Department for Health, University of Bath, Bath, UK.
Rugby Football Union, Twickenham, UK.
Orthop J Sports Med. 2014 Dec 19;2(12):2325967114562781. doi: 10.1177/2325967114562781. eCollection 2014 Dec.
Previous research has identified injury patterns during community-level rugby union match play, but none have investigated the frequency and reasons for on-field injury management.
To establish the frequency, reasons, and patterns of on-field injury management in English community rugby, including differences between different levels of play.
Descriptive epidemiology study.
Over 3 seasons, injury information was collected from 46 (2009-2010), 67 (2010-2011), and 76 (2011-2012) English community clubs (Rugby Football Union [RFU] levels 3-9). Club injury management staff reported information for all medical attendances during match play, including details on the injury site and type, playing position (seasons 2010-2011 and 2011-2012 only), and whether the player was removed from play. Clubs were subdivided into groups A (RFU levels 3 and 4 [mainly semiprofessional]; n = 39), B (RFU levels 5 and 6 [mainly amateur]; n = 71), and C (RFU levels 7-9 [social and recreational]; n = 79) to differentiate playing levels.
The overall medical attendance incidence was 229 per 1000 player-match hours (95% CI, 226-232), with 45 players removed per 1000 player-match hours (95% CI, 44-46). Attendance incidence for group A (294 per 1000 player-match hours; 95% CI, 287-301) was higher compared with group B (213; 95% CI, 208-218; P < .001) and C (204; 95% CI, 200-209; P < .001). There was a higher incidence of attendances to forwards (254; 95% CI, 249-259) compared with backs (191; 95% CI, 187-196; P < .001). The head was the most common specific site of injury (55 per 1000 player-match hours; 95% CI, 53-57) but the lower limb region overall accounted for most attendances (87; 95% CI, 85-89) and the greatest chance of removal from the pitch (22; 95% CI, 21-23).
With the likelihood of 1 injury for each team per match severe enough for the player to leave the pitch and with at least 1 attendance for a head injury per match, there is clear evidence that pitch side staff should be trained to recognize potentially serious injuries.
以往的研究已经确定了社区级橄榄球联盟比赛中的损伤模式，但没有研究过场上受伤管理的频率和原因。
确定英国社区橄榄球比赛中受伤管理的频率、原因和模式，包括不同比赛级别之间的差异。
描述性流行病学研究。
在 3 个赛季中，从 46 个（2009-2010 年）、67 个（2010-2011 年）和 76 个（2011-2012 年）英国社区俱乐部（橄榄球联盟[RFU]级别 3-9）收集了受伤信息。俱乐部受伤管理人员报告了比赛期间所有医疗就诊的信息，包括受伤部位和类型的详细信息、比赛位置（仅 2010-2011 年和 2011-2012 年）以及球员是否被逐出比赛。俱乐部分为 A 组（RFU 级别 3 和 4[主要是半职业]；n = 39）、B 组（RFU 级别 5 和 6[主要是业余]；n = 71）和 C 组（RFU 级别 7-9[社交和娱乐]；n = 79），以区分比赛级别。
总的医疗就诊发生率为每 1000 名球员-比赛小时 229 次（95%CI，226-232），每 1000 名球员-比赛小时有 45 名球员被逐出（95%CI，44-46）。A 组（每 1000 名球员-比赛小时 294 次；95%CI，287-301）的就诊发生率高于 B 组（每 1000 名球员-比赛小时 213 次；95%CI，208-218；P <.001）和 C 组（每 1000 名球员-比赛小时 204 次；95%CI，200-209；P <.001）。前锋的就诊发生率（每 1000 名球员-比赛小时 254 次；95%CI，249-259）高于后卫（每 1000 名球员-比赛小时 191 次；95%CI，187-196；P <.001）。头部是最常见的特定受伤部位（每 1000 名球员-比赛小时 55 次；95%CI，53-57），但下肢区域总体上占就诊次数最多（87 次；95%CI，85-89），并且最有可能被逐出比赛（22 次；95%CI，21-23）。
每场比赛中，每支球队都有 1 名因伤严重到足以离开赛场的球员，每场比赛至少有 1 名头部受伤的球员需要就诊，这清楚地表明，场上工作人员应该接受培训，以识别潜在的严重伤害。
