Playground equipment injuries at home versus those in public settings: differences in severity

The objective of the present research was to compare the severity of playground-related injuries in backyards of home with those occurring in public settings. This case–control study used emergency-based surveillance data from Canada regarding children, 3–11 years old, who were injured after falling from playground equipment (PGE). Cases were those whose injuries occurred at home (backyards), and controls were those whose injuries occurred in parks, schools or daycare centres. Of the 39 730 subjects selected, 84% happened in public and 16% at home. Children falling from a home PGE had greater odds of severe injuries (OR=1.30; 95% CI 1.23 to 1.37) and fractures (OR=1.47; 95% CI 1.39 to 1.55) than those from public PGE. Children aged 3–5 years falling off slides at home, compared to slides in public settings, had the greatest odds of severe injuries (OR=1.72; 95% CI 1.41 to 2.09) and fractures (OR=2.17; 95% CI 1.79 to 2.64.) When setting up PGE at home, parents should be diligent in using proper landing surfaces, such as those found in public playgrounds.

[1]  N. Yanchar,et al.  Preventing playground injuries. , 2012, Paediatrics & child health.

[2]  A. Macpherson,et al.  Safety standards and socioeconomic disparities in school playground injuries: a retrospective cohort study , 2010, BMC public health.

[3]  A. Macpherson,et al.  Cost effectiveness analysis of playground surfacing at preventing arm fractures in a randomised study , 2010, Injury Prevention.

[4]  A. Macpherson,et al.  School Playground Surfacing and Arm Fractures in Children: A Cluster Randomized Trial Comparing Sand to Wood Chip Surfaces , 2009, PLoS medicine.

[5]  Gary A. Smith,et al.  Epidemiology of Playground Equipment-Related Injuries to Children in the United States, 1996–2005 , 2009, Clinical pediatrics.

[6]  R. Loder.  The demographics of playground equipment injuries in children. , 2008, Journal of pediatric surgery.

[7]  J. Sibert,et al.  Playground injuries to children , 2004, Archives of Disease in Childhood.

[8]  M. Mackay.  Playground injuries , 2003, New York state journal of medicine.

[9]  B. Lanphear,et al.  Trends and patterns of playground injuries in United States children and adolescents. , 2001, Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association.

[10]  Y Robitaille,et al.  Surface characteristics, equipment height, and the occurrence and severity of playground injuries , 2001, Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention.

[11]  R Evans,et al.  Preventing injuries in public playgrounds through partnership between health services and local authority: community intervention study , 1999, BMJ.

[12]  I. B. Pless,et al.  Evaluation of the quality of an injury surveillance system. , 1999, American journal of epidemiology.

[13]  S. Marshall,et al.  Child day care and home injuries involving playground equipment , 1993, Journal of paediatrics and child health.

[14]  P. Werner.  Playground injuries and voluntary product standards for home and public playgrounds. , 1982, Pediatrics.

[15]  K. Monroe,et al.  292 ARE INJURIES THAT OCCUR ON HOME PLAYROUNDS MORE SERIOUS THAN THOSE THAT OCCUR ON PUBLIC PLAYGROUNDS , 2007 .