运动相关的外伤性脑损伤和儿童的急性治疗费用。

Sports-related traumatic brain injuries and acute care costs in children.

机构信息

Department of Paediatrics, The University of Melbourne Faculty of Medicine Dentistry and Health Sciences, Melbourne, Victoria, Australia

Department of Emergency Medicine, University of California Davis School of Medicine, Sacramento, California, USA.

出版信息

BMJ Paediatr Open. 2023 Jan;7(1). doi: 10.1136/bmjpo-2022-001723.

DOI:10.1136/bmjpo-2022-001723

PMID:36720502

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9890755/

Abstract

OBJECTIVE

To estimate traumatic brain injuries (TBIs) and acute care costs due to sports activities.

METHODS

A planned secondary analysis of 7799 children from 5 years old to <18 years old with head injuries enrolled in a prospective multicentre study between 2011 and 2014. Sports-related TBIs were identified by the epidemiology codes for activity, place and injury mechanism. The sports cohort was stratified into two age groups (younger: 5-11 and older: 12-17 years). Acute care costs from the publicly funded Australian health system perspective are presented in 2018 pound sterling (£).

RESULTS

There were 2903 children (37%) with sports-related TBIs. Mean age was 12.0 years (95% CI 11.9 to 12.1 years); 78% were male. Bicycle riding was associated with the most TBIs (14%), with mean per-patient costs of £802 (95% CI £644 to £960) and 17% of acute costs. The highest acute costs (21%) were from motorcycle-related TBIs (3.8% of injuries), with mean per-patient costs of £3795 (95% CI £1850 to £5739). For younger boys and girls, bicycle riding was associated with the highest TBIs and total costs; however, the mean per-patient costs were highest for motorcycle and horse riding, respectively. For older boys, rugby was associated with the most TBIs. However, motorcycle riding had the highest total and mean per-patient acute costs. For older girls, horse riding was associated with the most TBIs and highest total acute costs, and motorcycle riding was associated with the highest mean per-patient costs.

CONCLUSION

Injury prevention strategies should focus on age-related and sex-related sports activities to reduce the burden of TBIs in children.

TRIAL REGISTRATION NUMBER

ACTRN12614000463673.

摘要

目的

评估与运动相关的创伤性脑损伤（TBI）和急性护理费用。

方法

对 2011 年至 2014 年间一项前瞻性多中心研究中招募的 7799 名 5 岁以下至<18 岁头部受伤的儿童进行计划的二次分析。通过活动、地点和损伤机制的流行病学编码确定与运动相关的 TBI。将运动队列分为两个年龄组（年幼组：5-11 岁；年长组：12-17 岁）。从公共资助的澳大利亚卫生系统角度呈现 2018 年英镑（£）的急性护理费用。

结果

有 2903 名儿童（37%）发生与运动相关的 TBI。平均年龄为 12.0 岁（95%置信区间 11.9 至 12.1 岁）；78%为男性。骑自行车与最多的 TBI 相关（14%），每位患者的平均费用为£802（95%置信区间£644 至 £960），占急性费用的 17%。摩托车相关 TBI 的急性费用最高（21%）（占损伤的 3.8%），每位患者的平均费用为£3795（95%置信区间£1850 至 £5739）。对于年幼的男孩和女孩，骑自行车与最高的 TBI 和总费用相关；然而，摩托车和骑马分别与每位患者的最高平均费用相关。对于年长的男孩，橄榄球与最多的 TBI 相关。然而，摩托车骑行的总费用和每位患者的平均费用最高。对于年长的女孩，骑马与最多的 TBI 和最高的总急性费用相关，摩托车骑行与每位患者的最高平均费用相关。