儿童头颈部曲棍球伤：对 NEISS 数据库的分析。

Head and neck ice hockey injuries in children: an analysis of the NEISS database.

机构信息

Jacobs School of Medicine and Biomedical Sciences at the State University of New York at Buffalo, Department of Otolaryngology, 955 Main St., Buffalo, NY, 14203, USA.

Jacobs School of Medicine and Biomedical Sciences at the State University of New York at Buffalo, 955 Main St., Buffalo, NY, 14203, USA.

出版信息

Int J Pediatr Otorhinolaryngol. 2024 Nov;186:112093. doi: 10.1016/j.ijporl.2024.112093. Epub 2024 Sep 6.

DOI:10.1016/j.ijporl.2024.112093

PMID:39260329

Abstract

OBJECTIVE

Our objective was to describe non-concussion head and neck ice hockey injuries in children in the US.

METHODS

This is a retrospective cohort study using data from the NEISS database. The NEISS database was reviewed from 2010 to 2021 for injuries in the head, neck, mouth, eye, and ear related to ice hockey in children 1-18 years old. Records where the only injury was a concussion or internal head injury were removed. Frequencies were calculated and chi-squared tests were performed.

RESULTS

475 children were included, with mean age of 13.1 years old (95 % CI 12.7-13.4), and 426 (89.7 %) were male. Females were significantly younger with mean age 11.8 years versus 13.2 years for males (t = -2.4, df = 473, p = .018). 110 (23.2 %) injuries were related to hockey sticks, 92 (19.4 %) involved a fall, and 32 (6.7 %) were subsequent to body checking. 301 of the injuries (63.4 %) were lacerations, 71 (14.9 %) contusions or abrasions, and 26 (5.5 %) strains and sprains. The type of injury varied according to head and neck region (p < .001). 231 (82.8 %) of facial injuries, 16 (76.2 %) of ear injuries, and 33 (62.3 %) of oral injuries were lacerations. Eight (1.7 %) patients were admitted or observed overnight, while the rest were discharged home.

CONCLUSION

Female ice hockey players sustain injuries at younger ages than males, which may reflect the loss of older girls from the sport. In older boys, injury rates may reflect the loss of mandated full face protective shields.

摘要

目的

描述美国儿童非脑震荡性头颈部冰球损伤。

方法

这是一项使用 NEISS 数据库数据的回顾性队列研究。从 2010 年到 2021 年，对 NEISS 数据库中 1-18 岁儿童与冰球相关的头、颈、口、眼和耳损伤进行了审查。去除仅为脑震荡或头部内伤的记录。计算频率并进行卡方检验。

结果

共纳入 475 名儿童，平均年龄 13.1 岁（95%CI 12.7-13.4），426 名（89.7%）为男性。女性明显更年轻，平均年龄为 11.8 岁，而男性为 13.2 岁（t=-2.4，df=473，p=0.018）。110 例（23.2%）损伤与曲棍球棒有关，92 例（19.4%）与跌倒有关，32 例（6.7%）与身体检查后有关。301 例（63.4%）为裂伤，71 例（14.9%）为挫伤或擦伤，26 例（5.5%）为扭伤和拉伤。根据头颈部区域，损伤类型有所不同（p<0.001）。231 例（82.8%）面部损伤、16 例（76.2%）耳部损伤和 33 例（62.3%）口腔损伤为裂伤。8 例（1.7%）患者被收治或观察过夜，其余患者均出院回家。