{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T16:15:26Z","timestamp":1791476126758,"version":"4.3.4"},"reference-count":35,"publisher":"BMJ","issue":"5","funder":[{"DOI":"10.13039\/501100003921","name":"Department of Health, Australian Government","doi-asserted-by":"publisher","award":["No award\/grant number"],"award-info":[{"award-number":["No award\/grant number"]}],"id":[{"id":"10.13039\/501100003921","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Inj Prev"],"accepted":{"date-parts":[[2022,4,1]]},"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec>\n                  <jats:title>Context<\/jats:title>\n                  <jats:p>No evidence-based review has compared injury risks sustained on trampolines at home and in trampoline centres.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To present pooled results for injury type, site and treatment from studies reporting injuries that occurred on trampolines at home and in trampoline centres.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Data sources<\/jats:title>\n                  <jats:p>MEDLINE, Scopus, Google Scholar and Embase databases were searched to 31 December 2021.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Study selection<\/jats:title>\n                  <jats:p>Inclusion criteria: (1) assessment of trampoline injuries (home and trampoline centres); (2) children and adolescents; (3) the point estimate was reported as an odds ratio (OR); and (4) an internal comparison was used.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Data extraction<\/jats:title>\n                  <jats:p>Data were reported according to Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. A random-effects model was used to estimate effect.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>There were 1\u2009386\u2009843 injuries (n=11 studies). There was an increased likelihood of musculoskeletal and\/or orthopaedic injuries (OR 2.45, 95%\u2009CI 1.66 to 3.61, p&lt;0.001), lower extremity injury (OR 2.81, 95%\u2009CI 1.99 to 3.97, p&lt;0.001), sprains (OR 1.64, 95%\u2009CI 1.36 to 1.97, p&lt;0.001) and a need for surgery (OR 1.89, 95%\u2009CI 1.37 to 2.60, p&lt;0.001) at trampoline centres compared with home trampolines. Conversely, upper extremity injury (OR 0.49, 95%\u2009CI 0.25 to 0.95, p=0.03), concussion (OR 0.48, 95%\u2009CI 0.35 to 0.65, p&lt;0.001) and lacerations (OR 0.46, 95%\u2009CI 0.35 to 0.59, p&lt;0.001) were less likely to occur at trampoline centres than at home.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Children using trampoline centres are more likely to suffer severe trauma and require surgical intervention than children using home trampolines. Development and implementation of preventative strategies, public awareness, and mandatory safety standards are urgently required for trampoline centres.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/injuryprev-2022-044530","type":"journal-article","created":{"date-parts":[[2022,6,13]],"date-time":"2022-06-13T20:00:16Z","timestamp":1655150416000},"page":"440-445","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":11,"title":["Trampoline centre injuries in children and adolescents: a systematic review and meta-analysis"],"prefix":"10.1136","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5417-9582","authenticated-orcid":false,"given":"Carlos","family":"Nunez","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Health, Discipline of Child and Adolescent Health, The University of Sydney, Sydney, New South Wales, Australia"},{"name":"The Australian Paediatric Surveillance Unit, The Sydney Children's Hospital Network (Westmead), Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0098-1705","authenticated-orcid":false,"given":"Guy D","family":"Eslick","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health, Discipline of Child and Adolescent Health, The University of Sydney, Sydney, New South Wales, Australia"},{"name":"The Australian Paediatric Surveillance Unit, The Sydney Children's Hospital Network (Westmead), Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6501-5487","authenticated-orcid":false,"given":"Elizabeth J","family":"Elliott","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health, Discipline of Child and Adolescent Health, The University of Sydney, Sydney, New South Wales, Australia"},{"name":"The Australian Paediatric Surveillance Unit, The Sydney 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