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KMID : 0191120170320030534
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Journal of Korean Medical Science
2017 Volume.32 No. 3 p.534 ~ p.541
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Playground Equipment Related Injuries in Preschool-Aged Children: Emergency Department-based Injury In-depth Surveillance
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Bae So-Hyun
Lee Ji-Sook
Kim Kyung-Hwan
Park Jun-Seok
Shin Dong-Wun
Kim Hyun-Jong
Park Joon-Min
Kim Hoon
Jeon Woo-Chan
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Abstract
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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.
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KEYWORD
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Preschool Child, Wounds and Injuries, Play and Playthings, Brain Injuries, Bone Fracture
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