Department of Emergency Medicine, KK Women's and Children's Hospital, Singapore.
Ann Acad Med Singap. 2022 Sep;51(9):531-539. doi: 10.47102/annals-acadmedsg.202247.
Wheeled recreational devices (WRDs) include tricycles, bicycles, scooters, inline skates, skateboards, longboards and waveboards, and can cause significant morbidity and mortality. This study aimed to describe the epidemiology and nature of injuries sustained by children from WRD use, and risk factors for severe injury.
We described injuries relating to WRD use in children <18 years who presented to the emergency department of an Asian tertiary hospital between 2016 and 2020. Demographic data, site and nature of the injury, and historical trends were analysed. Risk factors for severe injury (defined as fractures or dislocations), Injury Severity Score ≥9, and injuries resulting in hospitalisation, surgery or death were evaluated.
A total of 5,002 patients with 5,507 WRD-related injuries were attended to over the 5-year study period. Median age was 4.7 years. Injuries related to bicycles (54.6%) and scooters (30.3%) were most frequent, followed by skateboards and waveboards (7.4%), inline skates (4.7%), and tricycles (3.0%). Injuries occurred most frequently in public spaces. Soft tissue injuries (49.3%) and fractures (18.7%) were the most common diagnoses. Upper limb (36.4%) and head and neck (29.0%) regions were the most common sites of injury. Among the patients, 1,910 (38%) had severe injuries with potential morbidity. On multivariate analysis, heavier children of the school-going age who use either scooters, skateboards or inline skates are more prone to severe injuries. Involvement in a vehicular collision was a negative predictor.
WRD use in children can result in severe injuries. Wrist and elbow guards, as well as helmets are recommended, along with adequate parental supervision.
轮式娱乐设备（WRD）包括三轮车、自行车、滑板车、直排轮滑鞋、滑板、长板和冲浪板，可能导致严重的发病率和死亡率。本研究旨在描述儿童使用 WRD 造成的伤害的流行病学和性质，以及严重伤害的危险因素。
我们描述了 2016 年至 2020 年期间在亚洲一家三级医院急诊科就诊的 18 岁以下儿童与 WRD 使用相关的伤害。分析了人口统计学数据、损伤部位和性质以及历史趋势。评估了严重损伤（定义为骨折或脱位）、损伤严重程度评分≥9 以及导致住院、手术或死亡的损伤的危险因素。
在 5 年的研究期间，共有 5002 名患者因 5507 例 WRD 相关损伤就诊。中位年龄为 4.7 岁。自行车（54.6%）和滑板车（30.3%）相关的损伤最常见，其次是滑板和冲浪板（7.4%）、直排轮滑鞋（4.7%）和三轮车（3.0%）。损伤最常发生在公共场所。软组织损伤（49.3%）和骨折（18.7%）是最常见的诊断。上肢（36.4%）和头颈部（29.0%）是最常见的损伤部位。在这些患者中，1910 名（38%）有潜在致残风险的严重损伤。多变量分析显示，体型较大的学龄儿童使用滑板车、滑板或直排轮滑鞋更容易发生严重损伤。涉及车辆碰撞是一个负面预测因素。
儿童使用 WRD 可导致严重损伤。建议使用腕部和肘部护具以及头盔，并加强家长监督。
