Trauma & Orthopaedics, Health Education North West, Manchester, UK.
Trauma & Orthopaedics, Health Education South West, Bristol, UK.
Phys Sportsmed. 2023 Aug;51(4):336-342. doi: 10.1080/00913847.2022.2083458. Epub 2022 Jun 2.
The sequelae of concussion are of growing concern within Rugby. World Rugby has introduced rule changes to improve player welfare and reduce head injury frequency. We aimed to report the incidence of head injuries and head injury assessment (HIA) at the 2019 Rugby World Cup (RWC).
We reviewed all 45 tournament matches and recorded the number of head injuries, the injured player's position, and the mechanism of injury; whether the player had an HIA; and if they returned to play following injury. We compared these findings with previous RWCs.
We recorded 68 head injuries (1.33/game). Thirty-six players (52.9%) were removed from the field of play for an HIA. Of these, 23 (63.9%) failed and therefore considered to have concussion. The head injury rate in 2019 was 37.8 per 1000 player hours, which increased from previous tournaments (22.0 in 2015, 14.6 in 2011, and 4.7 in 2007). The concussion rate was 23 per 1000 player hours in 2019, which was lower than 29 in 2015. In 2019, 63.9% of HIAs were failed compared to 48.7% in 2015. We identified 17 cases where medical staff did not attend to a player suffering a head injury on-field. Of these, four players underwent an HIA after the match doctor reviewed the incident.
We recorded a higher rate of head injuries, and a player was more likely to fail their HIA than in previous tournaments. These findings may represent a greater awareness from medical staff and the benefits of education. However, 25% of head injuries not receiving an initial on-field assessment provide room for improvement.
concussion 的后遗症在橄榄球中越来越受到关注。 World Rugby 已经出台了规则的改变，以提高球员福利和减少头部受伤的频率。我们旨在报告 2019 年橄榄球世界杯（RWC）的头部受伤和头部受伤评估（HIA）的发生率。
我们回顾了所有 45 场比赛，记录了头部受伤的数量、受伤球员的位置和受伤机制；球员是否接受了 HIA；以及受伤后是否返回比赛。我们将这些发现与之前的 RWC 进行了比较。
我们记录了 68 例头部受伤（1.33/场）。 36 名球员（52.9%）因 HIA 而被从比赛场地中移除。其中，23 人（63.9%）失败，因此被认为患有 concussion。2019 年头部受伤率为每 1000 名球员小时 37.8 例，高于之前的比赛（2015 年为 22.0 例，2011 年为 14.6 例，2007 年为 4.7 例）。2019 年 concussion 率为每 1000 名球员小时 23 例，低于 2015 年的 29 例。2019 年，63.9%的 HIA 失败，而 2015 年为 48.7%。我们发现有 17 例医务人员没有在场上对头部受伤的球员进行治疗。其中，四名球员在比赛医生审查事件后接受了 HIA。
我们记录的头部受伤率较高，而且球员 HIA 失败的可能性高于之前的比赛。这些发现可能代表着医务人员的意识增强和教育的好处。然而，25%的头部受伤没有接受初始的场上评估，这方面仍有改进的空间。
