Hurson Conor, Browne Katherine, Callender Orla, O'Donnell Turlough, O'Neill Anthony, Moore David P, Fogarty Esmond E, Dowling Francis E
Our Lady's Children's Hospital, Crumlin, Dublin, Ireland.
J Pediatr Orthop. 2007 Oct-Nov;27(7):729-32. doi: 10.1097/BPO.0b013e318155ab1.
The recreational use of trampolines has increased dramatically during the last 10 years. There has been a striking increase in the number of children presenting to fracture clinics with injuries associated with trampoline use. This increase in trampoline injuries has been reported in North America, but there has been a paucity of research in this area in Europe.
We prospectively recorded details of patients presenting to our institution, Our Lady's Children's Hospital, Crumlin (Dublin, Ireland), during the busy summer months of June, July, and August 2005. Details recorded included type and mechanism of injury, the mode of referral, treatment, inpatient days, outpatient visits, specific details relating to trampoline safety, and an analysis of the cost of medical care.
There were 101 patients treated for trampoline-related injuries in 3 months from June to August 2005. This represented 1.5% of the total attendances to the emergency department. The average age was 8.5 years (range, 1.4-17.4 years). There were 55 fractures, 38 soft tissue injuries, 5 head injuries, and 5 neck injuries, with an average Pediatric Trauma Score of 11.4. Fifty seven percent (58/101) of patients were on the trampoline with at least 1 other person. Twenty patients (19.8%) were admitted to hospital requiring 71 inpatient days. Twelve patients were treated in theatre. There were 163 fracture clinic visits, 212 x-rays, and 2 magnetic resonance imaging scans.
Trampolines are a high-risk activity with the potential for significant orthopaedic injury. In Ireland, we have recently seen a dramatic increase in pediatric trampoline-related injuries mirroring the trend in the United States during the last 10 to 15 years. We found that more than 1 individual on a trampoline is a major risk factor for injury, where the lightest person is 14 times more likely to be injured than the heavier. The lighter person also has a greater chance of being injured with smaller numbers on the trampoline. We reiterate the American Academy of Pediatrics policy statement advice that trampolines be used only in supervised training programs--never at home, in outdoor playgrounds, or in schools. The public should be made aware of the potential dangers of trampolines through public health campaigns, radio, and television.
在过去10年中，蹦床的娱乐性使用急剧增加。因蹦床使用相关损伤前往骨折诊所就诊的儿童数量显著上升。北美地区已报道了蹦床损伤的这种增加情况，但欧洲在该领域的研究较少。
我们前瞻性地记录了2005年6月、7月和8月这几个繁忙夏季期间到我们机构——爱尔兰都柏林克鲁姆林圣母儿童医院就诊的患者的详细信息。记录的详细信息包括损伤类型和机制、转诊方式、治疗情况、住院天数、门诊就诊情况、与蹦床安全相关的具体细节以及医疗费用分析。
2005年6月至8月的3个月内，有101例患者因蹦床相关损伤接受治疗。这占急诊科总就诊人数的1.5%。平均年龄为8.5岁（范围为1.4 - 17.4岁）。有55例骨折、38例软组织损伤、5例头部损伤和5例颈部损伤，儿童创伤评分平均为11.4。57%（58/101）的患者在蹦床上时至少还有1人。20例患者（19.8%）住院，共需71个住院日。12例患者在手术室接受治疗。有163次骨折诊所就诊、212次X光检查和2次磁共振成像扫描。
蹦床是一项高风险活动，有可能导致严重的骨科损伤。在爱尔兰，我们最近看到与蹦床相关的儿童损伤急剧增加，这与美国过去10至15年的趋势相似。我们发现，蹦床上有不止1人是受伤 的主要风险因素，其中最轻的人受伤的可能性是较重的人的14倍。在蹦床上人数较少时，较轻的人受伤的几率也更大。我们重申美国儿科学会政策声明中的建议，即蹦床仅应在有监督的训练项目中使用——绝不在家中、户外游乐场或学校使用。应通过公共卫生运动、广播和电视让公众了解蹦床的潜在危险。
