Evidence map›Paper›PMID 29981068›Full record

SynthesisCanadian journal of public health = Revue canadienne de sante publique2018

A systematic review of the risk factors and interventions for the prevention of playground injuries.

Sarah A Richmond, Tessa Clemens, Ian Pike, Alison Macpherson

Abstract readSystematic Review
In one paragraph

Synthesis in Canadian journal of public health = Revue canadienne de sante publique, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Rates of serious injury from falls in children and adolescents: 10-year retrospective review of data from Ontario, Canada.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2026
    Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. Review
  9. Scoping review of children's and youth's outdoor play publications in Canada.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2023
    Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Observational
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Sarah A RichmondFaculty of Health, Kinesiology and Health Science, York University, 339 Bethune College, 4700 Keele St, Toronto, ON, M3J 1P3, Canada. sarah.a.richmond@gmail.com.
Tessa ClemensFaculty of Health, Kinesiology and Health Science, York University, 339 Bethune College, 4700 Keele St, Toronto, ON, M3J 1P3, Canada.
Ian PikeBC Injury Research and Prevention Unit, BC Children's Hospital, Vancouver, BC, Canada.
Alison MacphersonFaculty of Health, Kinesiology and Health Science, York University, 339 Bethune College, 4700 Keele St, Toronto, ON, M3J 1P3, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe primary objectives of this work were to (1) identify the risk and/or protective factors associated with playground injuries among children less than 18 years of age and (2) identify interventions/programs/policies aimed at preventing playground-related injuries among children less than 18 years of age. Secondary objectives include a summary of the data that reflect alignment with current playground standards.

methodsFor the primary outcome, 4 databases and 12 online resources were systematically searched to include observational and experimental studies examining risk and/or protective factors or interventions associated with playground injury or outcomes related to playground injury (e.g., risky playground behaviour). Data extraction included study design, participants, outcome, exposure or intervention, data analysis, and effect estimates. The quality of evidence for all studies was assessed using the Downs and Black criteria.

resultsThis review included studies of moderate quality, revealing a number of risk factors and effective interventions for playground injury. Risk factors included absence of handrails and guardrails on playground equipment, non-impact-absorbing surfacing, and critical fall heights. Effective interventions included modifying playground surfacing and reducing equipment height to less than 1.5 m.

conclusionEquipment- and structure-based playgrounds should adhere to and maintain playground standards in order to reduce the risk of serious injury. Organizations responsible for installing and maintaining playgrounds should consider alternative play spaces that allow children to play outdoors, in a natural environment that supports healthy child development and promotes physical activity.

Indexed as

HumansPlay and PlaythingsRandomized Controlled Trials as TopicRisk FactorsWounds and InjuriesInterventionsPlay and playthingsPlaygroundsRisk factorsSystematic reviewWounds and injuries

Identifiers

PMID29981068
PMCPMC6964629

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.