Loder Randall T, Schultz William, Sabatino Meagan
*Department of Orthopaedic Surgery, Indiana School of Medicine, Indiana University †The James Whitcomb Riley Children's Hospital, Indianapolis, IN.
J Pediatr Orthop. 2014 Oct-Nov;34(7):683-90. doi: 10.1097/BPO.0000000000000189.
No study specifically analyzes trampoline fracture patterns across a large population. The purpose of this study was to determine such patterns.
We queried the National Electronic Injury Surveillance System database for trampoline injuries between 2002 and 2011, and the patients were analyzed by age, sex, race, anatomic location of the injury, geographical location of the injury, and disposition from the emergency department (ED). Statistical analyses were performed with SUDAAN 10 software. Estimated expenses were determined using 2010 data.
There were an estimated 1,002,735 ED visits for trampoline-related injuries; 288,876 (29.0%) sustained fractures. The average age for those with fractures was 9.5 years; 92.7% were aged 16 years or younger; 51.7% were male, 95.1% occurred at home, and 9.9% were admitted. The fractures were located in the upper extremity (59.9%), lower extremity (35.7%), and axial skeleton (spine, skull/face, rib/sternum) (4.4%-spine 1.0%, skull/face 2.9%, rib/sternum 0.5%). Those in the axial skeleton were older (16.5 y) than the upper extremity (8.7 y) or lower extremity (10.0 y) (P<0.0001) and more frequently male (67.9%). Lower extremity fractures were more frequently female (54.0%) (P<0.0001). The forearm (37%) and elbow (19%) were most common in the upper extremity; elbow fractures were most frequently admitted (20.0%). The tibia/fibula (39.5%) and ankle (31.5%) were most common in the lower extremity; femur fractures were most frequently admitted (57.9%). Cervical (36.4%) and lumbar (24.7%) were most common locations in the spine; cervical fractures were the most frequently admitted (75.6%). The total ED expense for all trampoline injuries over this 10-year period was $1.002 billion and $408 million for fractures.
Trampoline fractures most frequently involve the upper extremity followed by the lower extremity, >90% occur in children. The financial burden to society is large. Further efforts for prevention are needed.
尚无研究专门分析大量人群中的蹦床骨折模式。本研究的目的是确定这些模式。
我们查询了国家电子伤害监测系统数据库中2002年至2011年期间的蹦床伤害情况，并按年龄、性别、种族、受伤的解剖部位、受伤的地理位置以及急诊科的处置情况对患者进行了分析。使用SUDAAN 10软件进行统计分析。使用2010年的数据确定估计费用。
估计有1,002,735人次因蹦床相关伤害到急诊科就诊；288,876人（29.0%）发生骨折。骨折患者的平均年龄为9.5岁；92.7%的患者年龄在16岁及以下；51.7%为男性，95.1%的伤害发生在家中，9.9%的患者住院。骨折部位在上肢（59.9%）、下肢（35.7%）和轴向骨骼（脊柱、颅骨/面部、肋骨/胸骨）（4.4%——脊柱1.0%、颅骨/面部2.9%、肋骨/胸骨0.5%）。轴向骨骼骨折患者的年龄（16.5岁）大于上肢骨折患者（8.7岁）或下肢骨折患者（10.0岁）（P<0.0001），且男性更为常见（67.9%）。下肢骨折女性更为常见（54.0%）（P<0.0001）。上肢骨折中最常见的是前臂（37%）和肘部（19%）；肘部骨折住院率最高（20.0%）。下肢骨折中最常见的是胫腓骨（39.5%）和踝关节（31.5%）；股骨骨折住院率最高（57.9%）。脊柱骨折最常见的部位是颈椎（36.4%）和腰椎（24.7%）；颈椎骨折住院率最高（75.6%）。这10年期间所有蹦床伤害的急诊科总费用为10.02亿美元（骨折相关费用为4.08亿美元）。
蹦床骨折最常累及上肢，其次是下肢，超过90%发生在儿童。对社会造成的经济负担巨大。需要进一步努力进行预防。
