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• W2026777586 abstract "Study ObjectivesAs the popularity of recreational trampoline use continues to increase, the number of pediatric trampoline injuries has also followed this trend. According to the National Electronic Injury Surveillance System (NEISS), from 2004 to 2008 there was an average of 96,821 emergency department visits for trampoline-related injuries in children, an increase in frequency of 113% compared to 1999 to 2003. Despite policy statements by both the American Academy of Pediatrics (AAP) and the American Academy of Orthopaedic Surgeons (AAOS) discouraging the use of the trampoline as a recreational activity and encouraging the use of proper supervision, safety devices, avoidance of high-risk maneuvers, and age restrictions severe injuries continue to occur. The purpose of this study was to prospectively analyze all patients seen in the pediatric emergency department (ED) or orthopedic clinic who sustained a trampoline-related injury and evaluate the risk factors affecting the severity of their injury.MethodsPatients identified as having sustained a trampoline-related injury who were evaluated in the emergency department or orthopedic clinic were asked to participate in the study. A total of 272 patients and their parents signed informed consent and answered our questionnaire which consisted of demographic data, questions regarding the mechanism of injury, and characteristics of the trampoline and the surrounding environment. The patient's medical chart was reviewed for patient's height and weight, number of imaging studies, diagnoses, disposition, and surgical procedures required. This data was then analyzed using Fisher's Exact Test to evaluate if there was a statistically significant correlation between risk factors such as adult supervision, high risk maneuvers, time of ownership, previous injuries, trampoline height, previous injuries with family members, and injury severity score (ISS), need for surgery, number of days in the hospital, number of hospital visits, and number of imaging studies.ResultsOf the 272 patients 57% were found to have severe or serious injuries and 34% required operative intervention. Furthermore, 8% required hospitalization for greater than 1 day and 84% required 2 or more follow-up visits. In addition, 71% of children injured were in the presence of adult supervision. Also, 13% of those injured had family members who were previously injured on trampolines. The data demonstrated that there was no statistically significant correlation between risk factors and ISS score, need for surgery, hospital days, and hospital visits. Although unlikely to be clinically significant, there was a statistically significant correlation between the risk factor of another family member with previous injuries and the number of imaging studies, P value of 0.01.ConclusionEven though there was a statistically significant correlation with another family member with previous injury and the number of imaging studies, there was no other correlation of risk factors and severity of injuries. However, our data does demonstrate that regardless of following the AAP and AAOS guidelines injuries still occur and there is no such thing as “safe” trampolining. Study ObjectivesAs the popularity of recreational trampoline use continues to increase, the number of pediatric trampoline injuries has also followed this trend. According to the National Electronic Injury Surveillance System (NEISS), from 2004 to 2008 there was an average of 96,821 emergency department visits for trampoline-related injuries in children, an increase in frequency of 113% compared to 1999 to 2003. Despite policy statements by both the American Academy of Pediatrics (AAP) and the American Academy of Orthopaedic Surgeons (AAOS) discouraging the use of the trampoline as a recreational activity and encouraging the use of proper supervision, safety devices, avoidance of high-risk maneuvers, and age restrictions severe injuries continue to occur. The purpose of this study was to prospectively analyze all patients seen in the pediatric emergency department (ED) or orthopedic clinic who sustained a trampoline-related injury and evaluate the risk factors affecting the severity of their injury. As the popularity of recreational trampoline use continues to increase, the number of pediatric trampoline injuries has also followed this trend. According to the National Electronic Injury Surveillance System (NEISS), from 2004 to 2008 there was an average of 96,821 emergency department visits for trampoline-related injuries in children, an increase in frequency of 113% compared to 1999 to 2003. Despite policy statements by both the American Academy of Pediatrics (AAP) and the American Academy of Orthopaedic Surgeons (AAOS) discouraging the use of the trampoline as a recreational activity and encouraging the use of proper supervision, safety devices, avoidance of high-risk maneuvers, and age restrictions severe injuries continue to occur. The purpose of this study was to prospectively analyze all patients seen in the pediatric emergency department (ED) or orthopedic clinic who sustained a trampoline-related injury and evaluate the risk factors affecting the severity of their injury. MethodsPatients identified as having sustained a trampoline-related injury who were evaluated in the emergency department or orthopedic clinic were asked to participate in the study. A total of 272 patients and their parents signed informed consent and answered our questionnaire which consisted of demographic data, questions regarding the mechanism of injury, and characteristics of the trampoline and the surrounding environment. The patient's medical chart was reviewed for patient's height and weight, number of imaging studies, diagnoses, disposition, and surgical procedures required. This data was then analyzed using Fisher's Exact Test to evaluate if there was a statistically significant correlation between risk factors such as adult supervision, high risk maneuvers, time of ownership, previous injuries, trampoline height, previous injuries with family members, and injury severity score (ISS), need for surgery, number of days in the hospital, number of hospital visits, and number of imaging studies. Patients identified as having sustained a trampoline-related injury who were evaluated in the emergency department or orthopedic clinic were asked to participate in the study. A total of 272 patients and their parents signed informed consent and answered our questionnaire which consisted of demographic data, questions regarding the mechanism of injury, and characteristics of the trampoline and the surrounding environment. The patient's medical chart was reviewed for patient's height and weight, number of imaging studies, diagnoses, disposition, and surgical procedures required. This data was then analyzed using Fisher's Exact Test to evaluate if there was a statistically significant correlation between risk factors such as adult supervision, high risk maneuvers, time of ownership, previous injuries, trampoline height, previous injuries with family members, and injury severity score (ISS), need for surgery, number of days in the hospital, number of hospital visits, and number of imaging studies. ResultsOf the 272 patients 57% were found to have severe or serious injuries and 34% required operative intervention. Furthermore, 8% required hospitalization for greater than 1 day and 84% required 2 or more follow-up visits. In addition, 71% of children injured were in the presence of adult supervision. Also, 13% of those injured had family members who were previously injured on trampolines. The data demonstrated that there was no statistically significant correlation between risk factors and ISS score, need for surgery, hospital days, and hospital visits. Although unlikely to be clinically significant, there was a statistically significant correlation between the risk factor of another family member with previous injuries and the number of imaging studies, P value of 0.01. Of the 272 patients 57% were found to have severe or serious injuries and 34% required operative intervention. Furthermore, 8% required hospitalization for greater than 1 day and 84% required 2 or more follow-up visits. In addition, 71% of children injured were in the presence of adult supervision. Also, 13% of those injured had family members who were previously injured on trampolines. The data demonstrated that there was no statistically significant correlation between risk factors and ISS score, need for surgery, hospital days, and hospital visits. Although unlikely to be clinically significant, there was a statistically significant correlation between the risk factor of another family member with previous injuries and the number of imaging studies, P value of 0.01. ConclusionEven though there was a statistically significant correlation with another family member with previous injury and the number of imaging studies, there was no other correlation of risk factors and severity of injuries. However, our data does demonstrate that regardless of following the AAP and AAOS guidelines injuries still occur and there is no such thing as “safe” trampolining. Even though there was a statistically significant correlation with another family member with previous injury and the number of imaging studies, there was no other correlation of risk factors and severity of injuries. However, our data does demonstrate that regardless of following the AAP and AAOS guidelines injuries still occur and there is no such thing as “safe” trampolining." @default.
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• W2026777586 title "143: A Prospective Evaluation of Risk Factors Affecting the Severity of Pediatric Trampoline Injuries" @default.
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