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头部和颈部损伤的伤害监测,特别关注与运动相关的脑震荡:卡塔尔职业足球的八个赛季观察性研究。

Injury surveillance of head and neck injuries with a special focus on sport-related concussions: Eight seasons observational study in professional football in Qatar.

机构信息

Aspetar Orthopedic and Sports Medicine Hospital, Qatar.

Naufar, Wellness and Recovery Center, Qatar.

出版信息

J Sci Med Sport. 2024 Dec;27(12):844-848. doi: 10.1016/j.jsams.2024.08.202. Epub 2024 Aug 22.

DOI:10.1016/j.jsams.2024.08.202
PMID:39242328
Abstract

OBJECTIVES

To describe the head and neck injuries with a focus on Sport-Related Concussion (SRC) in professional football in Qatar (PFQ) during eight consecutive seasons.

DESIGN

Prospective observational study.

METHODS

Seventeen PFQ teams were included over eight seasons (2013/14-2020/21) study. The injury data were collected by the respective clubs' medical staff using standardized (time-loss injuries) protocols.

RESULTS

Data were obtained from 119 teams' seasons resulting in a total of 87 head and neck injuries (1.8 % of the 4736 time-loss injuries). Head and neck injury rate was of 0.57 injury/squad-season (95%CI: 0.56-0.59), representing 0.12 injury/1000 h (95%CI: 0.09-0.14). Thirty-three concussions were recorded. The concussion rate was 0.25 injury/squad-season (95%CI: 0.23-0.26), representing 0.04 injury/1000 h (95%CI: 0.03-0.06). The concussion proportion of all head injuries was 31.7 % during the four initial seasons and 43.5 % during the following four seasons with a non-significant increase of 11.8 % (X = 1267, p = 0.26).

CONCLUSIONS

Injury rates in this cohort remain lower than comparable leagues elsewhere. Even though the incidence rate of SRC did not change significantly over the eight seasons, seasonal variations' trend may indicate that the medical staff are more aware of diagnosing head and neck injuries, including concussion.

摘要

目的

描述卡塔尔职业足球联赛(PFQ)中与运动相关的脑震荡(SRC)相关的头部和颈部损伤,共涉及连续 8 个赛季。

设计

前瞻性观察性研究。

方法

8 个赛季(2013/14-2020/21 年)中,纳入了 17 支 PFQ 球队。各俱乐部的医务人员使用标准化(失时伤害)方案收集损伤数据。

结果

共获得了 119 个球队赛季的数据,总计 87 例头部和颈部损伤(4736 例失时损伤的 1.8%)。头部和颈部损伤发生率为 0.57 例/队/赛季(95%CI:0.56-0.59),代表 0.12 例/1000 小时(95%CI:0.09-0.14)。记录到 33 例脑震荡。脑震荡发生率为 0.25 例/队/赛季(95%CI:0.23-0.26),代表 0.04 例/1000 小时(95%CI:0.03-0.06)。在最初的 4 个赛季中,所有头部损伤中脑震荡的比例为 31.7%,而在接下来的 4 个赛季中为 43.5%,增加了 11.8%(X=1267,p=0.26),但无显著差异。

结论

在本队列中,损伤率仍低于其他可比联赛。尽管在 8 个赛季中,SRC 的发病率没有明显变化,但季节性变化趋势可能表明医务人员更能意识到诊断头部和颈部损伤,包括脑震荡。

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