Table 4

Case series prior to 1985 (and modernisation)

Title and authorPopulationMethod of data collectionConclusions
Illingworth et al. Injuries caused by playground equipment. 19751200 Non-sequential attendances to Sheffield Children’s A&E.Proforma completed.Narrative study of the injury profile seen on playgrounds. Fractures accounted for 26.5% total injury; this included 5 skull fractures. 12 children had concussion
Injury graded.
Rivers R et al. Falls from equipment as a cause of playground injury. 1978.17Trauma admissions to UCH in London.Note review and questionnaire.40 cases described including 29 head injuries. These were severe with 3 fractures and 8 LOC. Severe head injury associated with non-IAS.
Frost J. Making playgrounds safe for children. 197918USA.NEISS data.Discussion re playground safety regulations.
Oliver T et al. Playground equipment and accidents. 198119Northern Sydney.Surveys of 7 A&E units.Falls to hard ground were identified as the prime mechanism of injury. 24% injuries were fractures, these comprised skull and limb fractures.
Children 2–12 years.
Limited data on 162 injuries.
Christensen S. Accidents with playground equipment 3. 198220A&E attendance Aarhus. 1–14 years.Questionnaire A&E attendance Municipal hospitals in Aarhus.466 children. Injury severity increased with increasing fall height. The available surface should influence the maximum fall height.
Boyce W. Epidemiology of injuries in a large urban school district. 1984.21Tuscon school district.School nurse data survey.Playground injuries are relatively severe when compared to all injuries relating to sports and leisure equipment use. Younger children more likely to be injured on playgrounds.