Council playgrounds in New South Wales: compliance with safety guidelines

The demographics of playground equipment injuries in children

BACKGROUND/PURPOSE

There have been many different studies of injuries owing to playground equipment but none that have looked in detail using large nationwide databases. It was the purpose of this study to investigate injuries owing to playground equipment using the National Electronic Injury Surveillance System (NEISS) database and further understand their demographics.

METHODS

Detailed NEISS injury data from 2002 through 2004 for slides, monkey bars, and swings were analyzed. Appropriate statistical analyses were performed; because of the many analyses on this large data set, P < .01 was considered statistically significant.

RESULTS

There were 22728 emergency department visits owing to playground equipment injuries recorded by NEISS between 2002 and 2004; 83.9% were owing to monkey bars, swings, and slides, and the 5 most common diagnoses were fractures (39.3%), contusions/abrasions (20.6%), lacerations (16.6%), strains/sprains (9.9%), and traumatic brain injuries (TBI) (8.5%). There were 9487 boys (54.3%) and 7995 girls (45.7%). The average age was 6.5 +/- 3.0 years. The injuries occurred at school in 38.9%; at a recreation/sporting facility, in 35.5%; and at home, in 25.6%. Most were treated and released (94.4%). Amerindian children were 2 times more likely than blacks to be admitted; compared to contusions, fractures were 9.8 times, and TBIs, 4.7 times more likely to be admitted. Injuries on monkey bars were 1.2 times more likely to be admitted than those on swings or slides. Fractures were 1.9 times more likely to occur on a monkey bar compared with swings or slides. Traumatic brain injuries were 1.4 times more likely to occur on a swing compared to slides or monkey bars.

CONCLUSION

Swings at school are the most common mechanism of injury for TBIs, and the seasonal data would suggest that increased supervision of children using swings during school hours might reduce the occurrence of TBIs. Monkey bars are the most common cause of fracture, and fracture is the most common cause of admission. Prevention strategies to reduce the number of fractures should be directed at monkey bar equipment and landing surfaces. The trend in playground equipment injury also indicates that monkey bars are problematic because the number of injuries per year per capita owing to monkey bars is stable, whereas those from swings and slides is decreasing.

Are current playground safety standards adequate for preventing arm fractures?

OBJECTIVE

To assess compliance with current standards of playgrounds where children have sustained a fall-related arm fracture.

DESIGN, SETTING AND PARTICIPANTS

Between October 2000 and December 2002, a consecutive prospective series of 402 children aged under 13 years who fell from playground equipment and sustained an arm fracture was identified by emergency department staff in five Victorian hospitals. Trained field testers measured playground equipment height, surface type and depth, and surface impact attenuation factors to determine compliance with safety standards.

MAIN OUTCOME MEASURES

Playground compliance with current Australian safety standards.

RESULTS

Ninety-eight percent of playgrounds had a recommended type of surface material. The mean surface depth was 11.1 cm (SD, 5.0 cm) and the mean equipment height was 2.04 m (SD, 0.43 m). Although over 85% of playgrounds complied with recommended maximum equipment height and surface impact attenuation characteristics, only 4.7% complied with recommended surface depth.

CONCLUSION

Playgrounds where children have sustained an arm fracture generally comply with all important safety recommendations except surface depth. Playground fall-related arm fracture requires specific countermeasures for prevention, distinct from head injury prevention guidelines.

Investigation of the level of safety and appropriateness of playgrounds in Elazig city in Turkey

This study was conducted to identify and evaluate the degree of appropriateness of children's playground standards and the level of compliance with the current safety specifications of the playgrounds in Elazig city in Turkey. This was accomplished by on-site observation and measurement in the total of 24 playgrounds present in this city centre. It was determined that 83.3% of the playgrounds were next to a street and in 60% of these playgrounds there were no fences or any barrier to keep children from running into the street. In 87.5% of playgrounds the surfacing was not in proper depth and good order. Separate playgrounds for different ages were provided in only 12.5% of the playgrounds. In 62.5% of the playgrounds children were supervised to make sure they were safe. There was unsafe equipment in 95.8% of the playgrounds. In 83.3% of the playgrounds there were sharp edges, pinch points, or playground debris that might injure a child. The findings of the present study indicate that nearly all of the playgrounds in Elaziğ city center do not meet the criteria for playground standards and are not in compliance with the current safety specifications and need improvement.