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36 to 1.97, p0.001) and a need for surgery (OR 1.89, 95% CI 1.37 to 2.60, p0.001) at trampoline centres compared with home trampolines. Conversely, upper extremity injury (OR 0.49, 95% CI 0.25 to 0.95, p=0.03), concussion (OR 0.48, 95% CI 0.35 to 0.65, p0.001) and lacerations (OR 0.46, 95% CI 0.35 to 0.59, p0.001) were less likely to occur at trampoline centres than at home. Children using trampoline centres are more likely to suffer severe trauma and require surgical intervention than children using home trampolines. Deve