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Epidemiologic Comparison of Injured High School Basketball Athletes Reporting to Emergency Departments and the Athletic Training Setting

机译:高中受伤篮球运动员上报急诊科和运动训练场所的流行病学比较

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Context: Basketball is a popular US high school sport with more than 1 million participants annually. Objective: To compare patterns of athletes with basketball-related injuries presenting to US emergency departments from 2005 through 2010 and the high school athletic training setting from the 2005–2011 seasons. Design: Descriptive epidemiology study. Setting: Data from the National Electronic Injury Surveillance System of the US Consumer Product Safety Commission and the High School Reporting Information Online database. Main Outcome Measure(s): Complex sample weights were used to calculate national estimates of basketball-related injuries for comparison. Patients or Other Participants: Adolescents from 13 to 19 years of age treated in US emergency departments for basketball-related injuries and athletes from 13 to 19 years of age from schools participating in High School Reporting Information Online who were injured while playing basketball. Results: Nationally, an estimated 1?514?957 (95% confidence interval = 1?337?441, 1?692?474) athletes with basketball-related injuries reported to the emergency department and 1?064?551 (95% confidence interval = 1?055?482, 1?073?620) presented to the athletic training setting. Overall, the most frequent injuries seen in the emergency department were lacerations and fractures (injury proportion ratios [IPRs] = 3.45 and 1.72, respectively), whereas those seen in the athletic training setting were more commonly concussions and strains/sprains (IPRs = 2.23 and 1.19, respectively; all P values < .0001). Comparisons of body site and diagnosis combinations revealed additional differences. For example, athletes with lower leg fractures more often presented to the emergency department (IPR = 6.53), whereas those with hand fractures more frequently presented to the athletic training setting (IPR = 1.18; all P values < .0001). Conclusions: Patterns of injury differed among high school basketball players presenting for treatment in the emergency department and the athletic training setting. Understanding differences specific to clinical settings is crucial to grasping the full epidemiologic and clinical picture of sport-related injuries. Certified athletic trainers play an important role in identifying, assessing, and treating athletes with sport-related injuries who might otherwise present to clinical settings with higher costs, such as the emergency department.
机译:背景信息:篮球是一种流行的美国高中运动,每年有超过一百万的参与者。目的:比较2005年至2010年期间向美国急诊部门就诊的篮球运动员受伤情况以及2005-2011年赛季的高中运动训练情况。设计:描述性流行病学研究。设置:来自美国消费品安全委员会国家电子伤害监视系统和高中报告在线数据库的数据。主要指标:使用复杂的样本权重来计算全国篮球相关伤害的估计值,以进行比较。患者或其他参与者:13岁至19岁的青少年在美国急诊部门接受了与篮球相关的伤害治疗,13岁至19岁的运动员在参加“高中报告信息在线”的学校中因打篮球而受伤。结果:在全国范围内,向紧急部门报告的篮球相关受伤运动员估计为1 514 957(95%置信区间= 1 337 441、1 692 474)和1 064 551(95 %置信区间= 1?055?482、1?073?620)呈现给运动训练设置。总体而言,急诊科中最常见的伤是撕裂伤和骨折(伤害比例[IPRs]分别为3.45和1.72),而在运动训练中所见的则是脑震荡和劳损/扭伤(IPRs = 2.23)。和1.19;所有P值<.0001)。身体部位和诊断组合的比较显示出其他差异。例如,小腿骨折的运动员更经常出现在急诊室(IPR = 6.53),而手骨折的运动员更经常出现在运动训练场(IPR = 1.18;所有P值<.0001)。结论:在急诊科和运动训练场所接受治疗的高中篮球运动员的伤害方式有所不同。理解特定于临床环境的差异对于掌握运动相关伤害的完整流行病学和临床状况至关重要。经过认证的体育教练在识别,评估和治疗与运动有关的受伤运动员方面起着重要作用,这些运动员原本可能会以较高的成本出现在临床环境中,例如急诊科。

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