Departments of Pediatrics and Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, Washington;
Departments of Pediatrics and Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, Washington; Epidemiology, and Harborview Injury Prevention and Research Center, University of Washington, Seattle, Washington;
Pediatrics. 2016 Jul;138(1). doi: 10.1542/peds.2015-4635. Epub 2016 Jun 20.
The incidence of sports- and recreation-related concussions (SRRCs) in the United States is unknown. More than 44 million youth participate in sports annually, thus understanding the frequency of SRRCs in children is important on a population level. Our objective was to determine the number of SRRCs occurring annually among US youth ≤18 years old.
We identified SRRCs using 3 national databases: MarketScan, National Electronic Injury Surveillance System, and National High School Sports Related Injury Surveillance System, Reporting Injury Online. We determined the number of SRRCs seen in health care settings (outpatient, inpatient, and emergency department) and SRRCs reported to certified high school athletic trainers (ATCs). We used these data and findings in recently published literature to generate a national estimate of SRRCs.
We estimate that between 1.1 and 1.9 million SRRCs occur annually in US children aged ≤18 years. Most children with SRRCs, 511 590 to 1 240 972, were not seen in health care settings. Of children with SRRCs seen in health care settings, most were seen as outpatients with 377 978 visits, compared with between 115 479 and 166 929 ED visits, and between 2886 and 4936 hospitalizations.
This study provides the most accurate and precise estimate to date of the number of concussions among US children annually. SRRCs are a common injury in children. Providers in all health care settings need to be trained in concussion care. There is a need for better surveillance to enhance our understanding of the epidemiology of concussions in youth.
美国运动相关脑震荡（SRRC）的发病率尚不清楚。每年有超过 4400 万的年轻人参加体育运动，因此了解儿童中 SRRC 的频率对于人群水平非常重要。我们的目的是确定每年在美国 18 岁以下的年轻人中发生的 SRRC 数量。
我们使用 3 个国家数据库：MarketScan、国家电子伤害监测系统和国家高中体育相关伤害监测系统在线报告伤害，来确定在医疗保健环境中（门诊、住院和急诊部）发生的 SRRC 数量和向认证的高中运动教练（ATC）报告的 SRRC 数量。我们利用这些数据和最近发表的文献中的发现，生成了一个全国性的 SRRC 估计值。
我们估计，每年在美国 18 岁以下的儿童中，发生的 SRRC 数量在 110 万至 190 万之间。大多数患有 SRRC 的儿童（511590 至 1240972 人）未在医疗保健环境中就诊。在医疗保健环境中就诊的患有 SRRC 的儿童中，大多数是作为门诊患者就诊，有 377978 次就诊，而急诊部就诊的有 115479 至 166929 次，住院的有 2886 至 4936 次。
本研究提供了迄今为止对美国儿童每年发生的脑震荡数量最准确和最精确的估计。SRRC 是儿童中常见的伤害。所有医疗保健环境中的提供者都需要接受脑震荡护理培训。需要更好的监测来提高我们对青少年脑震荡流行病学的理解。
