Adam Schluttenhofer, Emily S Ross, Cameron S Smock, Luke C Radel, David A Soma
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引用次数: 0
Abstract
Objectives: Pediatric sports injuries are common, yet there is limited information on the comparative risk of hospitalization across commonly played sports in the United States. We sought to identify youth sports associated with the highest incidence of hospital admission. Additionally, we sought to analyze temporal trends over the past decade and identify risk factors for admission.
Methods: The National Electronic Injury Surveillance System was queried for injuries during 18 sports in patients ages 3-18 from 2014 to 2023. Injury patterns and admission rates were calculated from national estimates. Temporal change in admission rate was assessed using linear regression. Logistic regression models were used to assess age, sex, race, day of week, and sport type as risk factors for hospitalization.
Results: An estimated 186,695 admissions occurred during the study period, with an overall admission rate of 1.9%. The sports with the highest number of admissions per year were football (5,857, 31.4% of all admissions), basketball (3,563, 19.1%), and soccer (2,541, 13.6%). Gymnastics had the highest admission rate (3.2%), with 70% of admissions due to upper extremity fractures. Risk factors for hospitalization included male sex (OR 1.64, p < 0.001) and weekend participation (OR 1.10, p < 0.001). Hospitalization rate increased 0.08% per year (p = 0.001).
Conclusion: Football, basketball, and soccer contribute the majority of sports-related hospitalizations, consistent with known rates of participation and injury risk. Gymnastics has the highest admission rate among those presenting to the emergency department, commonly from upper extremity fractures. Males and those injured on the weekend are at increased risk for hospitalization. These findings should inform preventative efforts to reduce the risk of significant injury leading to hospitalization in young athletes.
目的：儿童运动损伤是常见的，然而在美国，关于常见运动的住院比较风险的信息有限。我们试图确定青少年运动与最高住院率相关。此外，我们试图分析过去十年的时间趋势，并确定入院的危险因素。方法：对2014 - 2023年3-18岁18例运动损伤患者的电子损伤监测系统进行查询。伤害模式和入院率是根据国家估计计算出来的。采用线性回归评估入院率的时间变化。采用Logistic回归模型评估年龄、性别、种族、工作天数和运动类型作为住院的危险因素。结果：在研究期间，估计有186,695人入院，总体录取率为1.9%。每年录取人数最多的体育项目依次是足球（5857人，占全部录取人数的31.4%）、篮球（3563人，占19.1%）、足球（2541人，占13.6%）。体操的录取率最高（3.2%），其中上肢骨折占70%。住院的危险因素包括男性（OR 1.64, p p p = 0.001）。结论：足球、篮球和足球是运动相关住院的主要原因，与已知的参与率和受伤风险一致。体操在急诊科的住院率最高，通常是上肢骨折。男性和周末受伤的人住院的风险更高。这些发现应该为预防措施提供信息，以减少导致年轻运动员住院的重大伤害风险。
期刊介绍：
The Physician and Sportsmedicine is a peer-reviewed, clinically oriented publication for primary care physicians. We examine the latest drug discoveries to advance treatment and recovery, and take into account the medical aspects of exercise therapy for a given condition. We cover the latest primary care-focused treatments serving the needs of our active patient population, and assess the limits these treatments govern in stabilization and recovery.
The Physician and Sportsmedicine is a peer-to-peer method of communicating the latest research to aid primary care physicians’ advancement in methods of care and treatment. We routinely cover such topics as: managing chronic disease, surgical techniques in preventing and managing injuries, the latest advancements in treatments for helping patients lose weight, and related exercise and nutrition topics that can impact the patient during recovery and modification.
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