{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,28]],"date-time":"2025-09-28T11:08:16Z","timestamp":1759057696128,"version":"3.40.5"},"reference-count":19,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,3,6]],"date-time":"2019-03-06T00:00:00Z","timestamp":1551830400000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The aim of this study was to investigate the circumstances of playground equipment\u2010related head injuries in children and consider preventive measures based on the associated characteristics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The survey period was from February 1988 to January 2017. The study participants were children &lt;15 years of age who had been hospitalized for playground equipment\u2010related head injury. The following factors were investigated retrospectively: age; sex; fall height; material of the surface under the equipment; mechanism and diagnosis of the head injury; neurological signs at admission; and neurological outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 42 children (median age, 5 years; M\/F: 26\/16) were treated for head injuries, which involved a slide in 20 cases (47.6%), a swing in 11 (26.2%), a jungle gym in five (11.9%), monkey bars, iron bars, and a trampoline in one each, and unspecified equipment in six (14.3%). Falls ranged from a height of 1.2 to 2.5 m. Most of the falls occurred on hard soil or concrete. Head injuries depended on the age of the child, the injury mechanisms, and the characteristics of the equipment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The playground equipment\u2010related head injuries found in the present study involved not only skull fractures and concussions, but also intracranial hemorrhage and surgical cases. Children routinely use playground equipment, so effective strategies to reduce the occurrence of playground equipment\u2010related head injuries need to be formulated.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ped.13765","type":"journal-article","created":{"date-parts":[[2018,12,26]],"date-time":"2018-12-26T10:36:40Z","timestamp":1545820600000},"page":"293-297","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Playground equipment\u2010related head injuries requiring hospitalization in children"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0545-8523","authenticated-orcid":false,"given":"Hajime","family":"Ono","sequence":"first","affiliation":[{"name":"Department of Neurosurgery St Marianna University School of Medicine Toyoko Hospital Kawasaki Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taigen","family":"Sase","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery St Marianna University School of Medicine Kawasaki Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Takasuna","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery St Marianna University School of Medicine Kawasaki Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuichiro","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery St Marianna University School of Medicine Kawasaki Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,3,6]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"413","article-title":"A study on the actual conditions of injury\u2010related playground equipment accidents and prevention measures in Kyoto City","volume":"74","author":"Keiko M","year":"2015","journal-title":"J. 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