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不要拆除猴子杠:有关游乐场相关伤害的快速系统评价。

Don't take down the monkey bars: Rapid systematic review of playground-related injuries.

机构信息

Medical student in the Department of Family Medicine and Emergency Medicine at Laval University in Quebec city, Que.

Postdoctoral fellow in the Department of Family Medicine and Emergency Medicine at Laval University in Quebec city, Que.

出版信息

Can Fam Physician. 2019 Mar;65(3):e121-e128.

PMID:30867192
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6515955/
Abstract

OBJECTIVE

To synthesize the available evidence on playground-related injuries and to determine the prevalence of these injuries in pediatric populations.

DATA SOURCES

A rapid systematic review was conducted using PubMed, EMBASE, and the Cochrane Library, as well as the gray literature.

STUDY SELECTION

The search was limited to studies published between 2012 and 2016 and identified a total of 858 articles, of which 22 met our inclusion criteria: original quantitative studies published in peer-reviewed journals in the past 5 years, concerning unintentional injuries in playgrounds in children aged 0 to 18 years.

SYNTHESIS

Information was collected on study and injury characteristics, and the proportion of pediatric injuries related to playground activity was determined. Studies were performed in various countries and most were retrospective cohort studies. The prevalence of playground-related injury ranged from 2% to 34% (median 10%). Studies varied in the types of injuries investigated, including head injuries, genitourinary injuries, ocular and dental trauma, and various types of fractures. Most injuries were low severity.

CONCLUSION

Although playgrounds are a common location where pediatric injuries occur, these injuries are relatively low in frequency and severity.

摘要

目的

综合现有关于游乐场相关伤害的证据,并确定这些伤害在儿科人群中的发生率。

资料来源

使用 PubMed、EMBASE 和 Cochrane 图书馆以及灰色文献进行了快速系统评价。

研究选择

搜索范围限于 2012 年至 2016 年发表的研究,共确定了 858 篇文章,其中 22 篇符合我们的纳入标准:过去 5 年在同行评议期刊上发表的关于 0 至 18 岁儿童游乐场意外伤害的原始定量研究。

综合

收集了关于研究和伤害特征的信息,并确定了与游乐场活动相关的儿科伤害比例。这些研究在不同的国家进行,大多数是回顾性队列研究。游乐场相关伤害的发生率从 2%到 34%(中位数 10%)不等。研究中调查的伤害类型不同,包括头部损伤、泌尿生殖系统损伤、眼部和牙科创伤以及各种类型的骨折。大多数伤害的严重程度较低。

结论

尽管游乐场是儿童受伤的常见场所,但这些伤害的频率和严重程度相对较低。

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Prescribing Outdoor Play: Outdoors Rx.开户外玩耍的处方:户外处方
Clin Pediatr (Phila). 2017 Jun;56(6):519-524. doi: 10.1177/0009922816677805. Epub 2016 Nov 12.
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Motor Skill Development in Italian Pre-School Children Induced by Structured Activities in a Specific Playground.特定游乐场中的结构化活动对意大利学龄前儿童运动技能发展的影响
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What Is the Relationship between Outdoor Time and Physical Activity, Sedentary Behaviour, and Physical Fitness in Children? A Systematic Review.儿童户外活动时间与身体活动、久坐行为及身体素质之间有何关系?一项系统综述。
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What is the Relationship between Risky Outdoor Play and Health in Children? A Systematic Review.儿童户外冒险游戏与健康之间的关系是什么?一项系统综述。
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Falls in young children with minor head injury: A prospective analysis of injury mechanisms.轻度头部受伤幼儿的跌倒:损伤机制的前瞻性分析
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A meta-study of qualitative research examining determinants of children's independent active free play.一项关于儿童独立主动自由玩耍决定因素的定性研究的元研究。
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