{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,29]],"date-time":"2026-03-29T00:25:11Z","timestamp":1774743911323,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2021,6,21]],"date-time":"2021-06-21T00:00:00Z","timestamp":1624233600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>To examine the incidence and outcomes of paediatric playground and tree\u2010related injuries in the Midland region of New Zealand.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective review of Midland Trauma Registry hospitalisation data between January 2012 and December 2018 was undertaken. Cases included children aged 0\u201314\u2009years hospitalised for playground and tree\u2010related injuries. Demographic and event information, injury severity and hospital\u2010related outcomes were examined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Playground and tree\u2010related hospitalisations (<jats:italic>n<\/jats:italic>\u00a0=\u00a01941) occurred with an age\u2010standardised rate of 144.3\/100\u2009000 (confidence interval (CI) 127.3\u2013161.3) and increased 1.4% (CI 1.3\u20134.2%) annually. The highest incidence was observed in 5\u20139\u2010year olds (248.8\/100\u2009000) with 0\u20134 and 10\u201314\u2010year olds at 86.0 and 89.2\/100\u2009000, respectively. Injuries most commonly occurred at home, school or pre\u2010school (77.1%), 93.7% were due to falls and, the upper extremity was the most frequently injured body region (69.9%), particularly due to forearm (55.6%) and upper arm (34.7%) fractures. Tree\u2010related incidents comprised 11.6% of all injuries and explained 57.1% of injuries classified as major severity. Fifty\u2010eight percent of children were hospitalised for 1\u2009day and 97.0% for less than 5\u2009days. Estimated hospital costs were NZ$1.2 million annually with a median of NZ$3898 per incident. Injuries classified as minor severity accounted for 86.5% of the total estimated cost.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Children aged 5\u20139\u2009years' experience high rates of costly hospitalisation for playground and tree\u2010related injuries. Targeted injury prevention initiatives, particularly in the home and school environments, are imperative to reduce the incidence and burden of playground and tree\u2010related injuries to affected children, their families and hospital resources.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.15609","type":"journal-article","created":{"date-parts":[[2021,6,21]],"date-time":"2021-06-21T21:46:39Z","timestamp":1624311999000},"page":"1917-1922","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Paediatric playground and tree\u2010related injuries: Hospital admissions in the Midland region of New Zealand"],"prefix":"10.1111","volume":"57","author":[{"given":"Maria","family":"Bentley","sequence":"first","affiliation":[{"name":"Midland Trauma System Waikato District Health Board  Hamilton New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janet","family":"Amey","sequence":"additional","affiliation":[{"name":"Midland Trauma System Waikato District Health Board  Hamilton New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alastair","family":"Smith","sequence":"additional","affiliation":[{"name":"Midland Trauma System Waikato District Health Board  Hamilton New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9476-8253","authenticated-orcid":false,"given":"Grant","family":"Christey","sequence":"additional","affiliation":[{"name":"Midland Trauma System Waikato District Health Board  Hamilton New Zealand"},{"name":"Waikato Clinical School The University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,6,21]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/17457300500310269"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1071\/HE07098"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.13777"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40621-020-00275-w"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0009922817732618"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1754.1990.tb02446.x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.28.4.234"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2015.07.003"},{"key":"e_1_2_7_10_1","first-page":"1532","article-title":"Functional and health\u2010related quality of life outcomes after pediatric trauma","volume":"70","author":"Gabbe B","year":"2011","journal-title":"J. Trauma"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2014.03.023"},{"key":"e_1_2_7_12_1","volume-title":"International Classification of Disease (ICD\u201010\u2010AM)","author":"National Centre for Classification in Health","year":"2006"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-197403000-00001"},{"key":"e_1_2_7_14_1","unstructured":"Ministry of Education.Playgrounds on School Sites New Zealand. Wellington;2020. Available from:https:\/\/www.education.govt.nz\/school\/property\u2010and\u2010transport\/school\u2010facilities\/playgrounds\/. [Accessed 16 November 2020]."},{"key":"e_1_2_7_15_1","unstructured":"Playsafe Consulting Ltd Playground Safety Specialists.Playground Equipment and Surfacing Standards Guide: Guide to the NZS 5825: 2015 Standard.2019. Available from:https:\/\/parksupplies.co.nz\/wp-content\/uploads\/2019\/06\/Playsafe-Standards-Guide-2019-V2.pdf. [Accessed18 November 2020]."},{"key":"e_1_2_7_16_1","unstructured":"Safekids Aotearoa.Safekids Safety Tips for 5\u20139\u2009Years.2019. Available from:https:\/\/www.starship.org.nz\/safekids\/safekids-safety-tips-5-9-years. [Accessed 16 November 2020]."},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.17269\/s41997-018-0035-8"},{"key":"e_1_2_7_18_1","unstructured":"Safekids A.Safekids Aotearoa Position Paper: Child Trampoline Injury Prevention. Auckland.2014. Available from:https:\/\/media.starship.org.nz\/download-safekids-trampoline-safety-position-paper%3E%3E\/Safekids_Trampoline_Safety_Position_Paper_final_web.pdf. [Accessed 19 October 2020]."},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/injuryprev-2015-041598"},{"key":"e_1_2_7_20_1","first-page":"43","article-title":"The effect of trampoline parks on presentations to the Christchurch Emergency Department","volume":"131","author":"Roffe L","year":"2018","journal-title":"NZMJ"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2018.02.011"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arcped.2019.05.008"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e318168c75e"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-019-09544-8"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.7721\/chilyoutenvi.22.2.0144"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1746-1561.2007.00160.x"}],"container-title":["Journal of Paediatrics and Child Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpc.15609","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jpc.15609","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpc.15609","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,20]],"date-time":"2023-08-20T23:32:35Z","timestamp":1692574355000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jpc.15609"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,21]]},"references-count":25,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["10.1111\/jpc.15609"],"URL":"https:\/\/doi.org\/10.1111\/jpc.15609","archive":["Portico"],"relation":{},"ISSN":["1034-4810","1440-1754"],"issn-type":[{"value":"1034-4810","type":"print"},{"value":"1440-1754","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,21]]},"assertion":[{"value":"2020-12-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-05-24","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-06-21","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}