6556Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USA.
Department of Surgery, Division of Trauma and Acute Care Surgery, 209639Penn Medicine Lancaster General Health, Lancaster, PA, USA.
Am Surg. 2022 Mar;88(3):419-423. doi: 10.1177/00031348211048834. Epub 2021 Nov 3.
It is well known that trampolines can be a particular source of danger, especially in children. We sought to examine the profile of those patients with trampoline injuries. We hypothesized there would be certain injury patterns predicative of trampoline injuries.
All patients submitted to Pennsylvania Trauma Outcome Study database from 2016 to 2018 were analyzed. Trampoline injury was determined by ICD-10 activity code. Injury patterns in the form of abbreviated injury scale body regions were examined. Patient demographics and clinical variables were compared between those with trampoline injury vs those without.
There were 107 patients with a trampoline injury. All of these patients were discharged alive and had a blunt mechanism of injury. The most common injury type was injury to the extremities (n=90,[84.1%]) with 54(50.5%) upper extremity injuries and 36(33.6%) lower extremity injuries. Ten (9.35%) patients had injury to the spine and five (4.67%) had head injury. Those with trampoline injuries were significantly younger (13y vs. 48.6y) and more likely to be white or of Hispanic ethnicity. Almost half of the patients injured (49.5%) were under 10 years. Patients with trampoline injuries had significantly lower Injury Severity Scores and significantly higher shock index.
The majority of patients with trampoline injuries had injury to an extremity. These results help better understand the demographic, physiologic, and anatomic patterns surrounding trampoline injuries. Current government standards recommend that no child under age six should use a full-sized trampoline; however, based of this study, we advise that this age be increased to ten.
众所周知，蹦床可能是一个特别危险的来源，尤其是对儿童而言。我们试图研究那些因蹦床受伤的患者的情况。我们假设存在某些可预测蹦床受伤的特定损伤模式。
分析了 2016 年至 2018 年期间宾夕法尼亚创伤结局研究数据库中的所有患者。通过 ICD-10 活动代码确定蹦床损伤。检查了缩写损伤量表身体区域的损伤模式。比较了有蹦床损伤的患者和无蹦床损伤的患者的患者人口统计学和临床变量。
有 107 例患者发生了蹦床损伤。所有这些患者出院时均存活，且损伤机制为钝性。最常见的损伤类型是四肢损伤（n=90，[84.1%]），其中 54 例（50.5%）为上肢损伤，36 例（33.6%）为下肢损伤。10 例（9.35%）患者有脊柱损伤，5 例（4.67%）有头部损伤。有蹦床损伤的患者明显更年轻（13 岁 vs. 48.6 岁），且更可能为白人或西班牙裔。近一半受伤的患者（49.5%）年龄在 10 岁以下。有蹦床损伤的患者的损伤严重程度评分明显较低，休克指数明显较高。
大多数有蹦床损伤的患者都有四肢损伤。这些结果有助于更好地了解围绕蹦床损伤的人口统计学、生理学和解剖学模式。目前政府标准建议，年龄在 6 岁以下的儿童不应使用全尺寸蹦床；然而，根据本研究，我们建议将这个年龄提高到 10 岁。
