三种国家监测系统中高中和大学运动员因直接接触机制导致的与运动相关的内部器官损伤的发生率。

Incidence of Sport-Related Internal Organ Injuries Due to Direct-Contact Mechanisms Among High School and Collegiate Athletes Across 3 National Surveillance Systems.

机构信息

Department of Exercise and Sport Science, The University of North Carolina at Chapel Hill.

National Center for Catastrophic Sport Injury Research, The University of North Carolina at Chapel Hill.

出版信息

J Athl Train. 2019 Feb;54(2):152-164. doi: 10.4085/1062-6050-271-17. Epub 2018 Oct 30.

DOI:10.4085/1062-6050-271-17

PMID:30376372

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6464299/

Abstract

CONTEXT

Although sport-related internal organ injuries among athletes are relatively infrequent, combining data sources enables a more comprehensive examination of their incidence.

OBJECTIVE

To describe the incidence and characteristics of sport-related internal organ injuries due to direct-contact mechanisms among high school (HS) and collegiate athletes from 2005-2006 through 2014-2015.

DESIGN

Descriptive epidemiology study.

SETTING

United States HS and collegiate sports data from 3 national sports injury-surveillance systems: High School Reporting Information Online (HS RIO), the National Collegiate Athletic Association Injury Surveillance Program (ISP), and the National Center for Catastrophic Sport Injury Research.

PATIENTS OR OTHER PARTICIPANTS

High school and collegiate athletes in organized sports.

MAIN OUTCOME MEASURE(S): Characteristics of the athlete, event, and injury were examined and stratified by data source and sport. Descriptive statistics of internal organ injuries via direct-contact mechanisms consisted of frequencies and incidence rates (IRs) per 1 000 000 athlete-exposures and 95% confidence intervals (CIs).

RESULTS

During the 10-year period, 174 internal organ injuries were captured: 124 in HS RIO and 41 in the ISP; 9 were catastrophic. Most noncatastrophic injuries occurred among males (RIO = 85%, ISP = 89%), in football (RIO = 65%, ISP = 58%), and during competitions (RIO = 67%, ISP = 49%) and were due to player-player contact (RIO = 78%, ISP = 68%). The highest injury rates were in male contact sports: RIO football (IR = 11.7; 95% CI = 9.1, 14.2) and lacrosse (IR = 10.0; 95% CI = 3.1, 16.9); ISP: football (IR = 8.3; 95% CI = 5.0, 11.6) and ice hockey (IR = 7.9; 95% CI = 1.0, 14.7). A quarter of noncatastrophic injuries were season ending (RIO = 25%, ISP = 23%). Of the 9 catastrophic injuries, most occurred in HS (7/9) and football (7/9) and were due to player-player contact (6/9). Four resulted in death.

CONCLUSIONS

Direct-contact internal organ injuries occur infrequently; yet when they do occur, they may result in severe outcomes. These findings suggest that early recognition and a better understanding of the activities associated with the event and use or nonuse of protective equipment are needed.

摘要

背景

虽然运动员的运动相关内脏器官损伤相对较少，但结合数据源可以更全面地检查其发病率。

目的

描述 2005-2006 年至 2014-2015 年期间，美国高中（HS）和大学生运动员因直接接触机制导致的运动相关内脏器官损伤的发病率和特征。

设计

描述性流行病学研究。

设置

来自 3 个国家运动伤害监测系统的美国 HS 和大学生运动数据：高中报告信息在线（HS RIO）、全国大学生体育协会伤害监测计划（ISP）和国家灾难运动伤害研究中心。

患者或其他参与者

有组织运动的高中生和大学生运动员。

主要观察指标

通过直接接触机制观察运动员、事件和损伤的特征，并按数据源和运动进行分层。通过直接接触机制导致的内脏器官损伤的描述性统计数据包括频率和每 100 万运动员暴露的发病率（IR）和 95%置信区间（CI）。

结果

在 10 年期间，共发现 174 例内脏器官损伤：HS RIO 124 例，ISP 41 例；9 例为灾难性损伤。大多数非灾难性损伤发生在男性（RIO = 85%，ISP = 89%）、足球（RIO = 65%，ISP = 58%）和比赛中（RIO = 67%，ISP = 49%），是由于运动员之间的接触（RIO = 78%，ISP = 68%）。发病率最高的是男性接触性运动：RIO 足球（IR = 11.7；95%CI = 9.1，14.2）和曲棍球（IR = 10.0；95%CI = 3.1，16.9）；ISP：足球（IR = 8.3；95%CI = 5.0，11.6）和冰球（IR = 7.9；95%CI = 1.0，14.7）。四分之一的非灾难性损伤是赛季结束（RIO = 25%，ISP = 23%）。在 9 例灾难性损伤中，大多数发生在 HS（7/9）和足球（7/9），是由于运动员之间的接触（6/9）。其中 4 例导致死亡。