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Rapidly growing pediatric trampoline-related injuries in Korea: a 10-year single center retrospective study
Min Jeng Cho1, Jihoon Kim1, Sung Jeep Kim1
1Department of Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
Insights
Pediatric trampoline injuries in Korea are rising, especially in children under six. Key recommendations include prohibiting use for this age group and ensuring supervision to prevent fractures and other severe injuries.
Area of Science:
- Pediatric Emergency Medicine
- Injury Prevention
- Public Health
Background:
- Published policy statements highlight risks of trampoline use.
- Limited research exists on trampoline-related injuries in Korea.
Purpose of the Study:
- To assess the incidence and characteristics of pediatric trampoline-related injuries at Ulsan University Hospital.
- To analyze injury trends over a 10-year period.
Main Methods:
- Retrospective review of medical records.
- Inclusion criteria: children aged <16 years with trampoline-related injuries.
- Study period: 2008–2017.
Main Results:
- 178 trampoline-related injuries reported, showing a significant increase.
- Injuries predominantly occurred in the last 5 years, with a rapid rise in children <6 years.
- Lower extremity injuries (62.4%) were most common, including fractures (37.6%), particularly proximal tibia fractures in younger children.
Conclusions:
- Trampoline injuries in Korea share mechanisms with indoor parks but involve smaller spaces and multiple users.
- Rapid increase in trampoline use and injuries among children <6 years necessitates intervention.
- Recommendations include prohibiting use for <6 years, limiting simultaneous use, ensuring supervision, and developing public awareness and policy guidelines.
Purpose:
Several published policy statements have warned against the risks associated with trampoline use and recommended safety guidelines. However, few studies have focused on trampoline-related injuries in Korea. This study aimed to assess the incidence and characteristics of pediatric trampoline-related injuries presented to Ulsan University Hospital.
Methods:
We retrospectively reviewed the medical records of children aged <16 years with trampoline-related injuries who visited our Emergency Department between 2008 and 2017.
Results:
Over the 10-year period, 178 trampoline-related injuries were reported, which represented a significant increase (P=0.016). Most (87.6%) of the injuries occurred during the last 5 study years, and a rapid increase in injuries was observed in children aged <6 years. Lower extremity injuries (62.4%) were the most common, followed by injuries of the upper extremities, head and face, and trunk, including injuries to the neck and spine. Sixty-seven children (37.6%) had fractures, and proximal tibia fractures were the most common. Fractures were significantly more common in younger children (<6 years old) than in older children (P=0.026).
Conclusion:
In Korea, the mechanism of trampoline injury is similar to that of injuries incurred in indoor trampoline parks but is characterized by smaller spaces and multiple users. Trampoline use and the incidence of trampoline-related injuries in children aged <6 years are increasing rapidly. Prohibiting the use of trampolines for children aged <6 years, restricting simultaneous use by multiple children, and ensuring adult supervision should be strictly emphasized. Public awareness and policy guidelines are needed to reduce the incidence of trampoline-related injuries.
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