Sandler Gideon, Nguyen Linh, Lam Lawrence, Manglick Maria P, Soundappan Soundappan S V, Holland Andrew J A
Department of Paediatric Surgery and Centre for Trauma Care, Prevention, Education and Research, The Children's Hospital at Westmead, Sydney Medical School, The University of Sydney, New South Wales, Australia.
Pediatr Emerg Care. 2011 Nov;27(11):1052-6. doi: 10.1097/PEC.0b013e318235e9e0.
Trampoline injuries represent a preventable cause of injury in children. This study identified the characteristics of children injured while using trampolines who presented to a pediatric trauma center in Sydney, Australia.
The Pediatric Trauma Database at our institution was reviewed to identify children with trampoline-related injuries between January 1999 and June 2008. Data collected included age, sex, Injury Severity Score, anatomical region injured, type of injury, mechanism of injury, site of injury and surface fallen onto, level of supervision, treatment, and hospital length of stay.
Over the 9.5-year review period, 383 children presented with trampoline-related injuries: 193 (50.4%) were female. Just over a quarter (n = 106, 27.7%) were treated and discharged the same day. The remaining patients accounted for 725 hospital bed days with a mean length of stay of 2.3 days. The most common area of the body injured was the upper limb (n = 246, 64.2%), with a fall from the trampoline to the ground being the most frequent mechanism of injury (n = 257, 67.1%). The majority (n = 345, 90.1%) of children were injured in their home or at the home of a friend or relative. Surgery was required in 236 (61.6%), with closed reduction of an upper limb fracture being the most common procedure (n = 107, 27.9%).
Trampoline-related injuries remain common in children. Implementation of current guidelines and the introduction of innovative trampoline designs should reduce the risk of this injury in children.
蹦床损伤是儿童可预防的受伤原因。本研究确定了在澳大利亚悉尼一家儿科创伤中心就诊的使用蹦床时受伤儿童的特征。
回顾我们机构的儿科创伤数据库，以确定1999年1月至2008年6月期间与蹦床相关损伤的儿童。收集的数据包括年龄、性别、损伤严重程度评分、受伤的解剖区域、损伤类型、损伤机制、受伤部位和摔倒的表面、监督水平、治疗和住院时间。
在9.5年的回顾期内，383名儿童出现与蹦床相关的损伤：193名（50.4%）为女性。略多于四分之一（n = 106，27.7%）患者在当天接受治疗并出院。其余患者共占用725个住院日，平均住院时间为2.3天。身体最常受伤的部位是上肢（n = 246，64.2%），从蹦床上摔到地面是最常见的损伤机制（n = 257，67.1%）。大多数（n = 345，90.1%）儿童在家中或朋友或亲戚家受伤。236名（61.6%）需要手术，上肢骨折闭合复位是最常见的手术（n = 107，27.9%）。
蹦床相关损伤在儿童中仍然很常见。实施现行指南并引入创新的蹦床设计应能降低儿童发生此类损伤的风险。
