Subject(s)
Accidents, Home/statistics & numerical data , Sports Equipment/adverse effects , Wounds and Injuries/epidemiology , Accidents, Home/prevention & control , Adolescent , Amputation, Surgical , Child , Child, Preschool , Degloving Injuries/epidemiology , Ecchymosis/epidemiology , Electronic Health Records , Female , Fracture Fixation , Fractures, Bone/diagnostic imaging , Fractures, Bone/epidemiology , Fractures, Bone/therapy , Humans , Infant , Infant, Newborn , Lacerations/epidemiology , Lacerations/therapy , Male , Natural Language Processing , Radiography , Suture Techniques , Wounds and Injuries/diagnostic imaging , Wounds and Injuries/etiology , Wounds and Injuries/therapy , Young AdultABSTRACT
Skin tears are traumatic wounds resulting from friction and shearing forces. Clinical practice strongly indicates that skin tears are a prevalent problem but their incidence is not well established in the literature. This systematic literature review identified and evaluated the available literature on the incidence and risk factors for skin tears in adults and the elderly. Inclusion criteria were epidemiological studies published in English, Spanish, or Portuguese languages from January 1990 through June 2014 and available in full text. Study quality was assessed using the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement and the Guidelines for Critically Appraising Studies of Prevalence or Incidence of a Health Problem. Five studies reporting incidence of skin tears met the selection criteria. Reported incidence rates of skin tears ranged from 2.23% to 92% in long-term care facilities and varied from 2.1% among men to 4.6% among women living in the community. The most prevalent risk factor for skin tears was old age, followed by impaired mobility, falls and accidental injuries, previous skin tears, cognitive deficit/dementia, dependence in transfers, and upper limbs. Further epidemiological studies on skin tears are necessary to elucidate the cause of these injuries and identify the profile of people at risk for skin tears, contributing to the development and implementation of appropriate preventive interventions.
Subject(s)
Degloving Injuries/epidemiology , Incidence , Skin/injuries , Aged , Aged, 80 and over , Humans , Long-Term Care/standards , Long-Term Care/statistics & numerical data , Risk Factors , United States/epidemiologyABSTRACT
AIMS: Trampoline use is a popular pastime amongst children in New Zealand, and has many advantages for child development. However, recent reports claim that trampoline-associated injuries are still highly prevalent. In order to help prevent these injuries in the future, this study aims to provide more up-to-date epidemiological information in children, with emphasis on the time of year that injuries most commonly occur. METHODS: A retrospective review was carried out utilising a prospective maintained trauma database. The database was searched electronically for injuries involving trampolines in children aged 0-15 years. Patient demographics and information regarding month of injury, injury type and management were extracted. RESULTS: There were 344 admissions to hospital for trampoline-related injuries between June 2000 and January 2015. Injuries were uncommon in winter, but rose in spring and summer. Fracture of the radius and/or ulna was the most common injury (34.0%), followed by humeral fracture (32.0%). CONCLUSION: The peak incidence of trampoline-related injuries occurred around the beginning of spring daylight savings time each year. This could therefore prove an opportune time to remind children and parents about trampoline safety at the same time as daylight savings reminders.
