2009- 2018年急诊部门对与运动相关的危及生命的伤害的回顾

IF 1.8 3区 医学 Q2 EMERGENCY MEDICINE
Abiye Ibiebele, Rebekah Mannix, William Meehan
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引用次数: 0

摘要

简介:在美国,每年有370万人因运动或体育活动相关的伤害而进入急诊室(ED)。十年前的一项研究显示,急诊科有14%的危及生命的伤害与运动有关,这一比例在儿科人群中更高。然而,随着过去十年体育参与的变化和监管的变化,目前尚不清楚危及生命的运动相关伤害的比例是否发生了变化。方法:我们使用国家医院门诊医疗调查(NHAMCS)进行了一项横断面研究,该调查由2009-2018年的患者组成。危及生命的损伤被定义为国际疾病分类第9和10号编码,包括颅骨骨折、颈椎骨折、颅内出血、外伤性气胸/血胸、肝脏撕裂、脾脏撕裂、外伤性主动脉瘤或破裂、胃/十二指肠破裂、中暑和心绞痛。根据外因损伤代码将损伤分类为与运动相关的损伤。我们使用皮尔逊卡方分析检验了人口统计学变量与运动相关损伤之间的关系。结果:从2009年到2018年,共有256564例急诊就诊。其中,646例是危及生命的伤害,这代表了10年期间全国估计的3,456,166例患者。13%与体育有关。在危及生命的损伤中,头部和颈部损伤占77.5%,其中9.1%与运动有关。儿童患者因运动和娱乐造成的危及生命的伤害比例高于成人患者(30.4% vs 9.9%, P
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Review of Sports-Related, Life-Threatening Injuries Presenting to Emergency Departments, 2009-18.

Introduction: In the United States, 3.7 million people present to an emergency department (ED) annually with an injury related to sports or athletic activity. A prior study a decade ago revealed that 14% of life-threatening injuries presenting to EDs were sports related, with this percentage being higher in the pediatric population. However, with changes in sports participation and regulatory changes over the past decade, it is unclear whether the proportion of life-threatening sports-related injuries has changed.

Methods: We conducted a cross-sectional study using the National Hospital Ambulatory Medical Care Survey (NHAMCS), consisting of patients from years 2009-2018. Life-threatening injuries were defined as International Classification of Diseases 9 and 10 codes for skull fracture, cervical spine fractures, intracranial hemorrhage, traumatic pneumothorax/hemothorax, liver lacerations, spleen lacerations, traumatic aortic aneurysm or rupture, gastric/duodenal rupture, heat stroke, and commotio cordis. Injuries were classified as sports related based on external cause of injury codes. We examined the relationship between demographic variables and sports-related injuries using Pearson chi-square analysis.

Results: From the years 2009-2018 there were 256,564 observed ED visits. Of these, 646 were for life-threatening injuries, representing a national estimate of 3,456,166 patients over the 10-year period. Thirteen percent were sports related. Of the life-threatening injuries, 77.5% were injuries to the head and neck, and 9.1% of these were sports related. The proportion of life-threatening injuries due to sports and recreation was higher among pediatric patients than adult patients (30.4% vs 9.9%, P<0.001). The proportion of sports-related life-threatening injuries to the head and neck was also higher among pediatric patients than adult patients (23.3% vs 6.4%, P<0.001) CONCLUSION: A substantial proportion of life-threatening injuries occur during sports and recreation, especially among pediatric patients. Compared to a similar study a decade ago, there is a similar proportion of life-threatening injuries that are sports related, however; there does seem to be a decrease in the proportion of life-threatening sports-related injuries to the head and neck. Sports medicine physicians and sports organizations should continue to find effective ways to prevent life-threatening injuries in sports.

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来源期刊
Western Journal of Emergency Medicine
Western Journal of Emergency Medicine Medicine-Emergency Medicine
CiteScore
5.30
自引率
3.20%
发文量
125
审稿时长
16 weeks
期刊介绍: WestJEM focuses on how the systems and delivery of emergency care affects health, health disparities, and health outcomes in communities and populations worldwide, including the impact of social conditions on the composition of patients seeking care in emergency departments.
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