Rabb Haddon, Coleby Jillian
University of Windsor/St Clair College, Windsor, Ontario, Canada.
Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Orthop J Sports Med. 2018 Jun 20;6(6):2325967118779854. doi: 10.1177/2325967118779854. eCollection 2018 Jun.
Obstacle course racing (OCR) has become a popular sport in recent years as it challenges participants' mental and physical endurance through a combination of trail running and obstacles. There is currently only a limited amount of published work reporting injury types or rates at these events.
This study aims to build on the current literature, analyzing injury rates and patterns at OCR events.
A secondary data analysis of deidentified medical charts from 33 OCR events in Canada from 2015 to 2017 was conducted. The scope of on-site care was first aid.
Descriptive epidemiology study.
A total of 1782 injuries occurred over 3 seasons from 73,366 participants, with an overall average injury rate of 2.4%; 1.0% (n = 17) of injuries required emergency medical services transport to a local emergency department, and the majority of these injuries were musculoskeletal in nature. The most common injuries treated were lacerations and musculoskeletal-related injuries; 93.9% of the injuries were able to be treated on site. These findings, in conjunction with the published literature, suggest that OCR medical teams should anticipate injury rates of up to 5.0% and a transportation rate of approximately 4.5% of those injuries to local emergency departments.
The injury and transportation rates found in this study are congruent with the current literature and, most notably, they demonstrated a stable trend across a variety of course lengths (5-42 km ) and numbers of obstacles (≥20). While the majority of injuries may be treated on site, there is still a serious potential for life-threatening emergencies to occur.
近年来，障碍赛跑（OCR）已成为一项受欢迎的运动，因为它通过越野跑和障碍物的组合来挑战参与者的心理和身体耐力。目前，关于这些赛事中受伤类型或发生率的已发表作品数量有限。
本研究旨在基于现有文献，分析障碍赛跑赛事中的受伤率和模式。
对2015年至2017年加拿大33场障碍赛跑赛事中身份不明的病历进行二次数据分析。现场护理范围为急救。
描述性流行病学研究。
在三个赛季中，73366名参与者共发生1782起受伤事件，总体平均受伤率为2.4%；1.0%（n = 17）的受伤者需要紧急医疗服务转运至当地急诊科，其中大多数受伤为肌肉骨骼损伤。最常见的治疗损伤为撕裂伤和肌肉骨骼相关损伤；93.9%的损伤能够在现场得到治疗。这些发现与已发表的文献表明，障碍赛跑医疗团队应预计受伤率高达5.0%，其中约4.5%的受伤者需转运至当地急诊科。
本研究中发现的受伤率和转运率与现有文献一致，最显著的是，它们在各种赛程长度（5 - 42公里）和障碍物数量（≥20个）中呈现出稳定的趋势。虽然大多数损伤可在现场治疗，但仍有发生危及生命紧急情况的严重可能性。
