Gender differences in female and male Australian football concussion injury: A prospective observational study of emergency department presentations

IF 1.7 4区医学 Q2 EMERGENCY MEDICINE

Emergency Medicine Australasia Pub Date : 2024-05-27 DOI:10.1111/1742-6723.14433

Julian Stella MBBS, Stephen D Gill PhD, Nicole Lowry B Nursing, Tom Reade MBBS, Tim Baker MBBS, Kate Kloot PhD, Georgina Hayden MBBS, Matthew Ryan MBBS, Hugh Seward MBBS, Richard S Page MBBS

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引用次数: 0

Abstract

Objective

To examine gender differences in Australian football (AF)-related concussion presentations to EDs in regional Australia.

Methods

A prospective observational study of patients presenting to 1 of the 10 EDs in Western Victoria, Australia, with an AF-related concussion was conducted. Patients were part of a larger study investigating AF injuries over a complete AF season, including pre-season training and practice matches. Information regarding concussion injuries was extracted from patient medical records, including clinical features, concurrent injuries, mechanism and context of injury. Female and male data were compared with chi-squared and Fisher's exact tests. P < 0.05 was considered significant.

Results

From the original cohort of 1635 patients with AF-related injuries (242 female and 1393 male), 231 (14.1%) patients were diagnosed with concussion. Thirty-eight (15.7%) females had concussions versus 193 (13.9%) males (P > 0.05). Females over the age of 16 were more likely to be concussed than males in the same age range (females n = 26, 68.4% vs males n = 94, 48.7%; P = 0.026). Neurosurgically significant head injury was rare (one case). Similar rates of concurrent injury were found between females 15 (39.5%) and males 64 (33.2%), with neck injury the single most common in 24 (10.3%) concussions. Sixty-nine patients (29%) were admitted for observation or to await the results of scans. The majority of concussions occurred in match play (87.9%). Females were more likely injured in contested ball situations (63.2% vs 37.3%; P < 0.05).

Conclusion

Concussion rates for community-level AF presentations to regional EDs were similar between genders. Serious head injury was rare, although hospital admission for observation was common. Concurrent injuries were common, with associated neck injury most often identified. Match play accounted for the majority of head injuries.

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澳大利亚足球运动中男女脑震荡损伤的性别差异：对急诊科就诊情况的前瞻性观察研究。

目的研究澳大利亚地区急诊室收治的澳式足球（AF）相关脑震荡患者的性别差异：对澳大利亚西维多利亚州 10 家急诊室中的 1 家急诊室就诊的澳式足球相关脑震荡患者进行了前瞻性观察研究。患者是一项大型研究的一部分，该研究调查了一个完整的澳式足球赛季中的澳式足球损伤情况，包括季前训练和练习赛。从患者病历中提取了有关脑震荡损伤的信息，包括临床特征、并发损伤、损伤机制和背景。通过卡方检验和费雪精确检验对男女数据进行了比较。P 结果：在最初的 1635 名房颤相关损伤患者（女性 242 人，男性 1393 人）中，有 231 人（14.1%）被诊断为脑震荡。38名女性（15.7%）与193名男性（13.9%）相比患有脑震荡（P > 0.05）。16岁以上的女性比同年龄组的男性更容易患脑震荡（女性26人，68.4%；男性94人，48.7%；P=0.026）。神经外科严重的头部损伤很少见（一例）。女性 15 例（39.5%）和男性 64 例（33.2%）并发损伤的比例相似，其中颈部损伤在 24 例（10.3%）脑震荡中最为常见。69名患者（29%）入院观察或等待扫描结果。大多数脑震荡发生在比赛中（87.9%）。女性更有可能在有争议的球赛中受伤（63.2% 对 37.3%；P 结论：女性更有可能在有争议的球赛中受伤（63.2% 对 37.3%）：在地区急诊室就诊的社区级房颤患者中，男女脑震荡发生率相似。严重的头部损伤很少见，但入院观察的情况很常见。并发症很常见，最常见的是颈部受伤。大多数头部损伤是在比赛中造成的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Emergency Medicine Australasia 医学-急救医学

CiteScore

3.70

自引率

13.00%

发文量

217

审稿时长

6-12 weeks

期刊介绍： Emergency Medicine Australasia is the official journal of the Australasian College for Emergency Medicine (ACEM) and the Australasian Society for Emergency Medicine (ASEM), and publishes original articles dealing with all aspects of clinical practice, research, education and experiences in emergency medicine. Original articles are published under the following sections: Original Research, Paediatric Emergency Medicine, Disaster Medicine, Education and Training, Ethics, International Emergency Medicine, Management and Quality, Medicolegal Matters, Prehospital Care, Public Health, Rural and Remote Care, Technology, Toxicology and Trauma. Accepted papers become the copyright of the journal.