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用于量化美国国家大学生体育协会体育赛事中脑震荡发生率的流行病学指标

Epidemiologic Measures for Quantifying the Incidence of Concussion in National Collegiate Athletic Association Sports.

作者信息

Kerr Zachary Y, Roos Karen G, Djoko Aristarque, Dalton Sara L, Broglio Steven P, Marshall Stephen W, Dompier Thomas P

机构信息

The Datalys Center for Sports Injury Research and Prevention, Inc, Indianapolis, IN.

School of Kinesiology, University of Michigan, Ann Arbor.

出版信息

J Athl Train. 2017 Mar;52(3):167-174. doi: 10.4085/1062-6050-51.6.05. Epub 2016 Jun 22.

Abstract

CONTEXT

Injury rates compare the relative frequency of sport-related concussions across groups. However, they may not be intuitive to policy makers, parents, or coaches in understanding the likelihood of concussion.

OBJECTIVE

To describe 4 measures of incidence (athlete-based rate, athlete-based risk, team-based rate, and team-based risk) during the 2011-2012 through 2014-2015 academic years.

DESIGN

Descriptive epidemiology study.

SETTING

Aggregate injury and exposure data collected from the National Collegiate Athletic Association Injury Surveillance Program in 13 sports (men's baseball, basketball, football, ice hockey, lacrosse, soccer, and wrestling and women's basketball, ice hockey, lacrosse, soccer, softball, and volleyball).

PATIENTS OR OTHER PARTICIPANTS

Collegiate student-athletes.

MAIN OUTCOME MEASURE(S): Sport-related concussion data from the National Collegiate Athletic Association Injury Surveillance Program during the 2011-2012 through 2014-2015 academic years were analyzed. We calculated concussion rates per 1000 athlete-exposures (AEs), concussion risk, average number of concussions per team, and percentage of teams with at least 1 concussion.

RESULTS

During the 2011-2012 through 2014-2015 academic years, 1485 concussions were sustained by 1410 student-athletes across 13 sports. Concussion rates ranged from 0.09/1000 AEs in men's baseball to 0.89/1000 AEs in men's wrestling. Concussion risk ranged from 0.74% in men's baseball to 7.92% in men's wrestling. The average ± SD number of concussions per team ranged from 0.25 ± 0.43 in men's baseball to 5.63 ± 5.36 in men's football. The percentage of teams with a concussion ranged from 24.5% in men's baseball to 80.6% in men's football.

CONCLUSIONS

Although men's wrestling had a higher concussion rate and risk, men's football had the largest average number of concussions per team and the largest percentage of teams with at least 1 concussion. The risk of concussion, average number of concussions per team, and percentage of teams with concussions may be more intuitive measures of incidence for decision makers. Calculating these additional measures is feasible within existing injury surveillance programs, and this method can be applied to other injury types.

摘要

背景

损伤率比较了不同群体中与运动相关脑震荡的相对发生率。然而,对于政策制定者、家长或教练来说,在理解脑震荡的可能性方面,这些比率可能并不直观。

目的

描述2011 - 2012学年至2014 - 2015学年期间的4种发病率测量指标(基于运动员的发生率、基于运动员的风险、基于团队的发生率和基于团队的风险)。

设计

描述性流行病学研究。

设置

从美国国家大学体育协会损伤监测项目收集的13项运动(男子棒球、篮球、足球、冰球、长曲棍球、足球和摔跤,以及女子篮球、冰球、长曲棍球、足球、垒球和排球)的汇总损伤和暴露数据。

患者或其他参与者

大学生运动员。

主要观察指标

分析了2011 - 2012学年至2014 - 2015学年期间美国国家大学体育协会损伤监测项目中与运动相关的脑震荡数据。我们计算了每1000次运动员暴露(AE)的脑震荡发生率、脑震荡风险、每队脑震荡的平均次数以及至少有1次脑震荡的球队百分比。

结果

在2011 - 2012学年至2014 - 2015学年期间,13项运动中的1410名学生运动员发生了1485次脑震荡。脑震荡发生率从男子棒球的0.09/1000 AE到男子摔跤的0.89/1000 AE不等。脑震荡风险从男子棒球的0.74%到男子摔跤的7.92%不等。每队脑震荡的平均次数±标准差从男子棒球的0.25±0.43到男子足球的5.63±5.36不等。有脑震荡的球队百分比从男子棒球的24.5%到男子足球的80.6%不等。

结论

虽然男子摔跤的脑震荡发生率和风险较高,但男子足球每队脑震荡的平均次数最多,且至少有1次脑震荡的球队百分比最高。脑震荡风险、每队脑震荡的平均次数以及有脑震荡的球队百分比对于决策者来说可能是更直观的发病率测量指标。在现有的损伤监测项目中计算这些额外的指标是可行的,并且这种方法可以应用于其他损伤类型。

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