Incidence and cost of hospitalisation of children with injuries from playground equipment falls in New South Wales, Australia

Bierbaum, Mia; Curtis, Kate; Mitchell, Robert J.

doi:10.1111/jpc.13777

Cited by 16 publications

(25 citation statements)

References 35 publications

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“…[16][17][18] Considering the physical structure of the schools, it was found that students from schools that have patios with soft floors, such as sand and grass, had a lower prevalence of TDI when compared to students from schools where the patio floor was cement. Some authors have emphasized that play spaces for children (playgrounds, patios, and sports courts) should have soft floors to reduce the occurrence and severity of unintentional injuries 14,26 and of dental trauma, specifically. 2,12,27 Nevertheless, the findings regarding the patio floor obtained in the present study should be interpreted with caution, since only a school had a patio floor of grass, and only one school had a patio floor of sand.…”

Section: Upper Lower Total [N (%)] C/inc [N (%)] L/inc [N (%)] C/inc mentioning

confidence: 99%

Influence of school environment on occurrence of traumatic dental injuries in 12 years old children

Quezada‐Conde

Alvarez‐Velasco

Lopez

et al. 2020

Dental Traumatology

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Background/Aim Since children spend most of their time in school, some environmental characteristics of the schools may influence the occurrence of traumatic dental injuries (TDI). Therefore, the aim of this cross‐sectional study was to assess the prevalence of TDI in 12 years old children in Quito, Ecuador, and its association with some school environmental aspects. Material and methods Six calibrated examiners evaluated 998 children from 31 public schools of Quito, to evaluate the occurrence of TDI in anterior teeth. School coordinators answered questionnaires on school physical conditions, promotion of health practices and the occurrence of negative episodes in school. The occlusion and socioeconomic status of the participants were also evaluated. Prevalence of TDI, unadjusted and adjusted by the design effect was calculated. Association between individual and contextual explanatory variables and presence of TDI were evaluated using multilevel Poisson regression analysis (P < .05). Results TDI prevalence adjusted by design effect was 20.7%. Children studying in schools with patio floor of grass and with access ramps had significantly lower prevalence of TDI than children studying in schools with patio floor of cement and with only stairs, respectively. The prevalence of TDI was also lower in children from schools that offered healthy meals or that had a proper place for oral hygiene. Conclusions Schools with adequate physical structures and that promote health practices to their students have a lower prevalence of TDI.

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Section: Upper Lower Total [N (%)] C/inc [N (%)] L/inc [N (%)] C/inc mentioning

confidence: 99%

Influence of school environment on occurrence of traumatic dental injuries in 12 years old children

Quezada‐Conde

Alvarez‐Velasco

Lopez

et al. 2020

Dental Traumatology

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“…Although males account for almost two‐thirds of hospitalised head injuries, the hospitalised rate of head injuries has significantly increased among females. The increased hospitalisation rates in younger children and females may be related to a number of factors which have previously been identified in the literature including increased scooter use, falls, and/or reduced adult supervision due to a false sense that play equipment with safety features (eg, trampoline enclosures and padding) is risk‐free …”

Section: Discussionmentioning

confidence: 99%

“…Falls typically occurred in children aged <1 year, while being carried or supported by other persons, or from furniture, indicating a need for greater awareness of fall injury prevention and safety amongst caregivers . Falls from playground equipment are a common cause of head injury for children . Head injury prevention strategies for playgrounds include the introduction of impact absorbing surfaces, the introduction of a maximum free‐height of fall of 1.5 m and the introduction of safety features such as trampoline enclosures …”

Section: Discussionmentioning

confidence: 99%

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Incidence and severity of head injury hospitalisations in Australian children over a 10‐year period

Bierbaum

Lystad

Curtis

et al. 2018

Health Prom J of Aust

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Head injury hospitalisations cost the Australian health system close to half a billion dollars over a 10-year period, with the most serious injuries resulting in lifelong health implications. SO WHAT?: Targeted health promotion strategies such as the promotion of helmet wearing during scooter use, the introduction of cycleways, and impact absorbing surfaces on playgrounds, need to be implemented to reduce the occurrence of head injuries in children.

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“…Nevertheless, the number of falls in children has increased and there has been no change in the incidence of events such as major trauma [6]. Furthermore, existing measures focus solely on prevention, not on mitigating the outcomes of an unintentional fall once it takes place [7,8]. Although physical education (PE) classes can improve balance, they do not teach children to modify their natural motor responses to render them safer in the event of a fall [9,10].…”

Section: Introductionmentioning

confidence: 99%

Effects of Fall Training Program on Automatization of Safe Motor Responses during Backwards Falls in School-Age Children

Andrés

Toronjo-Hornillo

Toronjo-Urquiza

2019

IJERPH

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A significant number of children suffer injuries from falls. The current measures of prevention and education regarding falls are not sufficient, as falling is still the main cause of injury at this age. This study aimed to evaluate the risk of injury during a backward fall and assess the effect of the Safe Fall training program on this risk. 457 primary school children between the ages of 6 and 12 (mean age of 9) were enrolled in a 6-week randomized intervention. The program was carried out during physical education classes and consisted of an intervention group that followed the Safe Fall training program and a control group that was given equilibrium exercises. The risk of injury was assessed before and after the implementation using the Information Scale on Safe Ways of Falling observation scale, evaluating the responses of five different body parts (head, hip, knees, upper limbs and back). Students’ natural response to falls was associated with a high risk of injury in more than 90% of the cases. The implementation of the Safe Fall program resulted in a considerable decrease in this risk, with percentages lowered to levels between 8.7% and 18.3%.

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Incidence and cost of hospitalisation of children with injuries from playground equipment falls in New South Wales, Australia

Cited by 16 publications

References 35 publications

Influence of school environment on occurrence of traumatic dental injuries in 12 years old children

Influence of school environment on occurrence of traumatic dental injuries in 12 years old children

Incidence and severity of head injury hospitalisations in Australian children over a 10‐year period

Effects of Fall Training Program on Automatization of Safe Motor Responses during Backwards Falls in School-Age Children

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