Chun Alex G, Snyder Eli M, Obana Kyle K, Ashinsky Beth G, Parisien Robert L, Bottiglieri Thomas S, Ahmad Christopher S, Trofa David P
John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, HI, USA.
Department of Orthopedic Surgery, Columbia University Irving Medical Center, Columbia University, New York, NY, USA.
Phys Sportsmed. 2025 Apr;53(2):129-137. doi: 10.1080/00913847.2024.2421154. Epub 2024 Oct 28.
Nearly 3 million children participate in youth soccer annually in the United States. Popularity of youth soccer within recent years has prompted investigation describing youth-soccer concussion trends presenting to United States emergency departments (EDs).
Data from National Electronic Injury Surveillance System were analyzed for soccer players 2-18 years old sustaining concussions from January 2013 to December 2022. Patient data included age, sex, mechanism of injury, setting (practice vs. game), diagnosis, loss of consciousness, and disposition. Raw data were used to calculate national estimates based on assigned statistical sample weight of each hospital.
A total of 80,582 youth soccer concussions were diagnosed in US EDs (51.0% female, 49.0% male). The most common mechanism of injury was head to ball (31.0%). On average, overall concussions decreased by 572 per year ( = 0.02). Head to body concussions decreased by 169 per year ( < 0.01) and head to ground concussions decreased by 155 per year ( < 0.01). No changes per year in concussion trends for head to ball, head to head, not specified, and other mechanisms. Exclusion of years 2020 and 2021 (COVID), demonstrated decreases in concussions for head to body by 125 ( = 0.01) and head to ground mechanisms by 135 per year ( = 0.01).
There is a decreasing trend in youth soccer head injuries and concussions presenting to US emergency departments from 2013 to 2022. The trends from this study indicate that heading may be the most important aspect of soccer-related concussions presenting to US emergency departments. This study contributes to the growing literature regarding concussions in youth soccer athletes.
在美国，每年有近300万儿童参与青少年足球运动。近年来青少年足球运动的普及促使人们对美国急诊科（ED）收治的青少年足球脑震荡趋势进行调查。
分析了2013年1月至2022年12月期间2至18岁足球运动员在国家电子伤害监测系统中的数据，这些运动员因脑震荡就诊。患者数据包括年龄、性别、受伤机制、场景（训练与比赛）、诊断、意识丧失和处置情况。原始数据用于根据每家医院分配的统计样本权重计算全国估计数。
美国急诊科共诊断出80582例青少年足球脑震荡（女性占51.0%，男性占49.0%）。最常见的受伤机制是头部与球碰撞（31.0%）。平均而言，脑震荡总数每年减少572例（P = 0.02）。头部与身体碰撞导致的脑震荡每年减少169例（P < 0.01），头部与地面碰撞导致的脑震荡每年减少155例（P < 0.01）。头部与球碰撞、头部与头部碰撞、未明确说明及其他机制导致的脑震荡趋势每年无变化。排除2020年和2021年（新冠疫情期间）的数据后，显示头部与身体碰撞导致的脑震荡每年减少125例（P = 0.01），头部与地面碰撞机制导致的脑震荡每年减少135例（P = 0.01）。
2013年至2022年期间，美国急诊科收治的青少年足球头部受伤和脑震荡呈下降趋势。本研究的趋势表明，头球可能是美国急诊科收治的与足球相关脑震荡的最重要方面。本研究为有关青少年足球运动员脑震荡的不断增多的文献做出了贡献。
