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游泳和水上运动中的头面部损伤:预防的意义。

Craniofacial Injuries in Swimming and Water Sports: Implications for Prevention.

机构信息

Miller School of Medicine, University of Miami, Miami, FL.

DeWitt Daughtry Family Department of Surgery, Division of Plastic Surgery, University of Miami, Miami, FL.

出版信息

J Craniofac Surg. 2024;35(2):452-455. doi: 10.1097/SCS.0000000000009948. Epub 2024 Jan 22.

DOI:10.1097/SCS.0000000000009948
PMID:38252536
Abstract

INTRODUCTION

Water-related recreational activities, including swimming and diving, are widespread. However, they carry a significant risk of craniofacial injuries. Despite the popularity of these activities, comprehensive data on injuries beyond drowning remain scant. This study addresses this gap by providing valuable epidemiological insight into the nature, prevalence, and demographic patterns of craniofacial injuries related to water sports activities.

METHODS

The authors queried the NEISS database for craniofacial injuries related to swimming, diving, and water sports from 2013 to 2022. Data were analyzed for demographics, anatomic locations of injuries, and the activities leading to these injuries.

RESULTS

Between 2013 and 2022, a total of 952,111 craniofacial injuries were associated with swimming and water sports. Of these, 510,706 (53.6%) were male patients, and 441,405 (46.4%) were female. This indicates that males were 1.16 times more likely to sustain such injuries. The age groups most affected were 0 to 9 and 10 to 19 years. Anatomic locations impacted were as follows: ears (58.1%), head (16.8%), face (13.9%), neck (4.8%), eyeballs (4.4%), and mouth (2%). Leading causes were identified as swimming and water sports activities (66.5%), swimming pools and equipment (28.2%), diving or diving boards (4.7%), and scuba diving (0.5%). Notably, 89.2% of patients with diving-related injuries and 99.1% with swimming-related injuries were not admitted to the hospital.

CONCLUSIONS

This study offers critical epidemiological data to supplement targeted prevention strategies and resource allocation in managing craniofacial injuries associated with water activities. The findings highlight the urgent need for specialized care and serve as a foundation for future preventive initiatives.

摘要

引言

水上游乐活动,包括游泳和潜水,非常普遍。然而,它们会带来严重的头面部损伤风险。尽管这些活动很受欢迎,但关于溺水以外的损伤的综合数据仍然很少。本研究通过提供有关与水上运动相关的头面部损伤的性质、流行程度和人口统计学模式的有价值的流行病学见解,弥补了这一空白。

方法

作者从 2013 年至 2022 年,在 NEISS 数据库中查询了与游泳、潜水和水上运动相关的头面部损伤。对人口统计学、损伤的解剖位置以及导致这些损伤的活动进行了数据分析。

结果

在 2013 年至 2022 年期间,共有 952,111 例与游泳和水上运动相关的头面部损伤。其中,510,706 例(53.6%)为男性患者,441,405 例(46.4%)为女性。这表明男性受伤的可能性是女性的 1.16 倍。受影响最大的年龄组是 0 至 9 岁和 10 至 19 岁。受影响的解剖位置如下:耳朵(58.1%)、头部(16.8%)、面部(13.9%)、颈部(4.8%)、眼球(4.4%)和口腔(2%)。主要原因是游泳和水上运动活动(66.5%)、游泳池和设备(28.2%)、跳水或跳板(4.7%)和水肺潜水(0.5%)。值得注意的是,89.2%的潜水相关损伤患者和 99.1%的游泳相关损伤患者未住院治疗。

结论

本研究提供了关键的流行病学数据,以补充针对与水活动相关的头面部损伤的预防策略和资源分配。研究结果强调了对专业护理的迫切需求,并为未来的预防计划提供了基础。

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