Lee Geonmoo, Kim Do Kyun, Park Joong Wan, Kwak Young Ho, Jung Jae Yun
Department of Emergency Medicine, Seoul National University Hospital, Seoul, Korea.
Department of Emergency Medicine, Seoul National University College of Medicine, Seoul, Korea.
Clin Exp Emerg Med. 2020 Sep;7(3):190-196. doi: 10.15441/ceem.19.060. Epub 2020 Sep 30.
Trampoline-related injuries have increased in South Korea. However, little research has been conducted on this topic. This study aimed to show the characteristics of pediatric trampoline-related injuries in South Korea and to investigate the factors associated with admission.
A retrospective, cross-sectional study was conducted using data from South Korea's Emergency Department-based Injury In-depth Surveillance registry for dates between January 2011 and December 2016. All patients under 18 years of age with trampoline-related injuries were included. We divided the patients into two groups based on whether they were admitted or discharged. Odds ratios with 95% confidence intervals were calculated to evaluate the factors associated with hospital admission for pediatric trampoline-related injuries.
A total of 2,745 patients were enrolled and the incidence increased over time (P for trend<0.01). The most common injury site was the lower extremity (45%). Fracture was the most frequent diagnosis (34.3%). Compared to the discharge group, the adjusted odds ratios (95% confidence intervals) for hospital admission were 3.53 (1.73-7.17) for the teenage group, 2.62 (1.82-3.77) for upper extremity injuries, 18.48 (7.95-42.95) for fractures, 2.28 (1.35-3.86) for falls, and 2.04 (1.15-3.60) for collisions.
Trampoline-related injuries in children have increased over time in South Korea. Most occur in children under the age of 12 years, but children between the ages of 13 and 18 years are at a higher risk for hospitalization. Also, injuries of the upper extremity, fracture, falling, and collision are risk factors for admission. Preventive strategies are needed to reduce trampoline-related injuries in children.
韩国与蹦床相关的损伤有所增加。然而，关于这一主题的研究很少。本研究旨在揭示韩国儿童蹦床相关损伤的特征，并调查与入院相关的因素。
采用2011年1月至2016年12月期间韩国基于急诊科的伤害深度监测登记处的数据进行一项回顾性横断面研究。纳入所有18岁以下有蹦床相关损伤的患者。我们根据患者是入院还是出院将其分为两组。计算95%置信区间的比值比，以评估儿童蹦床相关损伤入院的相关因素。
共纳入2745例患者，发病率随时间增加（趋势P<0.01）。最常见的损伤部位是下肢（45%）。骨折是最常见的诊断（34.3%）。与出院组相比，青少年组入院的调整后比值比（95%置信区间）为3.53（1.73 - 7.17），上肢损伤为2.62（1.82 - 3.77），骨折为18.48（7.95 - 42.95），跌倒为2.28（1.35 - 3.86），碰撞为2.04（1.15 - 3.60）。
韩国儿童蹦床相关损伤随时间增加。大多数发生在12岁以下儿童，但13至18岁儿童住院风险更高。此外，上肢损伤、骨折、跌倒和碰撞是入院的危险因素。需要采取预防策略以减少儿童蹦床相关损伤。
