title: Pediatric inflatable bouncer-related injuries in the United States, 1990-2010.
abstract: OBJECTIVE
  To investigate inflatable bouncer-related injuries to children in the United States.
  
  
  METHODS
  Records were analyzed from the National Electronic Injury Surveillance System for patients ≤17 years old treated in US emergency departments (EDs) for inflatable bouncer-related injuries from 1990 to 2010.
  
  
  RESULTS
  An estimated 64 657 (95% confidence interval [CI]: 32 420-96 893) children ≤17 years of age with inflatable bouncer-related injuries were treated in US EDs from 1990 to 2010. From 1995 to 2010, there was a statistically significant 15-fold increase in the number and rate of these injuries, with an average annual rate of 5.28 injuries per 100 000 US children (95% CI: 2.62-7.95). The increase was more rapid during recent years, with the annual injury number and rate more than doubling between 2008 and 2010. In 2010, a total of 31 children per day were treated in US EDs for an inflatable bouncer-related injury, which equals a child every 46 minutes nationally. A majority of patients were male (54.6%), and the mean patient age was 7.50 years (95% CI: 7.17-7.83). Most injuries were fractures (27.5%) and strains or sprains (27.3%), and most injuries occurred to the lower (32.9%) or upper (29.7%) extremities. Most injuries occurred at a place of sports or recreation (43.7%) or at home (37.5%), and 3.4% of injured children were hospitalized or kept for <24 hours for observation.
  
  
  CONCLUSIONS
  The number and rate of pediatric inflatable bouncer-related injuries have increased rapidly in recent years. This increase, along with similarities to trampoline-related injuries, underscores the need for guidelines for safer bouncer usage and improvements in bouncer design to prevent these injuries among children.
authors.affiliation: Center for Injury Research and Policy, The Research Institute at Nationwide Children’s Hospital, Columbus, OH 43205, USA.
authors.forename: Meghan C
authors.initials: MC
authors.lastname: Thompson
authors.forename: Thiphalak
authors.initials: T
authors.lastname: Chounthirath
authors.forename: Huiyun
authors.initials: H
authors.lastname: Xiang
authors.forename: Gary A
authors.initials: GA
authors.lastname: Smith
mesh_terms: D000293:Adolescent; D000367:Age Factors; D001134:Arm Injuries / Q000453:epidemiology / Q000209:etiology; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D005260:Female; D050723:Fractures, Bone / Q000453:epidemiology / Q000209:etiology; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D007869:Leg Injuries / Q000453:epidemiology / Q000209:etiology; D008297:Male; D010988:Play and Playthings / Q000293:injuries*; D011159:Population Surveillance; D011998:Recreation; D012737:Sex Factors; D013180:Sprains and Strains / Q000453:epidemiology / Q000209:etiology; D014481:United States; D014600:Utilization Review / Q000706:statistics & numerical data; D014947:Wounds and Injuries / Q000453:epidemiology* / Q000209:etiology* / Q000517:prevention & control