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脑震荡监测:卡塔尔职业足球联赛中较低的脑震荡发生率反映的是真实差异还是凸显了知识转化方面的挑战?

Concussion surveillance: do low concussion rates in the Qatar Professional Football League reflect a true difference or emphasize challenges in knowledge translation?

作者信息

Eirale Cristiano, Tol Johannes L, Targett Steve, Holmich Per, Chalabi Hakim

机构信息

*Sport Medicine Department, and †CMO Office, Aspetar, Qatar Orthopaedic and Sport Medicine Hospital, Doha, Qatar.

出版信息

Clin J Sport Med. 2015 Jan;25(1):73-4. doi: 10.1097/JSM.0000000000000066.

DOI:10.1097/JSM.0000000000000066
PMID:24451694
Abstract

OBJECTIVE

To investigate concussion epidemiology in the first football (soccer) division of Qatar.

DESIGN

Prospective cohort study.

SETTING

Professional First Division Football League of Qatar.

PARTICIPANTS

All first team players were included at the beginning of each season.

INTERVENTIONS

Daily collection of training and match exposure from August 2008 until April 2012 by club medical staff. Head injuries during training and match play were recorded on standardized injury cards.

MAIN OUTCOME MEASURES

Injury incidence was calculated as number of injuries per hour exposed to risk and expressed as rate per 1000 hours.

RESULTS

The incidence of concussions in professional club football in Qatar is 0.016 (0.000-0.033) per 1000 hours of exposure.

CONCLUSIONS

The concussion incidence is only 25% of that in the previous European studies using the same time loss injury definition. This raises the possibility that concussions are underreported. Further research is necessary. In the meantime, concussion education of players, club medical, and support staff is warranted, in keeping with the Zurich concussion consensus call for the need for an increase in knowledge translation.

摘要

目的

调查卡塔尔足球甲级联赛中的脑震荡流行病学情况。

设计

前瞻性队列研究。

地点

卡塔尔职业足球甲级联赛。

参与者

每个赛季开始时纳入所有一线队球员。

干预措施

2008年8月至2012年4月期间,由俱乐部医务人员每日收集训练和比赛接触情况。训练和比赛期间的头部损伤记录在标准化损伤卡片上。

主要观察指标

损伤发生率计算为每暴露于危险中的小时数的损伤数量,并表示为每1000小时的发生率。

结果

卡塔尔职业俱乐部足球中脑震荡的发生率为每1000小时暴露0.016(0.000 - 0.033)。

结论

脑震荡发生率仅为先前使用相同失能损伤定义的欧洲研究中的25%。这增加了脑震荡报告不足的可能性。有必要进行进一步研究。与此同时,鉴于苏黎世脑震荡共识呼吁增加知识转化,对球员、俱乐部医务人员和辅助人员进行脑震荡教育是必要的。

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