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A review of stroller-related and pram-related injuries to children in Singapore
  1. Manasvin Tripathi1,
  2. Arif Tyebally1,2,
  3. Jasmine Xun Yi Feng1,
  4. Shu-Ling Chong1,2
  1. 1Department of Emergency Medicine, KK Woman's and Children's Hospital, Singapore, Singapore
  2. 2Duke-NUS medical school, Singapore
  1. Correspondence to : Manasvin Tripathi, Department of Emergency Medicine, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore 229899, Singapore; manasvintripathi{at}


Prams and strollers are commonly used in daily childcare. We aim to study the type and severity of injuries associated with prams and strollers in an Asian population. We performed a retrospective review of children below the age of 6 who presented to a tertiary paediatric hospital in Singapore, from January 2012 to June 2015, with such injuries. There were 248 pram-related and stroller-related injuries. The median age was 12.5 months old. 69 (27.8%) sustained open wounds, 17 (6.9%) suffered fractures or dislocations and 2 children had significant head injuries. 29 patients (11.7%) sustained injuries while on stairs or escalators. Most of the injuries (197 cases, 79.4%) occurred despite adult supervision. The need for intervention was associated with older age and entrapment injuries (p<0.001). Only appropriately sized prams and strollers without exposed hinges should be used. These should not be deployed on stairs and escalators.

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  • Contributors MT, CS-L, AT and JFXY contributed to the conception and design of the study, analysis and interpretation of the data. MT and JFXY were directly involved in data acquisition. All the authors were involved in drafting the article and revising it critically at every step for important intellectual content. All authors have read the manuscript and have approved its submission. The material submitted is original and has not been submitted or published elsewhere.

  • Competing interests None declared.

  • Ethics approval Centralised Institutional Review Board (CIRB)—SingHealth Research, Singapore.

  • Provenance and peer review Not commissioned; externally peer reviewed.