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大学生运动员中误工和非误工损伤的损伤率及治疗模式分析

Analysis of Injury Rates and Treatment Patterns for Time-Loss and Non-Time-Loss Injuries Among Collegiate Student-Athletes.

作者信息

Powell John W., Dompier Thomas P.

机构信息

Michigan State University, East Lansing, MI.

出版信息

J Athl Train. 2004 Mar;39(1):56-70.

Abstract

OBJECTIVE

To compare the injury rates for time-loss and non-time-loss injuries among selected intercollegiate athletic programs and to describe the number of treatments associated with these injuries. DESIGN AND SETTING: A volunteer, cross-sectional cohort study of 50 collegiate athletic programs representing the 3 National Collegiate Athletic Association divisions, the National Association of Intercollegiate Athletics, and the National Junior College Athletic Association during the 2000-2002 academic years. SUBJECTS: Individuals listed on the team rosters for the participating institutions and representing the sports associated with the institution's athletic programs. MEASUREMENTS: The athletic training staff and students recorded the injury and treatment data for the participating institutions. The data included information for time-loss and non- time-loss injuries, daily treatments, and daily athlete-exposures. RESULTS: Non-time-loss injury rates were 3.5 (confidence interval = 3.4, 3.6) times the time-loss rate for men and 5.1 (confidence interval = 4.9, 5.2) times the time-loss rate for women. Non-time-loss injuries required more treatments over the course of the year than did time-loss injuries. For men's sports, 22% of the injuries resulted in loss of participation time, with 47% of the treatments associated with these injuries. For women's sports, 16% of the injuries and 34% of the treatments were associated with time-loss injuries. CONCLUSIONS: Throughout the sports medicine year, athletic training staff and students spent more time delivering treatments to athletes who were not missing participation time than to athletes who were missing time. A noteworthy difference in the workforce available to provide health care among the various levels of intercollegiate athletics may contribute to the frequency of injury and treatments reported.

摘要

目的

比较特定校际体育项目中导致误工和未导致误工的损伤发生率,并描述与这些损伤相关的治疗次数。

设计与背景

一项自愿参与的横断面队列研究,研究对象为代表美国全国大学体育协会三个分部、全国校际体育协会和全国大专体育协会的50个大学体育项目,研究时间为2000 - 2002学年。

研究对象

参与机构的运动队名单上列出的、代表与该机构体育项目相关运动的人员。

测量指标

运动训练工作人员和学生记录参与机构的损伤和治疗数据。数据包括导致误工和未导致误工的损伤信息、每日治疗情况以及每日运动员暴露情况。

结果

未导致误工的损伤发生率,男性是导致误工损伤发生率的3.5倍(置信区间 = 3.4, 3.6),女性是导致误工损伤发生率的5.1倍(置信区间 = 4.9, 5.2)。在一年中,未导致误工的损伤比导致误工的损伤需要更多的治疗。对于男子运动项目,22%的损伤导致参赛时间损失,其中47%的治疗与这些损伤相关。对于女子运动项目,16%的损伤和34%的治疗与导致误工的损伤相关。

结论

在整个运动医学年度中,运动训练工作人员和学生花费更多时间为未错过参赛时间的运动员提供治疗,而非为错过参赛时间的运动员提供治疗。不同级别校际体育赛事中可提供医疗保健的劳动力存在显著差异,这可能导致所报告的损伤和治疗频率有所不同。

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