Verletzungen traten dabei bei Männern und 124 (49,6 %) bei Frauen auf. 168 (67,2 %) Verletzungen betrafen die untere Extremität (UE). Verstauchungen (n = 114; 45,6 %) und Frakturen ohne Luxation (n = 59; 23,6 %) waren die am häufigsten gestellten Diagnosen. Männer litten signifikant häufiger an Verletzungen der oberen Extremität (26,2 vs. 9,7 %; p = 0,010), während bei Frauen signifikant häufiger die UE betroffen war (79,8 vs. 54,8 %; p < 0,001). Insgesamt wurden 45 (18 %) Patienten stationär in unserem Krankenhaus aufgenommen, davon mussten 25 (10,0 %) Patienten operiert werden. 8 (3,1 %) Patienten erlitten Verletzungen an mehr als 1 Körperregion. Schlussfolgerung ITP-bedingte Verletzungen traten in der zugrunde liegenden Studie bei Erwachsenen häufiger als bei Kindern auf. Die untere Extremität war in jedem Alter die am häufigsten betroffene Körperregion. Insgesamt gilt es festzustellen, dass Trampolinpark-assoziierte Verletzungen ein vielfältiges Bild zeigen und aufgrund dieses sehr heterotopen Verletzungsmusters die Behandlung moderne Unfallchirurgen vor große Herausforderungen stellen kann.

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Trampoline injuries compared with other child activities

Cited by 16 publications

References 16 publications

Paediatric playground and tree‐related injuries: Hospital admissions in the Midland region of New Zealand

Paediatric playground and tree‐related injuries: Hospital admissions in the Midland region of New Zealand

Seasonal variability and age‐related risk in youth trampoline injuries

Die spezifischen Auswirkungen und Merkmale von Trampolinpark-assoziierten Verletzungen

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