Cho Min Jeng, Kim Jihoon, Kim Sung Jeep, Kyoung Kyu Hyouck, Keum Min Ae, Park Sung Kyun
Department of Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
Korean J Pediatr. 2019 Mar;62(3):90-94. doi: 10.3345/kjp.2018.06814. Epub 2019 Mar 11.
Several published policy statements have warned against the risks associated with trampoline use and recommended safety guidelines. However, few studies have focused on trampoline-related injuries in Korea. This study aimed to assess the incidence and characteristics of pediatric trampoline-related injuries presented to Ulsan University Hospital.
We retrospectively reviewed the medical records of children aged <16 years with trampoline-related injuries who visited our Emergency Department between 2008 and 2017.
Over the 10-year period, 178 trampoline-related injuries were reported, which represented a significant increase (P=0.016). Most (87.6%) of the injuries occurred during the last 5 study years, and a rapid increase in injuries was observed in children aged <6 years. Lower extremity injuries (62.4%) were the most common, followed by injuries of the upper extremities, head and face, and trunk, including injuries to the neck and spine. Sixty-seven children (37.6%) had fractures, and proximal tibia fractures were the most common. Fractures were significantly more common in younger children (<6 years old) than in older children (P=0.026).
In Korea, the mechanism of trampoline injury is similar to that of injuries incurred in indoor trampoline parks but is characterized by smaller spaces and multiple users. Trampoline use and the incidence of trampoline-related injuries in children aged <6 years are increasing rapidly. Prohibiting the use of trampolines for children aged <6 years, restricting simultaneous use by multiple children, and ensuring adult supervision should be strictly emphasized. Public awareness and policy guidelines are needed to reduce the incidence of trampoline-related injuries.
多项已发表的政策声明对使用蹦床相关的风险提出了警告,并推荐了安全指南。然而,在韩国,很少有研究关注与蹦床相关的损伤。本研究旨在评估蔚山大学医院收治的儿童蹦床相关损伤的发生率及特征。
我们回顾性分析了2008年至2017年间因蹦床相关损伤就诊于我院急诊科的16岁以下儿童的病历。
在这10年期间,共报告了178例蹦床相关损伤,呈现出显著增加(P = 0.016)。大多数损伤(87.6%)发生在研究的最后5年,且6岁以下儿童的损伤数量迅速增加。下肢损伤(62.4%)最为常见,其次是上肢、头部和面部以及躯干损伤,包括颈部和脊柱损伤。67名儿童(37.6%)发生骨折,胫骨近端骨折最为常见。骨折在年幼儿童(<6岁)中比年长儿童更常见(P = 0.026)。
在韩国,蹦床损伤机制与室内蹦床公园的损伤机制相似,但特点是空间较小且使用者众多。6岁以下儿童使用蹦床及蹦床相关损伤的发生率正在迅速上升。应严格强调禁止6岁以下儿童使用蹦床、限制多名儿童同时使用以及确保成人监督。需要提高公众意识并制定政策指南以降低蹦床相关损伤的发生率。