Nabavizadeh Behnam, Namiri Nikan K, Hakam Nizar, Li Kevin D, Amend Gregory M, Breyer Benjamin N
Department of Urology, University of California San Francisco, San Francisco, CA.
Department of Urology, University of California San Francisco, San Francisco, CA; Department of Biostatistics and Epidemiology, University of California San Francisco, San Francisco, CA.
Urology. 2021 Jun;152:84-90. doi: 10.1016/j.urology.2021.03.012. Epub 2021 Mar 26.
To evaluate the demographics, epidemiology, and common mechanisms associated with playground equipment-related genital injuries in children.
We examined the National Electronic Injury Surveillance System database to obtain playground-related genital injuries sustained in children ≤17 years from 2010 to 2019. Demographics of the patients and injury characteristics were analyzed using sample weights to produce national estimates.
During the study period, an estimated 27,738 (95% confidence interval 18,602-36,874) emergency department visits with an average annual incidence of 3.8 (95% confidence interval 2.5-5) per 100,000 United States population ≤17 years were reported. The mean age was 6.6 (standard error 0.152) years with most injuries occurring in pre-school children (48.1%) and females (81.1%). Over ½ of genital injuries (55.2%) were associated with climbing apparatus. This was followed by slides (10.7%), swings (9%), and seesaws (4.8%). Most genital injuries occurred at public (41.4%) and school settings (36.3%). Straddling and/or falling was the most common mechanism leading to genital injuries (84.4%). The incidence of injuries remained constant during the 10-year study period (change = + 2.6%; r = 0.121, P = .326). Monthly variations in the number of injuries existed with peak injuries in April-May, and September-October.
Despite current safety standards, genital injuries arising from playground equipment have remained stable since 2010. By defining common devices, mechanisms, and conditions associated with genital injuries, this study may help guide efforts aimed at the prevention of such injuries in various locations.
评估与儿童游乐场设备相关的生殖器损伤的人口统计学、流行病学及常见机制。
我们查阅了国家电子伤害监测系统数据库，以获取2010年至2019年17岁及以下儿童遭受的与游乐场相关的生殖器损伤情况。使用样本权重分析患者的人口统计学特征和损伤特点，以得出全国估计值。
在研究期间，据报告，估计有27738例（95%置信区间为18602 - 36874）急诊就诊病例，美国17岁及以下人群的平均年发病率为每10万人3.8例（95%置信区间为2.5 - 5例）。平均年龄为6.6岁（标准误为0.152），大多数损伤发生在学龄前儿童（48.1%）和女性（81.1%）中。超过一半的生殖器损伤（55.2%）与攀爬设备有关。其次是滑梯（10.7%）、秋千（9%）和跷跷板（4.8%）。大多数生殖器损伤发生在公共场所（41.4%）和学校环境（36.3%）。骑跨和/或摔倒 是导致生殖器损伤的最常见机制（84.4%）。在10年的研究期间，损伤发生率保持不变（变化 = +2.6%；r = 0.121，P = 0.326）。损伤数量存在月度变化，4 - 5月和9 - 10月损伤达到峰值。
尽管有现行的安全标准，但自2010年以来，游乐场设备引起的生殖器损伤一直保持稳定。通过确定与生殖器损伤相关的常见设备、机制和环境，本研究可能有助于指导在不同场所预防此类损伤的工作。
