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保险理赔数据:国家运动损伤监测系统的一个可能解决方案?对照澳大利亚体育损伤数据库(ASIDD)和运动损伤监测共识声明对数据信息进行的评估

Insurance claims data: a possible solution for a national sports injury surveillance system? An evaluation of data information against ASIDD and consensus statements on sports injury surveillance.

作者信息

Aman Malin, Forssblad Magnus, Henriksson-Larsén Karin

机构信息

GIH The Swedish School of Sport and Health Sciences, Stockholm, Sweden.

Department of Molecular Medicine and Surgery, Karolinska Institut, Stockholm Sports Trauma Research Center, Capio Artro Clinic, Stockholm, Sweden.

出版信息

BMJ Open. 2014 Jun 12;4(6):e005056. doi: 10.1136/bmjopen-2014-005056.

Abstract

BACKGROUND

Before preventive actions can be suggested for sports injuries at the national level, a solid surveillance system is required in order to study their epidemiology, risk factors and mechanisms. There are guidelines for sports injury data collection and classifications in the literature for that purpose. In Sweden, 90% of all athletes (57/70 sports federations) are insured with the same insurance company and data from their database could be a foundation for studies on acute sports injuries at the national level.

OBJECTIVE

To evaluate the usefulness of sports injury insurance claims data in sports injury surveillance at the national level.

METHOD

A database with 27 947 injuries was exported to an Excel file. Access to the corresponding text files was also obtained. Data were reviewed on available information, missing information and dropouts. Comparison with ASIDD (Australian Sports Injury Data Dictionary) and existing consensus statements in the literature (football (soccer), rugby union, tennis, cricket and thoroughbred horse racing) was performed in a structured manner.

RESULT

Comparison with ASIDD showed that 93% of the suggested data items were present in the database to at least some extent. Compliance with the consensus statements was generally high (13/18). Almost all claims (83%) contained text information concerning the injury.

CONCLUSIONS

Relatively high-quality sports injury data can be obtained from a specific insurance company at the national level in Sweden. The database has the potential to be a solid base for research on acute sports injuries in different sports at the national level.

摘要

背景

在国家层面提出预防运动损伤的措施之前,需要一个完善的监测系统来研究其流行病学、风险因素和机制。为此,文献中有运动损伤数据收集和分类的指南。在瑞典,所有运动员中有90%(70个体育联合会中的57个)由同一家保险公司承保,其数据库中的数据可作为国家层面急性运动损伤研究的基础。

目的

评估运动损伤保险理赔数据在国家层面运动损伤监测中的实用性。

方法

将包含27947例损伤的数据库导出到Excel文件中。还获取了相应文本文件的访问权限。对可用信息、缺失信息和退出情况进行了数据审查。以结构化方式将其与ASIDD(澳大利亚运动损伤数据词典)以及文献中现有的共识声明(足球、橄榄球联盟、网球、板球和纯种赛马)进行了比较。

结果

与ASIDD的比较表明,93%的建议数据项在数据库中至少有一定程度的存在。与共识声明的符合度普遍较高(18项中的13项)。几乎所有理赔(83%)都包含有关损伤的文本信息。

结论

在瑞典国家层面,可以从特定保险公司获得质量相对较高的运动损伤数据。该数据库有潜力成为国家层面不同运动急性运动损伤研究的坚实基础。

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