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Journal Article

Citation

Nabavizadeh B, Namiri NK, Hakam N, Li KD, Amend GM, Breyer BN. Urology 2021; ePub(ePub): ePub.

Copyright

(Copyright © 2021, Elsevier Publishing)

DOI

10.1016/j.urology.2021.03.012

PMID

unavailable

Abstract

OBJECTIVES: To evaluate the demographics, epidemiology, and common mechanisms associated with playground equipment-related genital injuries in children.

METHODS: We examined the National Electronic Injury Surveillance System database to obtain playground-related genital injuries sustained in children ≤ 17 years from 2010 to 2019. Demographics of the patients and injury characteristics were analyzed using sample weights to produce national estimates.

RESULTS: During the study period, an estimated 27738 (95% confidence interval 18602-36874) emergency department visits with an average annual incidence of 3.8 (95% confidence interval 2.5-5) per 100,000 US population ≤ 17 years were reported. The mean age was 6.6 (standard error 0.152) years with most injuries occurring in preschool children (48.1%) and females (81.1%). Over half of genital injuries (55.2%) were associated with climbing apparatus. This was followed by slides (10.7%), swings (9%), and seesaws (4.8%). Most genital injuries occurred at public (41.4%) and school settings (36.3%). Straddling/falling was the most common mechanism leading to genital injuries (84.4%). The incidence of injuries remained constant during the 10-year study period (change=+2.6%; r(2)=0.121, p=0.326). Monthly variations in the number of injuries existed with peak injuries in April/May, and September/October.

CONCLUSIONS: Despite current safety standards, genital injuries arising from playground equipment have remained stable since 2010. By defining common devices, mechanisms, and conditions associated with genital injuries, this study may help guide efforts aimed at the prevention of such injuries in various locations.


Language: en

Keywords

Children; Play and Playthings; Falls; Genitalia; Slip and Fall

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