Pediatric Fractures Secondary to Trampoline Injury: A Prospective Analysis of User Circumstances and Injury Severity with Respect to American Academy of Pediatrics Policy Statement
Journal Title: Çocuk Acil ve Çocuk Yoğun Bakım Dergisi - Year 2016, Vol 3, Issue 1
Abstract
Introduction: The purpose of this study was to prospectively analyze injury patterns and severity with respect to American Academy of Pediatrics/Council on Sports Medicine and Fitness (AAP/CSMF) safety guidelines, and to report parental safety-awareness and behavior. Methods: Two hundred ninety-nine consecutive patients were enrolled. Measures of severity included the abbreviated injury scale (AIS), and need for sedated procedure/surgery. Risk factors were defined by the AAP/CSMF recommendations. Results: Of the 299 patients, 99% (296/299) had severe/serious or moderate AIS scores. 49% (147/299) required a surgical intervention or sedation-assisted fracture manipulation. An adult was present during 72% (214/299) of injuries, and 55% (164/299) of injuries occurred with use of protective safety devices. 86% (255/299) of injuries occurred with multiple children on the trampoline. 42% (126/299) of injuries occurred in children less than 6 years of age, and a high-risk maneuver was attempted in 23% (70/299). Children less than 6 years old did not sustain more severe injuries compared to older children (p=0.81). Paradoxically, having less children on the trampoline correlated to sustaining more severe injuries (p=0.03). 83% (248/299) of parents reported awareness of the dangers of trampolines prior to their child’s injury. Conclusion: This study reinforces the AAP/CMSF discouragement of home trampoline use, multiple jumpers, and younger children. Safety equipment, avoidance of high-risk maneuvers, parental supervision, and parental awareness of trampoline dangers did not decrease injury severity. There is no such thing as “safe” trampolining, and severe injuries occur despite the best vigilance of parents.
Authors and Affiliations
Christine Ho, James Phelps, Neil Evans, Pam Okada, Philip Wilson
Keywords
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