title: A review of stroller-related and pram-related injuries to children in Singapore.
abstract: Prams and strollers are commonly used in daily childcare. We aim to study the type and severity of injuries associated with prams and strollers in an Asian population. We performed a retrospective review of children below the age of 6 who presented to a tertiary paediatric hospital in Singapore, from January 2012 to June 2015, with such injuries. There were 248 pram-related and stroller-related injuries. The median age was 12.5 months old. 69 (27.8%) sustained open wounds, 17 (6.9%) suffered fractures or dislocations and 2 children had significant head injuries. 29 patients (11.7%) sustained injuries while on stairs or escalators. Most of the injuries (197 cases, 79.4%) occurred despite adult supervision. The need for intervention was associated with older age and entrapment injuries (p<0.001). Only appropriately sized prams and strollers without exposed hinges should be used. These should not be deployed on stairs and escalators.
authors.affiliation: Department of Emergency Medicine, KK Woman's and Children's Hospital, Singapore, Singapore.
authors.forename: Manasvin
authors.initials: M
authors.lastname: Tripathi
authors.affiliation: Department of Emergency Medicine, KK Woman's and Children's Hospital, Singapore, Singapore.|Duke-NUS medical school, Singapore.
authors.forename: Arif
authors.initials: A
authors.lastname: Tyebally
authors.affiliation: Department of Emergency Medicine, KK Woman's and Children's Hospital, Singapore, Singapore.
authors.forename: Jasmine Xun Yi
authors.initials: JX
authors.lastname: Feng
authors.affiliation: Department of Emergency Medicine, KK Woman's and Children's Hospital, Singapore, Singapore.|Duke-NUS medical school, Singapore.
authors.forename: Shu-Ling
authors.initials: SL
authors.lastname: Chong
mesh_terms: D000058:Accidental Falls / Q000706:statistics & numerical data*; D017677:Age Distribution; D002675:Child, Preschool; D006259:Craniocerebral Trauma / Q000453:epidemiology* / Q000209:etiology; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D004867:Equipment Design; D004869:Equipment Safety; D005260:Female; D050723:Fractures, Bone / Q000453:epidemiology* / Q000209:etiology; D006801:Humans; D015994:Incidence; D007223:Infant; D015370:Infant Equipment / Q000009:adverse effects; D007231:Infant, Newborn; D004204:Joint Dislocations / Q000453:epidemiology* / Q000209:etiology; D008297:Male; D009408:Nerve Compression Syndromes / Q000453:epidemiology* / Q000209:etiology; D012189:Retrospective Studies; D012846:Singapore / Q000453:epidemiology; D017695:Soft Tissue Injuries / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control