Playground Equipment Related Injuries in Preschool-Aged Children: Emergency Department-based Injury In-depth Surveillance.
10.3346/jkms.2017.32.3.534
- Author:
Sohyun BAE
1
;
Ji Sook LEE
;
Kyung Hwan KIM
;
Junseok PARK
;
Dong Wun SHIN
;
Hyunjong KIM
;
Joon Min PARK
;
Hoon KIM
;
Woochan JEON
Author Information
1. Department of Emergency Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea. woowoochan@gmail.com
- Publication Type:Original Article
- Keywords:
Preschool Child;
Wounds and Injuries;
Play and Playthings;
Brain Injuries;
Bone Fracture
- MeSH:
Brain Injuries;
Child*;
Child, Preschool;
Emergencies*;
Emergency Service, Hospital;
Extremities;
Fractures, Bone;
Humans;
Incidence;
Lower Extremity;
Observational Study;
Odds Ratio;
Play and Playthings;
Retrospective Studies;
Upper Extremity;
Wounds and Injuries
- From:Journal of Korean Medical Science
2017;32(3):534-541
- CountryRepublic of Korea
- Language:English
-
Abstract:
In this study, we investigated playground equipment related injuries in preschool-aged children. This was a retrospective observational study using Emergency Department based Injury In-depth Surveillance, (2011–2014). We included the preschool-aged children with playground equipment related injuries. We surveyed the mechanism and incidence of injuries, and estimated the odds ratio (OR) of traumatic brain injury (TBI) and upper/lower extremities fracture. There were 6,110 patients, mean age was 4.14 ± 1.95 years old. Slide and swing related injuries were 2,475 (40.5%) and 1,102 (18.0%). Fall down (48.5%) was the most common mechanism. The OR of TBI in children 0–2 years old was 1.88 times higher than children 3–7 years old, and in swing was 4.72 (OR, 4.72; 95% confidence interval [CI], 2.37–9.40) times higher than seesaw. The OR of upper extremity fracture in children 3–7 years old was 3.07 times higher than children 0–2 years old, and in climbing was 2.03 (OR, 2.03; 95% CI, 1.63–2.52) times higher than swing. The OR of lower extremity fractures in horizontal bars, tightropes, and trampolines was 2.95 (OR, 2.95; 95% CI, 1.55–5.61) times higher than swing. The most common mechanism and playground equipment were fall down and slide. TBI was associated to younger children (0–2 years old) and swing. Fracture of upper extremities was associated to older children (3–7 years old) and climbing. Fracture of lower extremities was associated to others such as horizontal bars, tightropes, and trampolines.
