Birdsey Matthew, Islam Md Rafiqul, Barmare Arshad
Goulburn Valley Health, Shepparton, Victoria, Australia.
University of Melbourne Rural Academy Health Center, Shepparton, Victoria, Australia.
Aust J Rural Health. 2016 Dec;24(6):402-408. doi: 10.1111/ajr.12278. Epub 2016 Feb 2.
To determine the prevalence of sporting injuries in a regional Australian setting and readiness of the rural health systems to combat the overall impact.
DESIGN, SETTING AND PARTICIPANTS: Five years of data between 2008 and 2012 from the Victorian Emergency Minimal Dataset showing sports injuries presenting to Goulburn Valley Base Hospital Emergency Department (ED) were analysed.
Prevalence of overall sporting injuries including different types and location of injury in the body, seasonal variation for emergency presentation, mechanism of injury and hospital admissions.
We observed a total of 4537 Emergency presentations and 235 hospitalisations between 2008 and 2012 with sporting injuries. About 78% of injuries presented in the winter sporting months; the rate of injury was higher in the month of 'May' across the most data reviewing years. Also, there was a higher proportion of hospital admissions recorded in winter sporting months. We reported that those who played sports in winter were significantly younger than those in summer (P < 0.05). Sprains and strains due to different sporting activities were the commonest cause of ED presentations, while falls and collisions were the mostly reported mechanism for sporting injuries.
It might be extrapolated from the data that within a regional setting, there is a need to optimise emergency departments and hospital bed availability with emphasis on orthopaedic involvements during the winter sporting months. Many of these sports injuries are preventable and community risk reduction strategies should be applied to reduce the burden to the regional hospitals.
确定澳大利亚某地区运动损伤的患病率，以及农村卫生系统应对整体影响的准备情况。
设计、地点和参与者：分析了2008年至2012年期间来自维多利亚州紧急最小数据集的五年数据，该数据集显示了古尔本山谷基地医院急诊科（ED）收治的运动损伤情况。
整体运动损伤的患病率，包括身体不同类型和部位的损伤、急诊就诊的季节变化、损伤机制和住院情况。
在2008年至2012年期间，我们共观察到4537例因运动损伤的急诊就诊病例和235例住院病例。约78%的损伤发生在冬季运动月份；在大多数数据回顾年份中，“五月”的损伤率最高。此外，冬季运动月份的住院记录比例也较高。我们报告称，冬季运动的人群明显比夏季运动的人群年轻（P<0.05）。不同体育活动导致的扭伤和拉伤是急诊就诊的最常见原因，而跌倒和碰撞是运动损伤最常报告的机制。
从数据中可以推断，在区域范围内，需要优化急诊科和医院床位的可用性，尤其要在冬季运动月份加强骨科方面的投入。许多这些运动损伤是可以预防的，应采用社区风险降低策略来减轻区域医院的负担。
