Barwon Centre for Orthopaedic Research and Education (B-CORE), School of Medicine, Deakin University and St John of God Hospital, Australia.
Emergency Department, University Hospital Geelong, Australia.
J Sci Med Sport. 2021 Jul;24(7):670-676. doi: 10.1016/j.jsams.2021.02.011. Epub 2021 Feb 22.
To compare injury-profiles of females and males presenting to Emergency Departments (EDs) with an Australian Football injury.
Prospective observational study.
All patients presenting to one of 10 EDs in Victoria, Australia, with an Australian Football injury were included in the study. Data were prospectively collected over a 10 month period, coinciding with a complete Australian Football season, including pre-season training and practice matches. Relevant information was extracted from patient medical records regarding injury-type, body part injured, investigations and treatments required. Female and male data were compared with chi-squared and Fisher's exact tests.
1635 patients were included, of whom 242 (14.8%) were female. Females had a higher proportion of hand/finger injuries (34.3% v 23.4%), neck injuries (6.6% v 2.5%) and patella dislocations (2.9% v 0.6%). Males had a higher proportion of shoulder injuries (11.5% v 5.8%), skin lacerations (8.0% v 1.7%), and thorax/abdominal/pelvic injuries (5.7% v 2.1%). Concussion rates were similar between the genders, occurring in 14.1% of all patients. Anterior cruciate ligament injuries were infrequent (1.0%) and not significantly different between genders. Females received more imaging investigations (83.1% v 74.7%) and analgesia (62.4% v 48.5%). A higher proportion of males required admission to hospital (5.0% v 2.1%), usually for surgery.
Australian Football injury profiles differed between females and males. Gender-specific injury prevention and management programs would be indicated based on the study findings.
比较女性和男性因澳大利亚足球受伤而到急诊部就诊的损伤特征。
前瞻性观察研究。
本研究纳入了在澳大利亚维多利亚州的 10 家急诊部因澳大利亚足球受伤就诊的所有患者。数据是在一个完整的澳大利亚足球赛季期间（包括季前训练和练习赛）前瞻性收集的，为期 10 个月。从患者的病历中提取了与损伤类型、受伤身体部位、所需检查和治疗相关的信息。使用卡方检验和 Fisher 精确检验比较了女性和男性的数据。
共纳入 1635 名患者，其中 242 名（14.8%）为女性。女性手部/手指损伤（34.3%比 23.4%）、颈部损伤（6.6%比 2.5%）和髌骨脱位（2.9%比 0.6%）的比例较高。男性肩部损伤（11.5%比 5.8%）、皮肤裂伤（8.0%比 1.7%）和胸部/腹部/骨盆损伤（5.7%比 2.1%）的比例较高。所有患者的脑震荡发生率相似，为 14.1%。前交叉韧带损伤较为少见（1.0%），且在性别间无显著差异。女性接受了更多的影像学检查（83.1%比 74.7%）和镇痛治疗（62.4%比 48.5%）。更多的男性需要住院治疗（5.0%比 2.1%），通常是为了接受手术。
澳大利亚足球受伤特征在女性和男性之间存在差异。根据研究结果，需要制定针对特定性别的预防和管理计划。
