The Ohio State University, School of Physical Activity and Educational Services, Columbus, USA.
J Athl Train. 2010 Sep-Oct;45(5):467-74. doi: 10.4085/1062-6050-45.5.467.
Although the number of US ice hockey participants doubled from 1990 to 2006, no nationally representative studies have examined US ice hockey injuries among participants of all ages during this period.
To describe patients with ice hockey injuries presenting to a representative sample of US emergency departments (EDs) from 1990 through 2006.
Prospective injury surveillance study.
The US Consumer Product Safety Commission collects data from 100 nationally representative EDs via the National Electronic Injury Surveillance System (NEISS).
Individuals injured while playing ice hockey and presenting to a NEISS-affiliated ED from 1990 through 2006.
MAIN OUTCOME MEASURE(S): Incidence and patterns of ice hockey-related injuries.
From 1990 through 2006, 8228 patients with ice hockey-related injuries presented to NEISS-affiliated EDs, representing an estimated 302 368 ice hockey-related injuries sustained nationally during this time. Injuries occurred predominantly among males (93.5%). More than half of the injured were aged 9 to 14 years (28.9%) or 15 to 18 years (30.1%), and injury incidence in these age groups increased over the study period (P = .009 and P < .001, respectively). The most commonly injured body sites were the face (19.1%), wrist/hand/finger (14.1%), shoulder/upper arm (13.8%), and lower leg/ankle/foot (11.1%). Lacerations (27.0%), contusions/abrasions (23.6%), fractures (17.3%), and sprains/strains (16.9%) were the most common injuries. Falls (16.5%), contact with boards (13.6%), and contact with stick (13.0%) were the most common injury mechanisms. Compared with those aged 9 to 18 years, those aged 2 to 8 years and those older than 18 years sustained larger proportions of face (injury proportion ratio [IPR] = 2.66; 95% confidence interval [CI] = 2.29, 3.08) and mouth (IPR = 4.34; 95% CI = 2.87, 6.56) injuries. Concussions were more common among those aged 2 to 18 years (9.0%) than in those who were older than 18 years (3.7%) (IPR = 2.47; 95% CI = 1.75, 3.49).
Ice hockey injury patterns vary by age and sex. Our findings indicate that many trips to the ED might be prevented by using protective equipment appropriately.
尽管 1990 年至 2006 年美国冰球参与者的数量增加了一倍,但在此期间,没有全国代表性的研究调查过所有年龄段参与者的美国冰球受伤情况。
描述在 1990 年至 2006 年间,在一个有代表性的美国急诊部(ED)就诊的冰球受伤患者。
前瞻性损伤监测研究。
美国消费品安全委员会通过国家电子伤害监测系统(NEISS)从 100 个全国代表性的 ED 收集数据。
1990 年至 2006 年间,在玩冰球时受伤并到 NEISS 附属 ED 就诊的个人。
冰球相关伤害的发生率和模式。
1990 年至 2006 年,8228 名冰球相关伤害患者到 NEISS 附属 ED 就诊,估计同期全国有 302368 例冰球相关伤害。受伤主要发生在男性(93.5%)。超过一半的伤者年龄在 9 至 14 岁(28.9%)或 15 至 18 岁(30.1%),这两个年龄组的受伤发生率在研究期间有所增加(P=0.009 和 P<0.001)。最常受伤的身体部位是面部(19.1%)、手腕/手/手指(14.1%)、肩部/上臂(13.8%)和小腿/脚踝/脚(11.1%)。裂伤(27.0%)、挫伤/擦伤(23.6%)、骨折(17.3%)和扭伤/拉伤(16.9%)是最常见的损伤。跌倒(16.5%)、与板接触(13.6%)和与棒接触(13.0%)是最常见的损伤机制。与 9 至 18 岁的人相比,2 至 8 岁和 18 岁以上的人面部(损伤比例比 [IPR] = 2.66;95%置信区间 [CI] = 2.29,3.08)和口腔(IPR = 4.34;95% CI = 2.87,6.56)受伤的比例更高。2 至 18 岁的人(9.0%)比 18 岁以上的人(3.7%)更常见脑震荡(IPR = 2.47;95% CI = 1.75,3.49)。
冰球受伤模式因年龄和性别而异。我们的研究结果表明,通过正确使用防护设备,许多去急诊的情况是可以预防的。