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美国骑马导致的头部和颈部损伤的人口统计学模式:一项国家电子伤害监测系统(NEISS)数据库研究。

Demographic patterns in horseback riding head and neck injuries within the United States: A NEISS database study.

作者信息

Sharma Shiven, Reardon Luke M, Guda Rahul, Carr Michele M, Man Li-Xing, Alicea Daniel

机构信息

Lincoln Memorial University-DeBusk College of Osteopathic Medicine, Harrogate, TN, USA.

Lincoln Memorial University-DeBusk College of Osteopathic Medicine, Harrogate, TN, USA.

出版信息

Injury. 2025 Mar;56(3):112167. doi: 10.1016/j.injury.2025.112167. Epub 2025 Jan 24.

DOI:10.1016/j.injury.2025.112167
PMID:39862492
Abstract

OBJECTIVE

Our primary objective was to identify and describe demographic trends in head and neck injuries incurred while participating in horseback riding.

STUDY DESIGN

Cross-sectional analysis.

SETTING

National Database.

METHODS

Head and neck injuries related to horseback riding over a ten-year period (2014-2023) were analyzed using data from the National Electronic Injury Surveillance System (NEISS). A total of 3,177 cases were identified. Inclusion criteria encompassed injuries to the head, neck, face, mouth, or ear. Variables included age, gender, injury type, anatomical location, and patient disposition. Chi-squared analyses were employed to compare the aforementioned injury variables.

RESULTS

Among the 3,177 reported injuries of males and females, females (mean age 27.51 years, SD = 19.04) were more likely to be treated and released (83.29 %, n= 2023), while males (mean age 34.65 years, SD = 22.58) were more likely to be hospitalized. There was a significant association between gender and concussion diagnosis (p<.001), with females more likely to be diagnosed with concussions (n = 687) compared to males (n = 129). Females experienced more head and face injuries compared to males. Age distribution varied significantly across disposition categories, indicating different management practices for various age groups. The dataset indicates that the average age of females (27.51 years) is notably lower than that of males (34.65 years), suggesting a younger demographic among females overall.

CONCLUSIONS

The study highlights a significant gender disparity in horseback riding-related head and neck injuries, with females more likely to be treated and released and males more often requiring hospitalization.

摘要

目的

我们的主要目的是识别和描述参与骑马时发生的头颈部损伤的人口统计学趋势。

研究设计

横断面分析。

研究地点

国家数据库。

方法

使用国家电子伤害监测系统(NEISS)的数据,对十年期间(2014 - 2023年)与骑马相关的头颈部损伤进行分析。共识别出3177例病例。纳入标准包括头部、颈部、面部、口腔或耳部的损伤。变量包括年龄、性别、损伤类型、解剖位置和患者处置情况。采用卡方分析比较上述损伤变量。

结果

在报告的3177例男性和女性损伤中,女性(平均年龄27.51岁,标准差 = 19.04)更有可能接受治疗后出院(83.29%,n = 2023),而男性(平均年龄34.65岁,标准差 = 22.58)更有可能住院。性别与脑震荡诊断之间存在显著关联(p <.001),女性比男性更有可能被诊断为脑震荡(女性n = 687,男性n = 129)。与男性相比,女性头部和面部受伤更多。年龄分布在不同处置类别之间差异显著,表明不同年龄组有不同的管理方式。数据集表明女性的平均年龄(27.51岁)明显低于男性(34.65岁),总体上表明女性人群更年轻。

结论

该研究突出了骑马相关头颈部损伤中存在的显著性别差异,女性更有可能接受治疗后出院,而男性更常需要住院治疗。

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