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儿童和青少年蹦床中心伤害:系统评价和荟萃分析。

Trampoline centre injuries in children and adolescents: a systematic review and meta-analysis.

机构信息

Faculty of Medicine and Health, Discipline of Child and Adolescent Health, The University of Sydney, Sydney, New South Wales, Australia

The Australian Paediatric Surveillance Unit, The Sydney Children's Hospital Network (Westmead), Sydney, New South Wales, Australia.

出版信息

Inj Prev. 2022 Oct;28(5):440-445. doi: 10.1136/injuryprev-2022-044530. Epub 2022 Jun 13.

DOI:10.1136/injuryprev-2022-044530
PMID:35697515
Abstract

CONTEXT

No evidence-based review has compared injury risks sustained on trampolines at home and in trampoline centres.

OBJECTIVE

To present pooled results for injury type, site and treatment from studies reporting injuries that occurred on trampolines at home and in trampoline centres.

DATA SOURCES

MEDLINE, Scopus, Google Scholar and Embase databases were searched to 31 December 2021.

STUDY SELECTION

Inclusion criteria: (1) assessment of trampoline injuries (home and trampoline centres); (2) children and adolescents; (3) the point estimate was reported as an odds ratio (OR); and (4) an internal comparison was used.

DATA EXTRACTION

Data were reported according to Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. A random-effects model was used to estimate effect.

RESULTS

There were 1 386 843 injuries (n=11 studies). There was an increased likelihood of musculoskeletal and/or orthopaedic injuries (OR 2.45, 95% CI 1.66 to 3.61, p<0.001), lower extremity injury (OR 2.81, 95% CI 1.99 to 3.97, p<0.001), sprains (OR 1.64, 95% CI 1.36 to 1.97, p<0.001) and a need for surgery (OR 1.89, 95% CI 1.37 to 2.60, p<0.001) at trampoline centres compared with home trampolines. Conversely, upper extremity injury (OR 0.49, 95% CI 0.25 to 0.95, p=0.03), concussion (OR 0.48, 95% CI 0.35 to 0.65, p<0.001) and lacerations (OR 0.46, 95% CI 0.35 to 0.59, p<0.001) were less likely to occur at trampoline centres than at home.

CONCLUSIONS

Children using trampoline centres are more likely to suffer severe trauma and require surgical intervention than children using home trampolines. Development and implementation of preventative strategies, public awareness, and mandatory safety standards are urgently required for trampoline centres.

摘要

背景

目前尚无基于证据的综述比较过家中和蹦床中心的蹦床使用受伤风险。

目的

汇总报告家中和蹦床中心的蹦床使用受伤类型、部位和治疗结果。

资料来源

检索 MEDLINE、Scopus、Google Scholar 和 Embase 数据库,截至 2021 年 12 月 31 日。

研究选择

纳入标准:(1)评估家中和蹦床中心的蹦床受伤情况;(2)儿童和青少年;(3)点估计值以比值比(OR)报告;(4)采用内部比较。

数据提取

根据系统评价和荟萃分析的首选报告项目(PRISMA)指南报告数据。采用随机效应模型估计效应。

结果

共有 1386843 例损伤(n=11 项研究)。与家中蹦床相比,在蹦床中心更可能发生肌肉骨骼和/或骨科损伤(OR 2.45,95%CI 1.66 至 3.61,p<0.001)、下肢损伤(OR 2.81,95%CI 1.99 至 3.97,p<0.001)、扭伤(OR 1.64,95%CI 1.36 至 1.97,p<0.001)和需要手术(OR 1.89,95%CI 1.37 至 2.60,p<0.001)。相反,与家中蹦床相比,在蹦床中心上肢损伤(OR 0.49,95%CI 0.25 至 0.95,p=0.03)、脑震荡(OR 0.48,95%CI 0.35 至 0.65,p<0.001)和撕裂伤(OR 0.46,95%CI 0.35 至 0.59,p<0.001)的发生可能性较小。

结论

与家中使用蹦床相比,在蹦床中心使用蹦床的儿童更有可能遭受严重创伤并需要手术干预。迫切需要为蹦床中心制定和实施预防策略、提高公众认识和强制性安全标准。

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