Dekker R, Kingma J, Groothoff J W, Eisma W H, Ten Duis H J
Department of Rehabilitation Medicine, Groningen University Hospital, Northern Centre for Health Care Research, University of Groningen, The Netherlands.
Clin Rehabil. 2000 Dec;14(6):651-6. doi: 10.1191/0269215500cr374oa.
To evaluate the severity of sports injuries in relation to the severity of injuries due to other causes and in relation to type of sport, using generally applied measures of injury severity.
A total of 12403 patients, 4-50 years old, who were treated in the trauma department of the Groningen University Hospital for a sports injury, from January 1990 until January 1997.
All patients treated because of an injury entered the study. A distinction was made between injuries caused by playing sports, home and leisure accidents, traffic accidents and violence. The severity of the injuries was assessed by using the criteria of rate of admission, Injury Severity Scale (ISS). Finally the sports injuries were analysed with regard to type of sport.
In total, 57760 injuries were registered. After injuries due to home and leisure accidents (44%; 25228) sports injuries (21%; 12 403) were the most frequent cause of injury. Of the patients with a sports injury, 7.9% (980) were admitted, which is more than with home and leisure accidents (6.7%; 1690) but less than with traffic accidents (21.5%; 2202) and violence (9.3%; 364). In a majority of cases, admission was related to a limited number of types of sport. The mean ISS of sports injuries was low, as with injuries following home and leisure accidents and violence. The percentage of sports injuries with an ISS higher than or equal to 16 and the percentage mortality were both low in comparison to injuries due to violence or traffic accidents.
Sports injuries rank second highest in terms of cause of injury, after home and leisure accidents; and rank third in terms of severity, after traffic accidents and violence. Even though the ISS is low, sports injuries may have serious consequences.
采用普遍应用的损伤严重程度衡量指标，评估运动损伤相对于其他原因所致损伤的严重程度以及与运动类型的关系。
1990年1月至1997年1月期间，在格罗宁根大学医院创伤科接受治疗的12403例4至50岁因运动损伤就诊的患者。
所有因伤接受治疗的患者均纳入本研究。区分了运动所致损伤、家庭及休闲意外事故、交通事故和暴力所致损伤。采用入院率标准、损伤严重度评分（ISS）评估损伤的严重程度。最后，对运动损伤按运动类型进行分析。
共记录到57760例损伤。家庭及休闲意外事故所致损伤最为常见（44%；25228例），运动损伤次之（21%；12403例）。运动损伤患者中7.9%（980例）需入院治疗，这一比例高于家庭及休闲意外事故患者（6.7%；1690例），但低于交通事故患者（21.5%；2202例）和暴力所致损伤患者（9.3%；364例）。在大多数情况下，入院治疗与少数几种运动类型有关。运动损伤的平均ISS较低，家庭及休闲意外事故和暴力所致损伤的ISS也较低。与暴力或交通事故所致损伤相比，ISS高于或等于16的运动损伤百分比及死亡率均较低。
运动损伤在损伤原因方面仅次于家庭及休闲意外事故，位居第二；在严重程度方面仅次于交通事故和暴力，位居第三。尽管ISS较低，但运动损伤仍可能产生严重后果。
