Brown James C, Viljoen Wayne, Lambert Mike I, Readhead Clint, Fuller Chelsea, Van Mechelen Willem, Verhagen Evert
Department of Public and Occupational Health, EMGO+ Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands; UCT/MRC Research Unit for Exercise Science and Sports Medicine, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
South African Rugby Union (SARU), Cape Town, South Africa.
J Sci Med Sport. 2015 Jul;18(4):394-9. doi: 10.1016/j.jsams.2014.06.015. Epub 2014 Jul 16.
Rugby Union ("rugby") is a popular sport with high injury risk. Burden of injury is described by the incidence and severity of injury. However reports have ignored the monetary cost of injuries. Therefore the aim of this study was to describe the monetary cost associated with youth rugby injuries.
This descriptive study quantified medical treatments of injured players at the South African Rugby Union Youth tournaments in 2011/2012 and the days of work parents missed as a result of the injuries. A health insurer used these data to calculate associated costs.
Legal guardians of the 421 injured players were contacted telephonically on a weekly basis until they returned to play. Treatments costs were estimated in South African Rands based on 2013 insurance rates and converted to US$ using purchasing power parities.
Of the 3652 players, 2% (n=71) sought medical care after the tournament. For these players, average treatment costs were high (US$731 per player, 95% CI: US$425-US$1096), with fractures being the most expensive type of injury. Players with medical insurance had higher costs (US$937, 95% CI: US$486-US$1500) than those without (US$220, 95% CI: US$145-US$302).
Although a minority of players sought follow-up treatment after the tournaments, the cost of these injuries was high. Players without medical insurance having lower costs may indicate that these players did not receive adequate treatment for their injuries. Injury prevention efforts should consider injuries with high costs and the treatment of players without medical insurance.
英式橄榄球联盟（“橄榄球”）是一项广受欢迎但受伤风险较高的运动。损伤负担通过损伤的发生率和严重程度来描述。然而，此前的报告忽略了损伤的货币成本。因此，本研究的目的是描述与青少年橄榄球损伤相关的货币成本。
本描述性研究对2011/2012年南非橄榄球联盟青少年锦标赛中受伤球员的医疗治疗情况以及家长因球员受伤而错过的工作日天数进行了量化。一家健康保险公司利用这些数据来计算相关成本。
每周通过电话联系421名受伤球员的法定监护人，直至他们恢复参赛。治疗费用根据2013年保险费率以南非兰特估算，并使用购买力平价换算为美元。
在3652名球员中，2%（n = 71）在锦标赛后寻求医疗护理。对于这些球员，平均治疗费用较高（每名球员731美元，95%置信区间：425美元 - 1096美元），骨折是最昂贵的损伤类型。有医疗保险的球员费用更高（937美元，95%置信区间：486美元 - 1500美元），高于没有医疗保险的球员（220美元，95%置信区间：145美元 - 302美元）。
尽管只有少数球员在锦标赛后寻求后续治疗，但这些损伤的成本很高。没有医疗保险的球员费用较低，这可能表明这些球员受伤后没有得到充分治疗。预防损伤的工作应考虑高成本损伤以及对没有医疗保险的球员的治疗。
