2007年至2010年期间前往加拿大急诊科就诊的儿童和青少年运动相关损伤的流行病学情况。
Epidemiology of sports-related injuries in children and youth presenting to Canadian emergency departments from 2007-2010.
作者信息
Fridman Liraz, Fraser-Thomas Jessica L, McFaull Steven R, Macpherson Alison K
机构信息
School of Kinesiology and Health Science, York University, 4700 Keele Street, Toronto, Ontario M3J 1P3 Canada.
Injury and Child Maltreatment Section, Health Surveillance and Epidemiology Division, Centre for Chronic Disease Prevention and Control, Public Health Agency of Canada, Building # 19, Tunney's Pasture, AL 1910C Ottawa, Ontario K1A 0 K9 Canada.
出版信息
BMC Sports Sci Med Rehabil. 2013 Dec 23;5(1):30. doi: 10.1186/2052-1847-5-30.
BACKGROUND
Although injuries related to sports and recreation represent a significant burden to children and youth, few studies have examined the descriptive epidemiology of sports-related injury since 2005, and some sports such as ringette have not been evaluated to date. The primary purpose of this study was to provide the descriptive epidemiology of sports-related injuries treated in emergency departments for children and youth aged 5 - 19.
METHODS
A retrospective data analysis was performed using data from the Canadian Hospitals Injury Reporting and Prevention Program [CHIRPP] from fiscal years (April - March) 2007/08 to 2009/10. CHIRPP is a computerized information system designed by the Public Health Agency of Canada that collects information about injuries to people evaluated in emergency departments across 11 pediatric hospitals and 5 general hospitals in Canada. Thirteen sports or activities were analyzed (baseball, basketball, cycling, football, ice hockey, lacrosse, ringette, rugby, skiing, sledding, snowboarding, soccer, and volleyball). Descriptive statistics, including frequency by sport, age and sex, as well as the percent of concussions within each sport were calculated.
RESULTS
Out of a total of 56, 691 reported sports and recreational injuries, soccer accounted for the largest proportion of injuries with 11,941 reported cases over the 3 year time period. Of these, approximately 30% were fractures. The 10 - 14 year age group reported the greatest proportion of injuries in 10 out of the 13 sports analyzed. In addition, males reported a greater number of overall injuries than females in 11 out of the 13 sports analyzed. The largest percentage of concussions was reported in ringette; these injuries accounted for 17.1% of overall injuries within this sport.
CONCLUSIONS
Injury prevention programs in Canada should focus on improving evidence-based programs to reduce the burden of injuries in all sports.
背景
尽管与运动和娱乐相关的损伤给儿童和青少年带来了沉重负担，但自2005年以来，很少有研究调查与运动相关损伤的描述性流行病学，并且一些运动项目，如女子冰球，至今尚未得到评估。本研究的主要目的是提供5至19岁儿童和青少年在急诊科接受治疗的与运动相关损伤的描述性流行病学。
方法
使用加拿大医院损伤报告与预防项目（CHIRPP）2007/08财年（4月至3月）至2009/10财年的数据进行回顾性数据分析。CHIRPP是加拿大公共卫生署设计的一个计算机化信息系统，收集加拿大11家儿科医院和5家综合医院急诊科评估的人员损伤信息。分析了13项运动或活动（棒球、篮球、自行车、足球、冰球、长曲棍球、女子冰球、橄榄球、滑雪、雪橇、单板滑雪、足球和排球）。计算了描述性统计数据，包括按运动、年龄和性别划分的频率，以及每项运动中脑震荡的百分比。
结果
在总共56691例报告的运动和娱乐损伤中，足球损伤占比最大，在3年时间内报告了11941例病例。其中，约30%为骨折。在分析的13项运动中的10项中，10至14岁年龄组报告的损伤比例最高。此外，在分析的13项运动中的11项中，男性报告的总体损伤数量多于女性。女子冰球报告的脑震荡百分比最高；这些损伤占该运动总损伤的17.1%。
结论
加拿大的损伤预防项目应侧重于改进基于证据的项目，以减轻所有运动中的损伤负担。
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