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A temporal model for nonelite triathlon race injuries

机译:非元三项赛造型的时间模型

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摘要

Objective: To (1) classify types and severity of injuries, (2) establish a temporal model for both the incidence and prevalence of injuries, and (3) identify the most appropriate medical manpower needed for nonelite triathlon competition. Design: Prospective observational study. Setting: Oklahoma City Redman Triathlon. Participants: One hundred four triathletes seeking medical care (575 race starters). Main Outcome Measures: Prevalence and diagnoses of athletes seeking medical care, 15-minute injury incidence reports with severity classification, and duration of treatment. Results: The prevalence of injuries sustained was 37.7% and 10.8% in the Ironman and half Ironman events, respectively. 72.2% of half Ironman injuries were sustained during hours 6 and 7, with a presentation rate of 78 per 1000 race starters during this time interval. The Ironman had a much higher rate of severe injuries at 38.2% ± 6.0% (95% confidence interval) and a longer average duration of treatment culminating in hour 14 at 62.3 minutes. Conclusions: Triathlon medical support should be modified to fit the temporal flow of injuries sustained throughout nonelite Ironman events. Previous studies have made recommendations from data collected from elite competitions that may not be ideal for nonelite races due to the higher rate of injuries, injury severity, and longer duration competition. Therefore, we recommend increasing support by 20% during the latter stages of triathlons, starting at hour 14, to 3 physicians and 9 nurses and other medical volunteers per 100 competitors. Further research into the implementation of these strategies should be performed before these data should be applied as common practice.
机译:目的:〜(1)分类伤害的类型和严重程度,(2)建立伤病发病率和患病率的时间模型,(3)确定诺尔特铁人三项竞赛所需的最合适的医疗人力。设计:前瞻性观察研究。环境:俄克拉荷马城德曼铁人三项活动。参与者:一百名追求医疗保健的三辆铁人组织(575场比赛开始)。主要观察措施:寻求医疗护理的运动员的患病率和诊断,具有严重程度分类和治疗持续时间的15分钟伤害发病率。结果:熨斗和半铁的伤害患病率分别为37.7%和10.8%。 72.2%的半铁损伤期间6小时和7小时持续,在此时间间隔期间,每1000个种族初学者的呈现率为78。铁工率高的严重损伤率高于38.2%±6.0%(95%置信区间),并且在62.3分钟内以14小时在14小时内持续平均治疗持续时间。结论:应修改铁人三项医疗支持,以适应整个熨斗师事件持续的伤害的时间流动。以前的研究已经提出了从精英比赛中收集的数据的建议,这可能不是由于损伤,伤害严重程度率较高,持续时间较长,而且持续时间较长。因此,我们建议在铁人三项后期的后期增加20%的支持,从14小时开始,到3名医生和每100名竞争对手的3名医生和9名护士和其他医疗志愿者。在这些数据应作为常见做法时,应进行进一步研究这些策略的实施。

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