Harvard School of Dental Medicine, Boston, MA.
Department of Surgery, Division of Oral and Maxillofacial Surgery, University of Miami and Jackson Memorial Hospital, Miami, FL.
J Craniofac Surg. 2024;35(2):423-426. doi: 10.1097/SCS.0000000000009899. Epub 2023 Nov 29.
The objective of this study was to evaluate which Olympic-style sports and activities are most likely to result in hospitalizations relating to head and neck injuries. This was a cross-sectional study using the National Electronic Injury Surveillance System (NEISS) database. Subjects with head and neck injuries from selected Olympic-style sports and activities between 2010 and 2022 were included. Independent variables were demographics and injury characteristics (injury location and sport). The primary outcome variable was hospitalization (yes/no). Survey-weighted descriptive, bivariate, and logistic regression statistics were computed to measure the association between demographic/injury variables and hospitalization. There were 175,995 subjects (national estimate, 5,922,584) meeting inclusion criteria. After adjusting for demographic and injury characteristics, head injuries (odds ratio [OR] = 2.17; 95% CI, 1.83-2.56; P <0.001) demonstrated higher odds of hospitalization compared with facial injuries. Injuries from cycling (OR = 2.52; 95% CI, 2.16-2.95; P <0.001), mountain biking (OR = 2.56; 95% CI, 1.80-3.65; P <0.001), and horseback riding (OR = 4.01; 95% CI, 2.76-5.83; P <0.001) demonstrated higher odds of hospitalization relative to baseball injuries. In conclusion, head and neck injuries associated with high velocity Olympic-style sports and activities such as cycling, mountain biking, and horseback riding had the highest odds of hospitalization.
本研究旨在评估哪些奥运项目和活动最有可能导致与头颈部受伤相关的住院治疗。这是一项使用国家电子伤害监测系统（NEISS）数据库的横断面研究。纳入了 2010 年至 2022 年期间因选定的奥运项目和活动导致头颈部受伤的患者。自变量为人口统计学和损伤特征（损伤部位和运动）。主要结局变量为住院治疗（是/否）。采用调查加权描述性、双变量和逻辑回归统计数据来衡量人口统计学/损伤变量与住院治疗之间的关系。符合纳入标准的受试者有 175995 名（全国估计值为 5922584 名）。在调整人口统计学和损伤特征后，与面部损伤相比，头部损伤（优势比[OR] = 2.17；95%置信区间，1.83-2.56；P <0.001）的住院治疗可能性更高。与棒球受伤相比，自行车（OR = 2.52；95%置信区间，2.16-2.95；P <0.001）、山地自行车（OR = 2.56；95%置信区间，1.80-3.65；P <0.001）和骑马（OR = 4.01；95%置信区间，2.76-5.83；P <0.001）导致的损伤住院治疗的可能性更高。总之，与棒球受伤相比，与高速奥运项目和活动（如自行车、山地自行车和骑马）相关的头颈部损伤具有更高的住院治疗可能性。
