Choi Eun Seok, Jang Jae Ho, Woo Jae Hyug, Choi Ji Uk, Cho Jin Seong, Yang Hyuk Jun
Department of Orthopedic Surgery, Chungnam National University School of Medicine, Daejeon, Korea.
Department of Emergency and Critical Care Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.
Yonsei Med J. 2018 Oct;59(8):989-994. doi: 10.3349/ymj.2018.59.8.989.
Trampoline-related injuries are steadily increasing. To our knowledge, there have been very few studies on trampoline injuries in Asia. The purpose of this study is to report the characteristics of pediatric trampoline injuries in Korea.
We conducted a nationwide retrospective cohort study. Data were collected from prospective nationwide databases (Emergency Department-based Injury In-depth Surveillance databases of the Korea Centers for Disease Control and Prevention) for patients who visited emergency departments (EDs) after injuries during 2011-2016.
Of 263712 patients between 0 and 17 years of age, 2799 patients with trampoline injuries visited EDs. The median age of the patients was 5 years (interquartile range, 3-8 years), and 63% of the patients were under 6 years old. Of the patients, 1526 (54.2%) were male. Seventy-six percent of injuries occurred at trampoline parks. Trampoline injuries and trampoline park injuries have increased steadily, while ages at injury have gradually decreased year by year (<0.001). Injury locations included the lower extremity (47%), head and face (24%), and upper extremity (24%). A fracture was sustained by 886 (31.7%) patients. The distal humerus and proximal tibia were the most common fracture sites (34% and 23%, respectively). Fractures occurred more commonly in trampoline parks than in homes (33.7% vs. 21.1%, <0.001).
In Korea, pediatric trampoline injuries and trampoline park injuries have tended to increase, while ages at injury have tended to decrease. Policies to prevent trampoline injuries are needed.
与蹦床相关的损伤正呈稳步上升趋势。据我们所知,亚洲针对蹦床损伤的研究极少。本研究旨在报告韩国儿童蹦床损伤的特征。
我们开展了一项全国性的回顾性队列研究。数据收集自前瞻性全国数据库(韩国疾病控制与预防中心基于急诊科的损伤深度监测数据库),研究对象为2011年至2016年间受伤后前往急诊科就诊的患者。
在263712名0至17岁的患者中,有2799名因蹦床损伤前往急诊科就诊。患者的中位年龄为5岁(四分位间距为3 - 8岁),63%的患者年龄在6岁以下。其中,1526名(54.2%)为男性。76%的损伤发生在蹦床公园。蹦床损伤和蹦床公园损伤呈稳步上升趋势,而受伤年龄逐年逐渐降低(<0.001)。损伤部位包括下肢(47%)、头面部(24%)和上肢(24%)。886名(31.7%)患者发生了骨折。肱骨远端和胫骨近端是最常见的骨折部位(分别为34%和23%)。骨折在蹦床公园比在家中更常见(33.7%对21.1%,<0.001)。
在韩国,儿童蹦床损伤和蹦床公园损伤呈上升趋势,而受伤年龄呈下降趋势。需要制定预防蹦床损伤的政策。