The Orthopaedic Center, a Division of CAO, Rockville, MD USA.
Department of Preventive Medicine and Biostatistics, Uniformed Services University of The, Health Sciences, Bethesda, MD USA.
Phys Sportsmed. 2022 Dec;50(6):486-493. doi: 10.1080/00913847.2021.1956288. Epub 2021 Jul 30.
There have been numerous case series of exertional rhabdomyolysis (ER) but no comprehensive studies investigating the incidence of ER in the civilian athletic population in the United States (US).
A retrospective review of patients with ER presenting to emergency departments in the US over a 20-year period between 2000 and 2019 was performed using the National Electronic Injury Surveillance System (NEISS) database.
The national estimate of hospital visits in the US for ER during the 20-year period was 40,654 (0.66 per 100,000 population). There was a 10-fold increase in the incidence of ER from the first to the second decade. The odds of ER were 3.77 (95% CI 3.67-3.86, P < .0001) times higher for males (31,921, 78.5%, 1.06 per 100,000) than females (8,733, 21.5%, 0.28 per 100,000) and 3.82 (95% CI 3.71-3.93, P < .0001) higher in African Americans (33.6, 0.93 per 100,000) than white patients (53%, 0.24 per 100,000). American football (3,064, 7.5%) was responsible for 43.9% of the sports-induced ER cases. The majority (67.3%) of ER cases occurred between the ages of 16 and 35 years old. The majority of patients required hospitalization (26,550, 65.3%).
The number of ER cases presenting to emergency departments in the US increased from 2000-2009 to 2010-2019. Young males and African Americans are at highest risk of ER. There was a high rate of hospitalization.
有大量关于运动性横纹肌溶解症（ER）的病例系列报道，但没有全面研究调查美国（US）民间运动人群中 ER 的发病率。
使用国家电子伤害监测系统（NEISS）数据库，对 2000 年至 2019 年期间美国急诊室就诊的 ER 患者进行了为期 20 年的回顾性研究。
在 20 年期间，美国 ER 住院患者的全国估计数为 40654 例（每 10 万人中有 0.66 例）。从第一个十年到第二个十年，ER 的发病率增加了 10 倍。男性（31921 例，78.5%，每 10 万人中有 1.06 例）患 ER 的几率是女性（8733 例，21.5%，每 10 万人中有 0.28 例）的 3.77 倍（95% CI 3.67-3.86，P < 0.0001），非裔美国人（336 例，0.93 例/10 万人）患 ER 的几率比白人患者（53%，0.24 例/10 万人）高 3.82 倍（95% CI 3.71-3.93，P < 0.0001）。美式足球（3064 例，7.5%）导致了 43.9%的运动性 ER 病例。大多数（67.3%）ER 病例发生在 16 至 35 岁之间。大多数患者需要住院治疗（26550 例，65.3%）。
美国急诊室就诊的 ER 病例数量从 2000-2009 年增加到 2010-2019 年。年轻男性和非裔美国人患 ER 的风险最高。住院率很高。
