Ibiebele Abiye, Mannix Rebekah, Meehan William
Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts.
Massachusetts General Hospital, Department of Orthopaedic Surgery, Boston, Massachusetts.
West J Emerg Med. 2025 Feb 24;26(3):627-631. doi: 10.5811/westjem.18630.
In the United States, 3.7 million people present to an emergency department (ED) annually with an injury related to sports or athletic activity. A prior study a decade ago revealed that 14% of life-threatening injuries presenting to EDs were sports related, with this percentage being higher in the pediatric population. However, with changes in sports participation and regulatory changes over the past decade, it is unclear whether the proportion of life-threatening sports-related injuries has changed.
We conducted a cross-sectional study using the National Hospital Ambulatory Medical Care Survey (NHAMCS), consisting of patients from years 2009-2018. Life-threatening injuries were defined as International Classification of Diseases 9 and 10 codes for skull fracture, cervical spine fractures, intracranial hemorrhage, traumatic pneumothorax/hemothorax, liver lacerations, spleen lacerations, traumatic aortic aneurysm or rupture, gastric/duodenal rupture, heat stroke, and commotio cordis. Injuries were classified as sports related based on external cause of injury codes. We examined the relationship between demographic variables and sports-related injuries using Pearson chi-square analysis.
From the years 2009-2018 there were 256,564 observed ED visits. Of these, 646 were for life-threatening injuries, representing a national estimate of 3,456,166 patients over the 10-year period. Thirteen percent were sports related. Of the life-threatening injuries, 77.5% were injuries to the head and neck, and 9.1% of these were sports related. The proportion of life-threatening injuries due to sports and recreation was higher among pediatric patients than adult patients (30.4% vs 9.9%, P<0.001). The proportion of sports-related life-threatening injuries to the head and neck was also higher among pediatric patients than adult patients (23.3% vs 6.4%, P<0.001) CONCLUSION: A substantial proportion of life-threatening injuries occur during sports and recreation, especially among pediatric patients. Compared to a similar study a decade ago, there is a similar proportion of life-threatening injuries that are sports related, however; there does seem to be a decrease in the proportion of life-threatening sports-related injuries to the head and neck. Sports medicine physicians and sports organizations should continue to find effective ways to prevent life-threatening injuries in sports.
在美国，每年有370万人因与运动或体育活动相关的损伤前往急诊科就诊。十年前的一项先前研究表明，前往急诊科就诊的危及生命的损伤中有14%与运动有关，在儿科人群中这一比例更高。然而，随着过去十年运动参与情况的变化和监管变化，尚不清楚危及生命的运动相关损伤的比例是否发生了变化。
我们使用国家医院门诊医疗调查（NHAMCS）进行了一项横断面研究，研究对象为2009年至2018年期间的患者。危及生命的损伤被定义为国际疾病分类第9版和第10版中颅骨骨折、颈椎骨折、颅内出血、创伤性气胸/血胸、肝裂伤、脾裂伤、创伤性主动脉瘤或破裂、胃/十二指肠破裂、中暑和心脏震荡的编码。根据损伤外部原因编码将损伤分类为与运动相关。我们使用Pearson卡方分析研究人口统计学变量与运动相关损伤之间的关系。
在2009年至2018年期间，共观察到256,564次急诊科就诊。其中，646次是因危及生命的损伤就诊，这代表了10年期间全国估计有3,456,166名患者。13%与运动有关。在危及生命的损伤中，77.5%是头部和颈部损伤，其中9.1%与运动有关。儿科患者中因运动和娱乐导致的危及生命损伤的比例高于成人患者（30.4%对9.9%，P<0.001）。儿科患者中与运动相关的危及生命的头部和颈部损伤的比例也高于成人患者（23.3%对6.4%，P<0.001）。结论：相当一部分危及生命的损伤发生在运动和娱乐期间，尤其是在儿科患者中。与十年前的一项类似研究相比，与运动相关的危及生命损伤的比例相似；然而，与运动相关的危及生命的头部和颈部损伤的比例似乎有所下降。运动医学医生和体育组织应继续寻找有效的方法来预防运动中的危及生命的损伤。
