Evidence map›Paper›PMID 38996208›Full record

ArticleJournal of the American Academy of Orthopaedic Surgeons. Global research & reviews2024

Trampolines Versus Playgrounds - A Comparative Assessment of Pediatric Fractures Sustained From Recreational Play.

Ajith Malige, Nathan D Markiewitz, Raghav Badrinath, Keith D Baldwin, Lawrence Wells, Brendan A Williams

Abstract readComparative Study
In one paragraph

Article in Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Ajith MaligeFrom the St. Luke's University Health Network, Bethlehem, PA (Dr. Malige), and the Children's Hospital of Philadelphia, Philadelphia, PA (Dr. Markiewitz, Dr. Badrinath, Dr. Baldwin, Dr. Wells, and Dr. Williams).
Nathan D Markiewitz
Raghav Badrinath
Keith D Baldwin
Lawrence Wells
Brendan A WilliamsORCID 0000-0001-6247-4146

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionUsing the Pediatric Health Information System, this study compared the relative severity of fractures sustained from trampolines with those from other playground equipment.

methodsPediatric patients were identified in the Pediatric Health Information System with trampoline-related injuries (TRIs) or playground-related injuries (PRIs) diagnosed as fractures. Adjustments were made for hospital, year of injury, sex, age, race, median household income, and rurality through propensity score weighting. Four injury-related outcome measures were examined as a proxy for injury severity.

resultsA total of 133,232 patients met inclusion criteria. In unadjusted univariate analyses, TRIs were associated with greater odds of severe fracture and lower odds of receiving surgical treatment (OR = 0.954) compared with PRIs. After adjustment, TRIs sustained in late childhood and adolescence were more likely to receive surgical management (OR = 1.092 and OR = 1.192, respectively) while TRIs sustained in younger children were less likely (OR = 0.607) than PRIs. DISCUSSION: Youths in late childhood and adolescence are at increased odds of undergoing surgical management after trampoline fractures. Beyond underscoring the risks of trampoline play, our results highlight the importance of considering age in recreational injury epidemiology and the public health safety initiatives aimed at specific age groups.

Indexed as

Fractures, BonePlay and PlaythingsAdolescentChildChild, PreschoolFemaleHumansInfantMaleParks, Recreational

Identifiers

PMID38996208
PMCPMC11239173

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Registered trials

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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.