Chen Monica, Cundy Peter, Antoniou Georgia, Williams Nicole
Department of Orthopaedic Surgery and Paediatric Trauma Service, Women's and Children's Hospital, Adelaide, South Australia, Australia.
Centre for Orthopaedic and Trauma Research, University of Adelaide, Adelaide, South Australia, Australia.
J Paediatr Child Health. 2019 Feb;55(2):175-180. doi: 10.1111/jpc.14144. Epub 2018 Aug 9.
To compare trampoline injuries and injury costs sustained at a commercial trampoline park versus private homes presenting to a major Australian children's hospital over a 12-month period.
Children presenting with a trampoline injury to the paediatric emergency department in 2015 were identified using a keyword search of triage information. A comparison of injuries sustained at a commercial trampoline park and private homes was performed.
A total of 392 children presented with injuries, and the majority of injuries (68.9%) occurred at a private home; 19.4% were from a commercial trampoline park. Significant differences were seen between patients from a private home and commercial park for median age (5.6 vs. 12.8 years; P < 0.001), gender (48.2 vs. 61.8% female; P = 0.03) and season of injury. Of the injuries, 27.3% occurred when children fell off the trampoline, and fractures (39.5%) were the most common injury; 17.4% required hospital admission, and 12.8% required surgical intervention. Commercial park injuries had a significantly longer median length of stay (37.4 vs. 22.8 h; P = 0.03). The estimated total acute cost for these trampoline injuries in 1 year was $546 786. Commercial trampoline park injuries accounted for 21.7% of the estimated cost and private homes for 68.2%.
Paediatric trampoline injuries remain a common source of hospital presentation and admission, despite the introduction of a Voluntary Australian Standard. Paediatric trampoline injuries usually occur in private homes; however, the increasing popularity of commercial trampoline parks contributes to a change in the profile of trampoline injuries. Commercial park injuries were more expensive to treat.
比较在12个月期间，商业蹦床公园与私人住宅中发生的蹦床损伤及损伤成本，这些损伤案例均送至一家大型澳大利亚儿童医院。
通过对分诊信息进行关键词搜索，确定2015年因蹦床损伤前往儿科急诊科就诊的儿童。对在商业蹦床公园和私人住宅中发生的损伤进行比较。
共有392名儿童因蹦床损伤前来就诊，大多数损伤（68.9%）发生在私人住宅；19.4%来自商业蹦床公园。私人住宅和商业蹦床公园的患者在年龄中位数（5.6岁对12.8岁；P<0.001）、性别（女性分别为48.2%对61.8%；P=0.03）和损伤季节方面存在显著差异。在这些损伤中，27.3%是儿童从蹦床上跌落时发生的，骨折（39.5%）是最常见的损伤；17.4%的患者需要住院治疗，12.8%需要手术干预。商业蹦床公园损伤患者的住院时间中位数显著更长（37.4小时对22.8小时；P=0.03）。这些蹦床损伤在1年内的估计总急性成本为546,786美元。商业蹦床公园损伤占估计成本的21.7%，私人住宅损伤占68.2%。
尽管澳大利亚出台了自愿性标准，但儿科蹦床损伤仍是儿童住院就诊和入院的常见原因。儿科蹦床损伤通常发生在私人住宅；然而，商业蹦床公园日益普及，导致蹦床损伤情况有所变化。在商业蹦床公园发生的损伤治疗费用更高。
