Homemade zipline and playground track ride injuries in children.
J Pediatr Surg
; 52(9): 1511-1515, 2017 Sep.
Article
em En
| MEDLINE
| ID: mdl-28040202
ABSTRACT
BACKGROUND/PURPOSE:
Playground track ride and homemade zipline-related injuries are increasingly common in the emergency department, with serious injuries and even deaths reported.METHODS:
Retrospective review of the National Electronic Injury Surveillance System (NEISS) database (2009-2015), followed by review of our academic pediatric trauma center's prospectively-maintained database (2005-2013). We included children ages 0-17years of age with zipline-related injuries. We recorded annual incidence of zipline-related injury, zipline type (homemade or playground), injuries and mechanism.RESULTS:
In the NEISS database, 9397 (95%CI 6728-12,065) total zipline-related injuries were reported (45.9% homemade, 54.1% playground). Homemade but not playground injuries increased over time. Common injuries were fracture (49.8%), contusion/laceration (21.2%) and head injury (12.7%). Fall was predominant mechanism (83%). Age 5-9 was most frequently affected (59%). Our center database (n=35, 40% homemade, 1 fatality) revealed characteristics concordant with NEISS data. Head injury was related to fall height>5ft and impact with another structure.CONCLUSIONS:
Homemade zipline injuries are increasing. Children ages 5-9 are at particular risk and should be carefully supervised. Despite protective surfaces, playground ziplines cause significant head injury, extremity fracture and high rates of hospital admission. Playground surface standards should be reviewed and revised as needed. LEVEL OF EVIDENCE Prognosis Study, Level III.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Jogos e Brinquedos
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Segurança
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Ferimentos e Lesões
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Acidentes por Quedas
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Instalações Esportivas e Recreacionais
Tipo de estudo:
Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adolescent
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Child
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Child, preschool
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Female
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Humans
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Male
Idioma:
En
Revista:
J Pediatr Surg
Ano de publicação:
2017
Tipo de documento:
Article