Background Recreational sports facilities with trampolines have become increasingly popular, and trampoline-related injuries incurred have been increasing. The goal of this study was to determine impact of recreational sports facilities on trampoline-associated injuries. Methods An epidemiological study was performed using data from the National Electronic Injury Surveillance System (NEISS). All patients in the NEISS database coded for trampoline injury were included. Statistical analyses were performed comparing home trampoline injuries (HTIs) and recreational sports facilities-related trampoline injuries (RSIs) for standard demographic variables using appropriated weighted statistical methods. Results There were an estimated 1 376 659 emergency department (ED) visits for trampoline related injuries from 1998 to 2017; 125 811 were RSIs and 1 227 881 were HTIs. Between 2004 and 2017, the number of RSIs increased rapidly, while HTIs decreased. RSIs more often presented to large hospitals and HTIs to smaller ones. Strains/sprains were more associated with RSIs, whereas HTIs sustained more internal organ injuries. Lower extremity fractures occurred more frequently in RSIs and upper extremity fractures in HTIs. There was a greater percentage of RSIs in 15-34 years old age group (28.2% vs 13.6%). There were no differences by gender and race between HTIs and RSIs. Conclusions The rapid expansion in recreational sports facilities with trampolines coincided with increasing RSIs. RSIs differed from HTIs regarding changes over time, hospital size, diagnosis and injury location. Recreational sports facilities with trampolines pose a public health hazard.
number of ED visits (national estimates with 95% confidence limits) for trampoline-related injuries (1998-2017). ED, emergency department; HTIs, home trampoline injuries; RSIs, recreational sports facilities-related trampoline injuries.
number of ED visits (national estimates with 95% confidence limits) for trampoline-related injuries (1998-2017). ED, emergency department; HTIs, home trampoline injuries; RSIs, recreational sports facilities-related trampoline injuries.
an internal organ injury is defined by the NEISS as any injury to the brain, abdominal organs and thoracic organs that are not due to aspiration or ingestion. Proximal UE fractures include the clavicle, shoulder, humerus, and elbow. Distal UE fractures include the forearm, wrist, hand and fingers. Proximal LE fractures include the pelvis, femur and knee. Distal LE fractures include the tibia/fibula, ankle, foot and toes. Axial fractures include the spine, head/neck and thorax. HTIs, home trampoline injuries; LCL, the lower 95% confidence limit of the estimate; LE, proximal LE and distal LE; LE, lower extremity; N, the national estimate of patients; NEISS, national electronic injury surveillance system; RSIs, recreational sports facilities-related trampoline injuries; UCL, the upper 95% confidence limit of the estimate; UE, upper extremity; UE, proximal UE and distal UE.
an internal organ injury is defined by the NEISS as any injury to the brain, abdominal organs and thoracic organs that are not due to aspiration or ingestion. Proximal UE fractures include the clavicle, shoulder, humerus, and elbow. Distal UE fractures include the forearm, wrist, hand and fingers. Proximal LE fractures include the pelvis, femur and knee. Distal LE fractures include the tibia/fibula, ankle, foot and toes. Axial fractures include the spine, head/neck and thorax. HTIs, home trampoline injuries; LCL, the lower 95% confidence limit of the estimate; LE, proximal LE and distal LE; LE, lower extremity; N, the national estimate of patients; NEISS, national electronic injury surveillance system; RSIs, recreational sports facilities-related trampoline injuries; UCL, the upper 95% confidence limit of the estimate; UE, upper extremity; UE, proximal UE and distal UE.
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