Pediatrics:蹦床所致外伤风险研究

2016-08-25 Moon 译 MedSci原创

蹦床在儿童和青少年中是一项十分流行的活动,但蹦床造成外伤的风险很高。根据Pediatrics公布的数据,使用蹦床尤其是蹦床公园,会增加肢体扭伤和骨折(包括开放性骨折和脊髓损伤)风险。 康涅狄格大学康涅狄格儿童医学中心小儿急救医学研究员Kathryn E. Kasmire博士对2010-2014年来自国家电子伤害监测系统(NEISS)的数据进行了分析,识别急诊部门就诊的诊蹦床公园受伤(TPIs

蹦床在儿童和青少年中是一项十分流行的活动,但蹦床造成外伤的风险很高。根据Pediatrics公布的数据,使用蹦床尤其是蹦床公园,会增加肢体扭伤和骨折(包括开放性骨折和脊髓损伤)风险。

康涅狄格大学康涅狄格儿童医学中心小儿急救医学研究员Kathryn E. Kasmire博士对2010-2014年来自国家电子伤害监测系统(NEISS)的数据进行了分析,识别急诊部门就诊的诊蹦床公园受伤(TPIs)趋势,比较TPI和家庭蹦床受伤(HTIs)特征。此项研究的数据分析可能有助于促进安全使用蹦床,以及在未来制定相关政策。

结果表明,蹦床公园受伤的患者与在家蹦床受伤患者相比,更有可能住院治疗(OR = 1.76; 95% CI, 1.19-2.61)。在研究期间内,TPIs的急诊部门就诊率呈上升趋势(2010年为581例,2014年位6932例; P = .045);而HTIs发生率没有显著增加(P = .13)。TPI (n = 330) 患者与HTIs (n = 7933)患者相比,更有可能是男孩,年龄更大(P < .001)。对于TPIs,最常见的住院损伤为为小腿骨折(59%);而HTIs患者最常见的则是肘关节骨折(34%)和前臂骨折(18%)。不同年龄组TPI患者的性格差异不大(P = .78)。

Kasmire和他的同事写道:“蹦床公园受伤率大幅增加,不过美国总损伤率保持稳定。虽然只有一小部分蹦床受伤发生在蹦床公园(2014年为11%),但TPIs的趋势是惊人的;特别是关于严重损伤的发生,如脊髓损伤。”

“不仅仅是NEISS样本中两例脊髓损伤,多例脊髓损伤案例以及在蹦床公园发生的创伤性脑损伤和死亡在媒体上有报道。”

原始出处:


Trampoline parks, home trampoline use carry significant injury risk to children.
Healio.August 25, 2016

Kasmire KE, et al. Trampoline Park and Home Trampoline Injuries.Pediatrics. 2016;doi:10.1542/peds.2016-1236.

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    2017-06-24 feather89
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    2017-05-02 hbwxf
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    2016-09-05 ylzr123

    对儿童应该加强限制,避免伤害。

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=2055598, encodeId=a69d20555984b, content=<a href='/topic/show?id=734110089320' target=_blank style='color:#2F92EE;'>#风险研究#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100893, encryptionId=734110089320, topicName=风险研究)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74808, createdName=quxin068, createdTime=Mon Mar 06 06:15:00 CST 2017, time=2017-03-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1726183, encodeId=468b1e2618373, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=14, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Sat Jun 24 13:15:00 CST 2017, time=2017-06-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1958493, encodeId=0bad1958493b8, content=<a href='/topic/show?id=766713993a1' target=_blank style='color:#2F92EE;'>#Pediatric#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=18, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13993, encryptionId=766713993a1, topicName=Pediatric)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=55ce62, createdName=hbwxf, createdTime=Tue May 02 16:15:00 CST 2017, time=2017-05-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1637438, encodeId=1d55163e4387c, content=<a href='/topic/show?id=afda591646' target=_blank style='color:#2F92EE;'>#DIA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5916, encryptionId=afda591646, topicName=DIA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=987022654425, createdName=ms9608593228839890, createdTime=Wed Mar 01 10:15:00 CST 2017, time=2017-03-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=111535, encodeId=9547111535b8, content=对儿童应该加强限制,避免伤害。, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Mon Sep 05 15:56:00 CST 2016, time=2016-09-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=111425, encodeId=b2481114256b, content=很好,不错,以后会多学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Mon Sep 05 10:50:00 CST 2016, time=2016-09-05, status=1, ipAttribution=)]
    2016-09-05 李东泽

    很好,不错,以后会多学习

    0