Murphy Myles Calder, George Holly-Anne, Naqi Muhammad, Owen Patrick J, Chivers Paola, Hart Nicolas H
Institute for Nutrition Research, School of Medical and Health Sciences, Edith Cowan University, Joondalup, Western Australia, Australia.
School of Medical and Health Sciences, Edith Cowan University, Joondalup, Western Australia, Australia.
BMJ Open Sport Exerc Med. 2022 Mar 1;8(1):e001289. doi: 10.1136/bmjsem-2021-001289. eCollection 2022.
Report the injury epidemiology of law enforcement and firefighter recruits.
A systematic epidemiological review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines was completed.
Five online databases were searched from database inception to 5 May 2021.
Prospective and retrospective studies that reported data on musculoskeletal injuries sustained by law enforcement or firefighter recruits were included. We reported on all components of injury where data were available. All injury incidence rates were calculated as per 1000 training days (Poisson 95% CI) to allow comparisons between studies. Study quality was assessed using the Joanna Briggs Institute Quality Assessment Checklist for Prevalence Studies.
No studies reporting firefighter recruits were identified. Eight published studies that reported on injuries to law enforcement recruits were identified. The studies were all low quality, and the credibility of the evidence was assessed as very low. Seven studies reported medical attention injuries, and one study reported the number of medical withdrawals from a recruit training programme. The prevalence of law enforcement recruits with medical attention injuries ranged from 13.7% to 24.5%. The overall medical attention injury incidence rate for law enforcement recruits ranged from 1.67 injuries per 1000 training days (Poisson 95% CI 1.00 to 2.34 injuries per 1000 training days) to 4.24 injuries per 1000 training days (Poisson 95% CI 2.97 to 5.51 injuries per 1000 training days).
This review reported the prevalence and incidence rates for musculoskeletal injuries in law enforcement officers. However, the credibility of the evidence is very low.
CRD42021251084.
报告执法人员和消防员新兵的损伤流行病学情况。
按照《系统评价和Meta分析的首选报告项目（PRISMA）2020》指南完成了一项系统的流行病学综述。
从数据库建立至2021年5月5日检索了五个在线数据库。
纳入报告执法人员或消防员新兵肌肉骨骼损伤数据的前瞻性和回顾性研究。我们报告了有数据的损伤的所有组成部分。所有损伤发病率均按每1000个训练日计算（泊松95%置信区间），以便进行研究间的比较。使用乔安娜·布里格斯研究所患病率研究质量评估清单评估研究质量。
未找到报告消防员新兵损伤情况的研究。确定了八项已发表的报告执法人员新兵损伤情况的研究。这些研究质量均较低，证据可信度被评估为非常低。七项研究报告了需要医疗处理的损伤情况，一项研究报告了新兵训练项目中医疗退学人数。需要医疗处理的执法人员新兵患病率在13.7%至24.5%之间。执法人员新兵总体需要医疗处理的损伤发病率在每1000个训练日1.67例损伤（泊松95%置信区间为每1000个训练日1.00至2.34例损伤）至每1000个训练日4.24例损伤（泊松95%置信区间为每1000个训练日2.97至5.51例损伤）之间。
本综述报告了执法人员肌肉骨骼损伤的患病率和发病率。然而，证据的可信度非常低。
国际前瞻性系统评价注册库（PROSPERO）注册号：CRD42021251084。
