University of Cape Town, Cape Town, South Africa.
Amsterdam UMC, VU University, Amsterdam, The Netherlands.
Qual Health Res. 2019 Nov;29(13):1862-1876. doi: 10.1177/1049732319834930. Epub 2019 Mar 13.
Most contact sports, including rugby union, carry a risk of injury. Although acute spinal cord injuries (ASCIs) in rugby are rare, the consequences of such injuries are far-reaching. Optimal management of these injuries is challenging, and a detailed understanding of the different barriers and facilitators to optimal care is needed. In this study, we aimed to describe the perception of players, regarding factors related to the optimal immediate management of a catastrophic injury in a developing country with socioeconomic and health care inequities. The most frequently reported barriers were transportation delays after injury and admission to appropriate medical facilities. Other barriers included inadequate equipment, the quality of first aid care, and barriers within the acute hospital setting. Barriers were more prevalent in rural and lower socioeconomic areas. These findings are relevant for all rugby stakeholders and may help shape education, awareness, and future policy around the immediate management of ASCIs.
大多数接触性运动，包括橄榄球联盟，都存在受伤的风险。尽管橄榄球中的急性脊髓损伤（ASCIs）较为罕见，但此类损伤的后果却影响深远。此类损伤的最佳管理具有挑战性，需要深入了解影响最佳治疗的不同障碍和促进因素。在本研究中，我们旨在描述在一个存在社会经济和医疗保健不平等的发展中国家，运动员对与灾难性损伤的最佳即时管理相关的因素的看法。报告最多的障碍是受伤后和进入适当医疗设施的交通延误。其他障碍包括设备不足、急救护理质量以及急性医院环境中的障碍。在农村和社会经济水平较低的地区，障碍更为普遍。这些发现与所有橄榄球利益相关者相关，可能有助于围绕 ASCIs 的即时管理开展教育、提高认识和制定未来政策。
