Mitigating unintentional injury deaths in sport and recreation: insights from 14 years of coroner recommendations in Québec, Canada.

IF 2.5 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Philippe Richard, Mathieu Gagné, Jérémie Sylvain-Morneau, Paul-André Perron, Maxime Charbonneau
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Abstract

Background: Unintentional injury deaths in sport and recreation represent a significant public health concern. This study analysed coronial recommendations related to such deaths, focusing on case specifics and recurring themes from January 2006 to December 2019.

Methods: This mixed-methods study used data from the Bureau du coroner du Québec. Reports with recommendations were analysed by sex, age group, context, mechanism and activity. A four-phase thematic analysis was conducted to emphasise the developed themes and connect them with the existing literature.

Results: Of 1937 coronial reports reviewed, 13.3% (n=258) contained at least one recommendation, totalling 609 recommendations (31 per 100 activity-related deaths). Reports were more likely to contain at least one recommendation for women (20.3%, p=0.0004), paediatric populations (≤5 years: 30.3%, p<0.0001; 6-11 years: 29.3%, p=0.0003; 12-17 years: 27.6%, p<0.0001), and organised events (55.0%, p<0.0001), despite most deaths occurring among men, adults and during unstructured events. All-terrain vehicle and snowmobile activities showed significantly lower rates of reports with recommendations (8.1%, p=0.0008 and 8.6%, p=0.0044, respectively). Most frequently addressed themes were Development, inspection and modification of bicycle infrastructure for cycling and Lake and river safety measures for swimming. Conflict with other types of users was the top theme for land motorsports, while Personal flotation device use was the most common for navigation activities.

Conclusions: Patterns from reports with recommendations will be shared with the Bureau du Coroner du Québec to improve coronial practices. Integrating recurrent themes and recommendations with activity-specific risk factors will help identify critical patterns and inform preventive measures holistically.

减轻运动和娱乐中的意外伤害死亡:来自加拿大quamesbec 14年验尸官建议的见解。
背景:运动和娱乐中的意外伤害死亡是一个重要的公共卫生问题。本研究分析了与此类死亡相关的冠状动脉建议,重点关注2006年1月至2019年12月期间的病例细节和反复出现的主题。方法:本研究采用混合方法,采用的数据来自全国死因验尸局。提出建议的报告按性别、年龄组、背景、机制和活动进行了分析。通过四阶段的主题分析来强调发展的主题,并将它们与现有文献联系起来。结果:在回顾的1937例冠状病例报告中,13.3% (n=258)包含至少一项建议,共计609项建议(每100例活动相关死亡中有31例)。报告更有可能包含至少一项针对妇女(20.3%,p=0.0004)、儿科人群(≤5岁:30.3%)、自行车基础设施的开发、检查和修改以及湖泊和河流游泳安全措施的建议。与其他类型的用户发生冲突是陆地赛车运动的首要主题,而在导航活动中使用个人漂浮装置是最常见的。结论:报告中的模式和建议将与quacimbec验尸局分享,以改进验尸做法。将经常出现的主题和建议与具体活动的风险因素结合起来,将有助于确定关键模式,并全面地为预防措施提供信息。
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
Injury Prevention
Injury Prevention 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.30
自引率
2.70%
发文量
68
审稿时长
6-12 weeks
期刊介绍: Since its inception in 1995, Injury Prevention has been the pre-eminent repository of original research and compelling commentary relevant to this increasingly important field. An international peer reviewed journal, it offers the best in science, policy, and public health practice to reduce the burden of injury in all age groups around the world. The journal publishes original research, opinion, debate and special features on the prevention of unintentional, occupational and intentional (violence-related) injuries. Injury Prevention is online only.
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