Playground Equipment Related Injuries in Preschool-Aged Children: Emergency Department-based Injury In-depth Surveillance.
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.
Department of Emergency Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.
Sohyun
http://orcid.org/0000-0002-6719-3455
S
Bae
Department of Emergency medicine, Ajou University School of Medicine, Suwon, Korea.
Ji Sook
http://orcid.org/0000-0002-0522-1350
JS
Lee
Department of Emergency Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.
Kyung Hwan
http://orcid.org/0000-0002-1915-3643
KH
Kim
Department of Emergency Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.
Junseok
http://orcid.org/0000-0003-2889-9241
J
Park
Department of Emergency Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.
Dong Wun
http://orcid.org/0000-0002-5959-4224
DW
Shin
Department of Emergency Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.
Hyunjong
http://orcid.org/0000-0001-6473-9646
H
Kim
Department of Emergency Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.
Joon Min
http://orcid.org/0000-0001-7258-8892
JM
Park
Department of Emergency Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.
Hoon
http://orcid.org/0000-0001-6620-2447
H
Kim
Department of Emergency Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea. woowoochan@gmail.com.
Woochan
http://orcid.org/0000-0003-2674-3593
W
Jeon
D000070642:Brain Injuries, Traumatic / Q000453:epidemiology*; D002648:Child; D002675:Child, Preschool; D004636:Emergency Service, Hospital; D005260:Female; D050723:Fractures, Bone / Q000453:epidemiology*; D006801:Humans; D015994:Incidence; D016015:Logistic Models; D008297:Male; D016017:Odds Ratio; D012189:Retrospective Studies
Bone Fracture; Brain Injuries; Play and Playthings; Preschool Child; Wounds and Injuries