Seasonal Variability and Age-Related Risk in Youth Trampolin
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A Study was conducted to estimate the difference in severity between musculoskeletal Trampoline Park Injuries (TPIs) and Home Trampoline Injuries (HTIs) and identify the factors that may mediate or modify that effect.

The National Electronic Injury Surveillance System (NEISS) database was used to identify musculoskeletal HTIs and TPIs in pediatrics patients. Injury mechanism and body region were inductively coded. The effect of TPI on risk of admission was estimated using a doubly robust logistic regression model for confounding adjustment. Date, age, gender, injury mechanism and body region were all adjusted for. The comparative importance of injury mechanism and location and the effect modification of patient characteristics was explored using likelihood ratio tests.

--Trampoline park injuries were more likely to result in admission even in the model adjusted for injury mechanism and body region (OR=2.12).

--Injuries sustained from falling off the trampoline were associated with significantly fewer hospitalizations (OR=0.119) compared to injuries from falling while on the trampoline.

--Patient age significantly modified the effect of setting on risk of admission.

--Adolescents demonstrated an increased risk at trampoline parks (15yo OR=3.23), while younger children demonstrated a marginally lower risk (5yo OR=0.77).

In conclusion, musculoskeletal injuries in the trampoline park show an increased likelihood of admission even after rigorous confounding change. A much higher risk of admission compared to distal injuries was associated with injuries to the proximal limbs. Adolescents face an elevated risk of admission after TPI, highlighting the value of measures in public health targeting this age group.