Abstract
OBJECTIVES: Despite the widespread promotion of safety standards no epidemiological studies have adequately evaluated their effectiveness in preventing injury in falls from playground equipment. This study evaluated the effectiveness of the height and surfacing requirements of the New Zealand standard for playgrounds and playground equipment. SETTING: Early childhood education centres and schools in two major cities in the South Island of New Zealand. METHODS: Data were collected on 300 children aged 14 years or less who had fallen from playground equipment. Of these, 110 (cases) had sustained injury and received medical attention, while 190 (controls) had not sustained injury requiring medical attention. RESULTS: Logistic regression models fitted to the data indicated that the risk of injury being sustained in a fall was increased if the equipment failed to comply with the maximum fall height (odds ratio (OR) = 3.0; 95% confidence interval (CI) 0.7 to 13.1), surfacing (OR = 2.3; 95% CI 1.0 to 5.0), or safe fall height (OR = 2.1; 95% CI 1.1 to 4.0) requirements. Falls from heights in excess of 1.5 metres increased the risk of injury 4.1 times that of falls from 1.5 metres or less and it was estimated that a 45% reduction in children attending emergency departments could be achieved if the maximum fall height was lowered to 1.5 metres. CONCLUSIONS: Although the height and surfacing requirements of the New Zealand standard are effective in preventing injury in falls from playground equipment, consideration should be given to lowering the maximum permissible fall height to 1.5 metres.
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Selected References
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- Ball D. J., King K. L. Playground injuries: a scientific appraisal of popular concerns. J R Soc Health. 1991 Aug;111(4):134–137. doi: 10.1177/146642409111100405. [DOI] [PubMed] [Google Scholar]
- Briss P. A., Sacks J. J., Addiss D. G., Kresnow M. J., O'Neil J. Injuries from falls on playgrounds. Effects of day care center regulation and enforcement. Arch Pediatr Adolesc Med. 1995 Aug;149(8):906–911. doi: 10.1001/archpedi.1995.02170210080014. [DOI] [PubMed] [Google Scholar]
- Chalmers D. J., Langley J. D. Epidemiology of playground equipment injuries resulting in hospitalization. J Paediatr Child Health. 1990 Dec;26(6):329–334. doi: 10.1111/j.1440-1754.1990.tb02446.x. [DOI] [PubMed] [Google Scholar]
- Hosmer D. W., Lemeshow S. Confidence interval estimation of interaction. Epidemiology. 1992 Sep;3(5):452–456. doi: 10.1097/00001648-199209000-00012. [DOI] [PubMed] [Google Scholar]
- Mott A., Evans R., Rolfe K., Potter D., Kemp K. W., Sibert J. R. Patterns of injuries to children on public playgrounds. Arch Dis Child. 1994 Oct;71(4):328–330. doi: 10.1136/adc.71.4.328. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Nixon J., Pearn J., Wilkey I. Death during play: a study of playground and recreation deaths in children. Br Med J (Clin Res Ed) 1981 Aug 8;283(6288):410–410. doi: 10.1136/bmj.283.6288.410. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sacks J. J., Holt K. W., Holmgreen P., Colwell L. S., Jr, Brown J. M., Jr Playground hazards in Atlanta child care centers. Am J Public Health. 1990 Aug;80(8):986–988. doi: 10.2105/ajph.80.8.986. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sosin D. M., Keller P., Sacks J. J., Kresnow M., van Dyck P. C. Surface-specific fall injury rates on Utah school playgrounds. Am J Public Health. 1993 May;83(5):733–735. doi: 10.2105/ajph.83.5.733. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Warner K. G., Demling R. H. The pathophysiology of free-fall injury. Ann Emerg Med. 1986 Sep;15(9):1088–1093. doi: 10.1016/s0196-0644(86)80134-2. [DOI] [PubMed] [Google Scholar]