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首页> 美国卫生研究院文献>International Journal of Environmental Research and Public Health >Reality Check 2: The Cost-Effectiveness of Policy Disallowing Body Checking in Non-Elite 13- to 14-Year-Old Ice Hockey Players
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Reality Check 2: The Cost-Effectiveness of Policy Disallowing Body Checking in Non-Elite 13- to 14-Year-Old Ice Hockey Players

机译：现实检查2：非精英13至14岁的冰球运动员在非精英13至14岁的冰球运动员中持续的政策禁止的成本效益

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摘要

Sport-related injuries are the leading cause of injury in youth and are costly to the healthcare system. When body checking is disallowed in non-elite levels of Bantam (ages 13–14 years) ice hockey, the injury rate is reduced, but the impact on costs is unknown. This study compared rates of game injuries and costs among non-elite Bantam ice hockey leagues that disallow body checking to those that did not. Methods: An economic evaluation was conducted alongside a prospective cohort study comparing 608 players from leagues where body checking was allowed in games (Calgary/Edmonton 2014–2015, Edmonton 2015–2016) with 396 players from leagues where it was not allowed in games (Vancouver, Kelowna 2014–2015, Calgary in 2015–2016). The effectiveness measure was rate of game injuries per 1000 player-hours. Costs were estimated based on associated healthcare use within the publicly funded healthcare system as well as privately paid healthcare costs. Probabilistic sensitivity analysis was conducted using bootstrapping. Results: Disallowing body checking reduced the rate of injuries by 4.32 per 1000 player-hours (95% CI −6.92, −1.56) and reduced public and total healthcare system costs by $1556 (95% CI −$2478, −$559) and $1577 (95% CI −$2629, −$500) per 1000 player-hours, respectively. These finding were robust in over 99% of iterations in sensitivity analyses in the public healthcare and the total healthcare system perspectives. There was no statistically significant difference in privately paid healthcare costs (−$65 per 1000 player-hours (95% CI −$220, $99)). Interpretation: Disallowing body checking in non-elite 13–14-year-old ice hockey nationally would prevent injuries and reduce public healthcare costs.
机译：与体育有关的伤害是青少年伤害的首要原因，是昂贵的医疗保健系统。当身体检查非精英级别雏量级（13-14岁岁）冰球是不允许的，伤害率降低，但对成本的影响是未知的。比赛受伤的这项研究比较了利率和非精英班塔姆冰球联赛中的成本禁止使用身体检查，那些没有。方法：一种经济评价旁边一个前瞻性队列研究，从联赛比较608级的球员，其中身体检查是在游戏（卡尔加里/埃德蒙顿2014- 2015年，埃德蒙顿2015-2016）从联赛396名玩家允许它并没有在游戏中允许进行（温哥华，2014 - 2015年基洛纳，卡尔加里2015-2016）。有效性的措施是每1000个玩家游戏时间的受伤率。基于政府资助的医疗保健系统，以及自己负担的医疗费用中的相关医疗保健使用费用估计。概率敏感性分析使用自举进行。结果：如果不允许身体检查4.32受伤率降低每1000个玩家小时（95％CI -6.92，-1.56）和1556 $削减公共和医疗总系统成本（95％CI - $ 2478 - $ 559章）和$ 1577年（ 95％CI - 分别为每1000玩家小时$ 500）， - $ 2629。这些发现在公共医疗灵敏度分析迭代和总的卫生保健系统的观点，超过99％的强劲。有在自己负担的医疗费用无统计学差异显著（ - $ 65％的1000玩家小时（95％CI - $ 220 $ 99），）。解读：如果不允许身体检查非精英13-14岁冰上曲棍球国家将阻止伤害和减少公共医疗费用。

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