Meyerber M, Fraisse B, Dhalluin T, Ryckewaert A, Violas P
Emergency Department, Rennes Hospital, boulevard de Bulgarie, 35000 Rennes, France.
Department of Pediatric Surgery, Rennes Hospital, boulevard de Bulgarie, 35000 Rennes, France.
Arch Pediatr. 2019 Jul;26(5):282-284. doi: 10.1016/j.arcped.2019.05.008. Epub 2019 Jul 4.
Trampolines are responsible for specific injuries. We examined the severity of these injuries in children compared with those occurring in other activities. Our primary goal was to compare the injury severity between trampolining and other activities. Our secondary goal was to evaluate risk factors for severity in order to establish preventative measures and, third, to evaluate the increased prevalence of these injuries in our hospital from 2008 to 2016.
Our study was a retrospective, comparative, descriptive, and epidemiological research. Children aged 2-15 years admitted to our traumatology emergency services between June and October 2016 were included in the study. Non-sport-related injuries were excluded. Serious injuries were classified as fractures and admissions to the operating room.
In total, 1106 children were admitted including 107 trampoline accidents. The fracture rate was similar in the two groups: 34 (31.78%) vs. 309 (30.93%), OR=1.039, 95% CI [0.65, 1.62] P=0.91. Surgical treatments were more frequent in the trampoline group: 4 (3.74%) vs. 18 (1.80%) OR=2.114, 95% CI [0.51, 6.58] P=0.156. Several people jumping simultaneously on the trampoline was a risk factor (OR=1.56, 95% CI [1.0908, 2.308], P=0.018). Parental supervision was a protective factor (OR=0.271, 95% CI [0.08, 0.80], P=0.023). Trampolining accidents were 9.7 times more common in our center in 2016 compared with 2008.
To our knowledge, no study has compared trampoline injuries with those stemming from other activities. Awareness campaigns are needed as well as information from sellers, who have to be trained.
Surgical treatments are twice as likely in trampoline accidents. Prevention is simple: Children should be alone on the trampoline and supervised by an adult.
蹦床会导致特定类型的损伤。我们研究了儿童蹦床损伤与其他活动损伤相比的严重程度。我们的主要目标是比较蹦床活动与其他活动的损伤严重程度。次要目标是评估损伤严重程度的风险因素，以便制定预防措施，第三是评估2008年至2016年我院此类损伤的发病率上升情况。
我们的研究是一项回顾性、对比性、描述性和流行病学研究。纳入2016年6月至10月间入住我院创伤急救科的2至15岁儿童。排除与运动无关的损伤。严重损伤分为骨折和需要手术治疗的情况。
共收治1106名儿童，其中蹦床事故107例。两组骨折发生率相似：34例（31.78%）对309例（30.93%），OR=1.039，95%可信区间[0.65, 1.62]，P=0.91。蹦床组手术治疗更为频繁：4例（3.74%）对18例（1.80%），OR=2.114，95%可信区间[0.51, 6.58]，P=0.156。多人同时在蹦床上跳跃是一个风险因素（OR=1.56，95%可信区间[1.0908, 2.308]，P=0.018）。家长监督是一个保护因素（OR=0.271，95%可信区间[0.08, 0.80]，P=0.023）。2016年我院蹦床事故发生率是2008年的9.7倍。
据我们所知，尚无研究将蹦床损伤与其他活动导致的损伤进行比较。需要开展宣传活动，并向销售者提供信息，销售者必须接受培训。
蹦床事故导致手术治疗的可能性是其他事故的两倍。预防方法很简单：儿童应独自在蹦床上，并由成人监督。
