{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T22:43:39Z","timestamp":1792363419043,"version":"4.4.0"},"reference-count":33,"publisher":"American Academy of Pediatrics (AAP)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2012,12,1]]},"abstract":"<jats:sec>\n                  <jats:title>OBJECTIVE:<\/jats:title>\n                  <jats:p>To investigate inflatable bouncer\u2013related injuries to children in the United States.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS:<\/jats:title>\n                  <jats:p>Records were analyzed from the National Electronic Injury Surveillance System for patients \u226417 years old treated in US emergency departments (EDs) for inflatable bouncer\u2013related injuries from 1990 to 2010.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS:<\/jats:title>\n                  <jats:p>An estimated 64\u2009657 (95% confidence interval [CI]: 32\u2009420\u201396\u2009893) children \u226417 years of age with inflatable bouncer\u2013related injuries were treated in US EDs from 1990 to 2010. From 1995 to 2010, there was a statistically significant 15-fold increase in the number and rate of these injuries, with an average annual rate of 5.28 injuries per 100\u2009000 US children (95% CI: 2.62\u20137.95). The increase was more rapid during recent years, with the annual injury number and rate more than doubling between 2008 and 2010. In 2010, a total of 31 children per day were treated in US EDs for an inflatable bouncer\u2013related injury, which equals a child every 46 minutes nationally. A majority of patients were male (54.6%), and the mean patient age was 7.50 years (95% CI: 7.17\u20137.83). Most injuries were fractures (27.5%) and strains or sprains (27.3%), and most injuries occurred to the lower (32.9%) or upper (29.7%) extremities. Most injuries occurred at a place of sports or recreation (43.7%) or at home (37.5%), and 3.4% of injured children were hospitalized or kept for &amp;lt;24 hours for observation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS:<\/jats:title>\n                  <jats:p>The number and rate of pediatric inflatable bouncer\u2013related injuries have increased rapidly in recent years. This increase, along with similarities to trampoline-related injuries, underscores the need for guidelines for safer bouncer usage and improvements in bouncer design to prevent these injuries among children.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/peds.2012-0473","type":"journal-article","created":{"date-parts":[[2012,11,27]],"date-time":"2012-11-27T05:29:09Z","timestamp":1353994149000},"page":"1076-1083","source":"Crossref","is-referenced-by-count":18,"title":["Pediatric Inflatable Bouncer\u2013Related Injuries in the United States, 1990\u20132010"],"prefix":"10.1542","volume":"130","author":[{"given":"Meghan C.","family":"Thompson","sequence":"first","affiliation":[{"name":"Center for Injury Research and Policy, The Research Institute at Nationwide Children\u2019s Hospital, Columbus, Ohio;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thiphalak","family":"Chounthirath","sequence":"additional","affiliation":[{"name":"Center for Injury Research and Policy, The Research Institute at Nationwide Children\u2019s Hospital, Columbus, Ohio;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huiyun","family":"Xiang","sequence":"additional","affiliation":[{"name":"Center for Injury Research and Policy, The Research Institute at Nationwide Children\u2019s Hospital, Columbus, Ohio;"},{"name":"The Ohio State University College of Medicine, Columbus, Ohio; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary A.","family":"Smith","sequence":"additional","affiliation":[{"name":"Center for Injury Research and Policy, The Research Institute at Nationwide Children\u2019s Hospital, Columbus, Ohio;"},{"name":"The Ohio State University College of Medicine, Columbus, Ohio; and"},{"name":"Child Injury Prevention Alliance, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2012,12,1]]},"reference":[{"issue":"6","key":"2021120823592206800_B1","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1097\/BPO.0b013e3181831ee3","article-title":"Inflatable bouncer-related fractures in children.","volume":"28","author":"Avoian","year":"2008","journal-title":"J Pediatr Orthop"},{"key":"2021120823592206800_B2","unstructured":"Eltman F, Seewer J. NY accident illuminates perils of 'bounce houses'. Associated Press story in ABC News; June 7, 2011. Available at: http:\/\/abcnews.go.com\/US\/wireStory?id=13781119. Accessed October 31, 2011"},{"issue":"11","key":"2021120823592206800_B3","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1016\/j.injury.2004.07.057","article-title":"Injuries caused by inflatable bouncers.","volume":"36","author":"Kok","year":"2005","journal-title":"Inj Extra"},{"issue":"2","key":"2021120823592206800_B4","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1007\/s00590-005-0031-6","article-title":"'Bouncy castles' and cervical spine fractures: an under-recognized hazard.","volume":"16","author":"McGuire","year":"2006","journal-title":"Eur J Orthop Surg Traumatol"},{"issue":"16","key":"2021120823592206800_B5","first-page":"2251","article-title":"Accidents caused by inflatable bouncers in 0-19 year-olds in Denmark in 1993 [article in Danish]","volume":"158","author":"Kirketerp-M\u00f8ller","year":"1996","journal-title":"Ugeskr Laeger"},{"issue":"4","key":"2021120823592206800_B6","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1097\/01241398-198807000-00015","article-title":"Injuries in children associated with trampolinelike air cushions.","volume":"8","author":"Olsen","year":"1988","journal-title":"J Pediatr Orthop"},{"issue":"6831","key":"2021120823592206800_B7","doi-asserted-by":"crossref","first-page":"912","DOI":"10.1136\/bmj.304.6831.912","article-title":"Injuries sustained on \u201cbouncy castles.\u201d","volume":"304","author":"Singer","year":"1992","journal-title":"BMJ"},{"issue":"6837","key":"2021120823592206800_B8","doi-asserted-by":"crossref","first-page":"1311","DOI":"10.1136\/bmj.304.6837.1311-c","article-title":"More injuries from \u201cbouncy castles.\u201d","volume":"304","author":"Levene","year":"1992","journal-title":"BMJ"},{"key":"2021120823592206800_B9","volume-title":"Amusement Ride-Related Injuries and Deaths in the United States: 1987\u20132000","author":"Morris","year":"2001"},{"key":"2021120823592206800_B10","volume-title":"Amusement Ride-Related Injuries and Deaths in the United States: 2002 Update","author":"Levenson","year":"2002"},{"key":"2021120823592206800_B11","volume-title":"Amusement Ride-Related Injuries and Deaths in the United States: 2003 Update","author":"Levenson","year":"2003"},{"key":"2021120823592206800_B12","volume-title":"Amusement Ride-Related Injuries and Deaths in the United States: 2004 Update","author":"Levenson","year":"2004"},{"key":"2021120823592206800_B13","volume-title":"Amusement Ride-Related Injuries and Deaths in the United States: 2005 Update","author":"Levenson","year":"2005"},{"key":"2021120823592206800_B14","volume-title":"2006 Amusement Ride-Related Injuries","author":"US Consumer Product Safety Commission","year":"2006"},{"key":"2021120823592206800_B15","volume-title":"Estimated Number of Injuries and Reported Deaths Associated With Inflatable Amusements, 2003\u20132007. Memorandum","author":"O'Brien","year":"2009"},{"issue":"1","key":"2021120823592206800_B16","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1542\/gr.21-1-10","article-title":"Inflatable bouncer injuries: another backyard worry.","volume":"21","author":"Schwend","year":"2009","journal-title":"AAP Grand Rounds"},{"issue":"3 pt 1","key":"2021120823592206800_B17","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1542\/peds.101.3.406","article-title":"Injuries to children in the United States related to trampolines, 1990-1995: a national epidemic.","volume":"101","author":"Smith","year":"1998","journal-title":"Pediatrics"},{"issue":"7","key":"2021120823592206800_B18","doi-asserted-by":"crossref","first-page":"694","DOI":"10.1001\/archpedi.152.7.694","article-title":"Trampoline-related injuries to children.","volume":"152","author":"Smith","year":"1998","journal-title":"Arch Pediatr Adolesc Med"},{"issue":"1","key":"2021120823592206800_B19","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1542\/peds.2004-1326","article-title":"Comparison of minitrampoline- and full-sized trampoline-related injuries in the United States, 1990-2002.","volume":"116","author":"Shields","year":"2005","journal-title":"Pediatrics"},{"issue":"7","key":"2021120823592206800_B20","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1136\/emj.2009.085803","article-title":"Trampoline-related injuries in children: a preliminary biomechanical model of multiple users.","volume":"28","author":"Menelaws","year":"2011","journal-title":"Emerg Med J"},{"issue":"3","key":"2021120823592206800_B21","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1136\/ip.2009.025494","article-title":"Effectiveness of pads and enclosures as safety interventions on consumer trampolines.","volume":"16","author":"Alexander","year":"2010","journal-title":"Inj Prev"},{"issue":"103(5 pt 1","key":"2021120823592206800_B22","first-page":"1053","year":"1999","journal-title":"Pediatrics"},{"key":"2021120823592206800_B23","unstructured":"American Academy of Orthopaedic Surgeons. Position statement 1135: Trampolines and trampoline safety. Last revised September 2010. Available at: www.aaos.org\/about\/papers\/position\/1135.asp. Accessed November 1, 2011"},{"issue":"4","key":"2021120823592206800_B24","doi-asserted-by":"crossref","first-page":"774","DOI":"10.1542\/peds.2012-2082","article-title":"Council on Sports Medicine and Fitness. Policy statement: Trampoline safety in childhood and adolescence.","volume":"130","author":"American Academy of Pediatrics","year":"2012","journal-title":"Pediatrics"},{"key":"2021120823592206800_B25","volume-title":"National Electronic Injury Surveillance System: A Tool for Researchers","author":"US Consumer Product Safety Commission, Division of Hazard and Injury Data Systems","year":"2000"},{"key":"2021120823592206800_B26","volume-title":"NEISS Coding Manual","author":"US Consumer Product Safety Commission","year":"2011"},{"key":"2021120823592206800_B27","volume-title":"Directorate for Epidemiology. NEISS Product Code Comparibility Table","author":"US Consumer Product Safety Commission","year":"2011"},{"key":"2021120823592206800_B28","unstructured":"Consumer Product Safety Commission. Trampoline safety alert. Available at: www.cpsc.gov\/cpscpub\/pubs\/085.html. Accessed November 18, 2011"},{"key":"2021120823592206800_B29","unstructured":"US Census Bureau. Intercensal estimates of the United States resident population by age and sex, 1990\u20132000: selected months. Available at: www.census.gov\/popest\/archives\/EST90INTERCENSAL\/US-EST90INT-datasets.html. Accessed November 21, 2011"},{"key":"2021120823592206800_B30","unstructured":"US Census Bureau. Intercensal estimates of the resident population by single year of age, sex, race and Hispanic origin for the United States: April 1, 2000 to July 1, 2010. Available at: www.census.gov\/popest\/intercensal\/national\/nat2010.html. Accessed November 21, 2011"},{"issue":"13","key":"2021120823592206800_B31","doi-asserted-by":"crossref","first-page":"1673","DOI":"10.1001\/jama.1960.03030130001001","article-title":"The trampoline and serious neurological injuries: A report of five cases.","volume":"174","author":"Ellis","year":"1960","journal-title":"JAMA"},{"key":"2021120823592206800_B32"},{"key":"2021120823592206800_B33","article-title":"To: all amusement ride safety officials. Important amusement ride safety bulletin! 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