山地自行车运动员创伤性骨折发生率上升：全国急诊室就诊情况回顾。

IF 2.2 3区医学 Q3 CRITICAL CARE MEDICINE

Injury-International Journal of the Care of the Injured Pub Date : 2024-10-04 DOI:10.1016/j.injury.2024.111907

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引用次数: 0

摘要

假设/目的：山地自行车（MTB）是一项发展迅速的运动，骨折是山地自行车运动员最常见的损伤。目前，缺乏基于全国范围内急诊科（ED）数据的山地车骨折分析。据推测，在过去十年中，美国急诊科接诊的骨折总人数显著增加，成年男性骑手的骨折率和骨折相关住院率高于其他人群：所有数据均来自美国国家电子伤害监测系统（NEISS），这是一个代表美国约 100 家急诊室的公共数据库。NEISS查询了2013年1月1日至2022年12月31日期间所有与MTB相关的骨折：结果：NEISS 返回的全国估计值（NE）显示，2013 年至 2022 年间，35,260 例 MTB 骨折患者就诊于急诊室。在研究期间，骨折伤害明显增加，其中 2019 年至 2020 年增加了 247%。最有可能导致骨折的受伤机制是从自行车上摔下（39.6%，全国平均值：5436）。上肢是最常见的骨折部位（32.8%，NE:11574），躯干骨折的住院率最高（44.2%，NE:3705）。男性占骨折患者的大多数（87.9%，NE:30,996），且比女性更容易住院治疗（22.2%>17.4%）。与其他年龄组相比，成年人（年龄≥40 岁）更容易发生骨折（48.8%）并因此住院（25.8%）。成年人躯干骨折的可能性也最大（33.9%）：结论：从2013年到2022年，MTB骨折明显增加，这可能是由于自COVID-19以来，MTB越来越受欢迎。上肢是最常发生骨折的身体部位，而从自行车上摔下是最有可能导致骨折的机理。成年男性骑手是躯干骨折的高危人群，这表明为这些运动员提供胸部和躯干保护器等防护设备的重要性：证据等级：III.

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Rising rates of traumatic fractures among mountain bikers: A national review of emergency department visits

Hypothesis/Purpose

Mountain biking (MTB) is a quickly growing sport, with fractures being the most common injury among MTB athletes. Currently, there is a lack of analysis of MTB fractures based on emergency department (ED) data obtained on a national scale. It was hypothesized that the total number of fractures presenting to United States (US) EDs increased significantly over the last decade, and adult male riders experienced higher rates of fracture and fracture-related hospitalization than other demographics.

Methods

All data was extracted from the National Electronic Injury Surveillance System (NEISS), a public database representing approximately 100 US EDs. NEISS was queried for all MTB-related fractures from January 1st, 2013-December 31, 2022.

Results

NEISS returned a national estimate (NE) of 35,260 MTB fractures visiting EDs between 2013 and 2022. Fracture injuries increased significantly over the study period, including a 247 % increase from 2019 to 2020. The mechanism of injury most likely resulting in fracture was being thrown from the bike (39.6 %, NE:5,436). The upper extremity was the most commonly fractured body region (32.8 %, NE:11,574), and trunk fractures had the highest rate of hospitalization (44.2 %, NE:3705). Males accounted for the majority of fractures (87.9 %, NE:30,996), and were more likely to be hospitalized than females (22.2 %>17.4 %). Adults (age≥40) were more likely to sustain a fracture (48.8 %) and be hospitalized because of it (25.8 %) than other age groups. Adults were also most likely to fracture their trunk (33.9 %).

Conclusion

MTB fractures increased significantly from 2013 to 2022, possibly due to the gaining popularity of MTB since COVID-19. The upper extremity was the most frequently fractured body region, and being thrown from the bike was the mechanism most likely to result in a fracture. Adult male riders are at a high risk for trunk fractures, demonstrating the importance of protective equipment such as chest and torso protectors for these athletes.

Level of Evidence

III

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来源期刊

Injury-International Journal of the Care of the Injured 医学-急救医学

CiteScore

4.00

自引率

8.00%

发文量

699

审稿时长

96 days

期刊介绍： Injury was founded in 1969 and is an international journal dealing with all aspects of trauma care and accident surgery. Our primary aim is to facilitate the exchange of ideas, techniques and information among all members of the trauma team.