Twenty-Year Analysis of Surfing Head and Neck Injuries Presenting to United States Emergency Departments Showed a Decrease in Overall Injuries Despite Steady Concussion Rates

Q3 Medicine
Eli M. Snyder B.S. , Elizabeth A. Rooks B.A. , Kyle K. Obana M.D. , Spencer K.Y. Chang M.D. , Christopher S. Ahmad M.D. , Charles A. Popkin M.D. , David P. Trofa M.D.
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引用次数: 0

Abstract

Purpose

To analyze the etiology, diagnosis, and incidence of head and neck (HN) injuries among ocean surfers.

Methods

The National Electronic Injury Surveillance System database was queried for surfing HN injuries presenting to United States emergency departments (EDs) between January 2003 and December 2022. Date of presentation, age, sex, race, injured body part, injury diagnosis, and disposition, as well as a brief injury narrative, were included in the data. National estimates (NEs) were calculated using the associated statistical weight of the reporting hospital.

Results

A total of 1,359 surfing-related HN injuries (NE, 90,872) were included in this study. The average age at presentation was 29.2 ± 13.8 years (range, 3 to 81 years). The most commonly specified mechanisms of injury were impact with board (NE, 48,360 [53%]) and impact with ocean floor (NE, 8,690 [10%]). Concussions represented 5% of surfing HN injuries and occurred at a higher rate (8%) in the age group younger than 20 years. There were statistically significant decreases in overall HN injuries (P < .01) (coefficient, –270; 95% confidence interval [CI], –355 to –206), lacerations (P < .01) (coefficient, –208; 95% CI, –258 to –158), and impact-with-board injuries (P < .01) (coefficient, –177; 95% CI, –327 to –117) presenting to United States EDs from 2003 to 2022.

Conclusions

Although surfing HN injury ED presentations decreased from 2003 to 2022, the rate of surfing-related concussions presenting to EDs remained steady. Concussions therefore remain a significant concern in surfing, especially among surfers under 20 years of age.

Clinical Relevance

As the sport of surfing has increased in popularity, it is important to understand the range of surfing injuries seen in EDs. HN injuries, especially concussions, should be thoroughly investigated to better understand the risks of ocean surfing, to advise athletes, and to develop effective injury prevention strategies.
美国急诊科20年来对冲浪头颈部损伤的分析显示,尽管脑震荡率稳定,但总体损伤率有所下降
目的分析海洋冲浪者头颈部损伤的病因、诊断及发病率。方法查询2003年1月至2022年12月期间到美国急诊科(EDs)就诊的冲浪HN损伤的国家电子损伤监测系统数据库。数据包括发病日期、年龄、性别、种族、受伤身体部位、受伤诊断和处置情况,以及简要的受伤叙述。使用报告医院的相关统计权重计算国家估计(NEs)。结果共纳入1359例与冲浪相关的HN损伤,其中NE 90872例。平均发病年龄29.2±13.8岁(3 ~ 81岁)。最常见的损伤机制是撞击板(东北,48,360[53%])和撞击洋底(东北,8,690[10%])。脑震荡占冲浪HN损伤的5%,在20岁以下年龄组中发生率更高(8%)。总体HN损伤有统计学意义的降低(P <;.01)(系数,-270;95%置信区间[CI], -355 ~ -206),撕裂伤(P <;.01)(系数,-208;95% CI, -258至-158),以及撞击伴板损伤(P <;.01)(系数,-177;95% CI, -327至-117),从2003年到2022年向美国EDs报告。结论冲浪HN损伤性ED的发生率在2003 - 2022年间有所下降,但与冲浪相关的脑震荡发生率保持稳定。因此,脑震荡仍然是冲浪运动的一个重要问题,特别是在20岁以下的冲浪者中。临床相关性随着冲浪运动越来越受欢迎,了解急诊科冲浪损伤的范围是很重要的。HN损伤,尤其是脑震荡,应该进行彻底的调查,以更好地了解海洋冲浪的风险,为运动员提供建议,并制定有效的损伤预防策略。
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
CiteScore
2.70
自引率
0.00%
发文量
218
审稿时长
45 weeks
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