Wilson Graham, Sameoto Colleen, Fitzpatrick Eleanor, Hurley Katrina F
Division of Paediatric Emergency Medicine, IWK Health Centre.
Emergency Department, IWK Health Centre.
Cureus. 2018 May 10;10(5):e2609. doi: 10.7759/cureus.2609.
In 2007, the Canadian Pediatric Society (CPS) advised against the recreational use of trampolines at home and reaffirmed that statement in 2013. We evaluated the impact of this position statement on trampoline-related injuries at the IWK Health Centre in Halifax, Nova Scotia.
We completed a retrospective analysis (2001-2015) using the IWK Health Centre's Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) database. The time frame was divided into a pre-statement, post-statement, and post-reaffirmed statement. We included data on captured emergency department visits for children aged 0-16 years with trampoline-related injuries. Demographics, location, and injury mechanism were compared using the chi-squared and z tests. The proportions of trampoline injuries for pre-, post-, and post-reaffirmed statements were compared via analysis of variance (ANOVA).
Since the CPS statement, trampoline-related injuries significantly increased at the IWK Health Centre from 0.9% to 1.6% (p<0.001). Injuries increased in children under four years old and decreased in children 10-14 years (p=0.009). Recreational use at home (93%) remained the most common location of the incident (p<0.001). Fractures (n=277) and sprains/soft tissue injuries (n=232) to the ankle, head/neck, or elbow remained the most common injuries and did not significantly change post-statement or post-reaffirmed statement (p>0.05).
Despite the CPS statement, trampoline-related injuries remain an important source of injuries at the IWK Health Centre. The types of injury did not significantly change during this time frame.
2007年,加拿大儿科学会(CPS)建议不要在家中娱乐性使用蹦床,并于2013年重申了这一立场。我们评估了该立场声明对新斯科舍省哈利法克斯市IWK健康中心蹦床相关损伤的影响。
我们使用IWK健康中心的加拿大医院伤害报告与预防项目(CHIRPP)数据库完成了一项回顾性分析(2001 - 2015年)。时间框架分为声明前、声明后和再次声明后。我们纳入了0 - 16岁儿童因蹦床相关损伤而到急诊科就诊的记录数据。使用卡方检验和z检验比较人口统计学、地点和损伤机制。通过方差分析(ANOVA)比较声明前、声明后和再次声明后蹦床损伤的比例。
自CPS发表声明以来,IWK健康中心蹦床相关损伤显著增加,从0.9%升至1.6%(p<0.001)。4岁以下儿童的损伤增加,10 - 14岁儿童的损伤减少(p = 0.009)。在家中娱乐性使用(93%)仍是事故最常见的发生地点(p<0.001)。脚踝、头部/颈部或肘部的骨折(n = 277)和扭伤/软组织损伤(n = 232)仍是最常见的损伤类型,在声明后和再次声明后没有显著变化(p>0.05)。
尽管有CPS的声明,但蹦床相关损伤仍是IWK健康中心重要的损伤来源。在此时间段内损伤类型没有显著变化。