中学运动员急性损伤后影响接受运动训练师评估时间的因素：来自运动训练实践研究网络的报告

Factors That Impact Time to Athletic Trainer Evaluation Following Acute Injury Among Secondary School Athletes: A Report From the Athletic Training Practice-Based Research Network.

作者信息

Renner Madison N, Lam Kenneth C, Srygler Emily C, Adler Stephanie N, Chambers Jennifer S, Bell David R

机构信息

University of Wisconsin-Madison, Mesa, AZ.

A.T. Still University, Mesa, AZ.

出版信息

J Athl Train. 2025 Jan 1;60(1):29-33. doi: 10.4085/1062-6050-0287.24.

DOI:10.4085/1062-6050-0287.24

PMID:39099552

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11789747/

Abstract

CONTEXT

Immediate athletic trainer (AT) availability for acute injuries is essential as worse long-term outcomes are associated with delays in receiving medical care. Several factors have been found to influence AT availability between secondary schools, but few studies have evaluated how medical coverage varies between athlete groups.

OBJECTIVE

The purpose of this project was to identify factors that impact the time to AT evaluation following acute sport-related injury in a secondary school setting.

DESIGN

Cross-sectional study.

SETTING

Retrospective analysis of deidentified patient records via the Athletic Training Practice-Based Research Network.

PATIENTS OR OTHER PARTICIPANTS

High school athletes diagnosed with an acute sport-related injury during in-season play from 2010 to 2023.

MAIN OUTCOME MEASURE(S): Time to AT evaluation was measured as the number of days between injury onset, reported by the patient, and AT evaluation.

RESULTS

This report consists of 17 354 patient cases representing 20 different sports. Overall, 46.9% (n = 8138) of patients who sustained an injury during in-season play were evaluated by an AT the same day (range, 0-14 days). Significant group differences were reported for sex (P < .001), setting (P < .001), and sport level (P < .01), with female athletes and in-game injuries associated with longer times to AT evaluation. Freshmen were evaluated sooner than junior varsity (P < .01) and varsity (P < .001) athletes. No difference was observed between junior varsity and varsity athletes (P = .34).

CONCLUSIONS

Almost half of patients received medical care within 24 hours following an acute injury during in-season play, highlighting how qualified health care is accessible for many student-athletes through ATs in the secondary school setting. Differences in time to AT evaluation may be attributable to sex discrepancies in immediate medical coverage between sports and injury reporting patterns among athletes.

摘要

背景

对于急性损伤，运动训练师（AT）能立即提供服务至关重要，因为医疗救治延迟会导致更差的长期预后。已发现有几个因素会影响中学之间运动训练师的可及性，但很少有研究评估不同运动员群体的医疗覆盖情况有何差异。

目的

本项目的目的是确定在中学环境中，影响急性运动相关损伤后接受运动训练师评估时间的因素。

设计

横断面研究。

设置

通过基于运动训练实践的研究网络对去识别化的患者记录进行回顾性分析。

患者或其他参与者

2010年至2023年在赛季中比赛时被诊断为急性运动相关损伤的高中运动员。

主要结局指标

运动训练师评估时间以患者报告的受伤发作与运动训练师评估之间的天数来衡量。

结果

本报告包含代表20种不同运动的17354例患者病例。总体而言，46.9%（n = 8138）在赛季中比赛时受伤的患者在当天（范围为0 - 14天）接受了运动训练师的评估。报告显示，在性别（P < .001）、受伤场景（P < .001）和运动水平（P < .01）方面存在显著的组间差异，女性运动员和比赛中受伤与接受运动训练师评估的时间较长有关。新生比初中校队（P < .01）和校队（P < .001）运动员接受评估的时间更早。初中校队和校队运动员之间未观察到差异（P = .34）。