From the Department of Surgery, Tulane University, School of Medicine, New Orleans, LA.
Department of Orthopedic Surgery, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
Pediatr Emerg Care. 2022 Feb 1;38(2):e894-e899. doi: 10.1097/PEC.0000000000002457.
As trampoline use grows more popular in the United States, the frequency of injuries continues to climb. We hypothesized that toddlers would be at the highest risk for trampoline injuries requiring hospitalization.
The National Electronic Injury Surveillance System database was examined for trampoline injuries from 2009 to 2018. Patients were categorized into 3 main age groups: toddlers (<2 years), children (2-12 years), and adolescents (13-18 years). Regression models were used to identify patients at high risk for injury or hospitalization.
There was a total of 800,969 meeting inclusion criteria, with 433,827 (54.2%) occurring at their own homes and 86,372 (18.1%) at the sporting venue. Of the total, 36,789 (4.6%) were admitted to a hospital. Fractures (N = 270,884, 34%), strain/sprain injuries (N = 264,990, 33%), followed by skin contusions/abrasions (N = 115,708, 14%) were the most common diagnoses. The most frequent injury sites were lower and upper extremities accounting for 329,219 (41.1%) and 244,032 (30.5%), whereas 175,645 (21.9%) had head and neck injuries. Musculoskeletal injuries (74%) and concussions (2.6%) were more frequent in adolescents than children (67.6% and 1.6%) and toddlers (56.3% and 1.3%). Internal organ and soft tissue injuries were frequent in toddlers. There were no fatalities reported in the injured patients. Multivariate analysis showed adolescents, female sex, extremity injuries, and musculoskeletal injuries were associated with hospitalization. Injury at a sporting venue was not associated with hospitalization.
Adolescents and girls are at increased risk of trampoline injury, warranting hospitalization. Safety standards may help prevent extremity and musculoskeletal injuries in the pediatric population. Finally, use of trampolines at sporting venues does not appear to be particularly dangerous.
随着美国蹦床使用的日益普及，受伤频率持续上升。我们假设幼儿是最容易因需要住院的蹦床受伤的人群。
检查了 2009 年至 2018 年期间国家电子伤害监测系统数据库中的蹦床伤害情况。患者分为 3 个主要年龄组：幼儿（<2 岁）、儿童（2-12 岁）和青少年（13-18 岁）。使用回归模型确定高风险受伤或住院的患者。
共有 800969 例符合纳入标准，其中 433827 例（54.2%）发生在自家，86372 例（18.1%）发生在运动场所。其中，36789 例（4.6%）住院。骨折（N=270884，34%）、拉伤/扭伤（N=264990，33%）、其次是皮肤挫伤/擦伤（N=115708，14%）是最常见的诊断。最常见的受伤部位是下肢和上肢，占 329219 例（41.1%）和 244032 例（30.5%），而 175645 例（21.9%）有头颈部受伤。与儿童（67.6%和 1.6%）和幼儿（56.3%和 1.3%）相比，青少年的肌肉骨骼损伤（74%）和脑震荡（2.6%）更为常见。幼儿内脏器官和软组织损伤较为常见。受伤患者中无死亡报告。多变量分析显示，青少年、女性、四肢受伤和肌肉骨骼受伤与住院有关。在运动场所受伤与住院无关。
青少年和女孩因蹦床受伤的风险增加，需要住院治疗。安全标准可能有助于预防儿科人群的四肢和肌肉骨骼受伤。最后，在运动场所使用蹦床似乎并不是特别危险。
