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美国急诊科收治的匹克球运动损伤的流行病学情况。

The Epidemiology of Pickleball Injuries Presenting to US Emergency Departments.

作者信息

McMillan Paul, Lake Logan P, Burkhart Andrew, Reddy Esha, Hale Isaac C, Grawe Brian M

机构信息

Department of Orthopaedics and Sports Medicine, University of Cincinnati Medical Center, Cincinnati, Ohio.

出版信息

Sports Health. 2025 Jul 13:19417381251350671. doi: 10.1177/19417381251350671.

DOI:10.1177/19417381251350671
PMID:40653665
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12259589/
Abstract

BACKGROUND

The popularity of pickleball as a recreational and competitive sport has increased dramatically over the last decade in the United States.

HYPOTHESIS

To evaluate trends in pickleball injury rates and specific injury characteristics.

STUDY DESIGN

Descriptive epidemiology study.

LEVEL OF EVIDENCE

Level 3.

METHODS

The National Electronic Injury Surveillance System database was queried from 2014 to 2023 for national weighted injury estimates and injury characteristics from recreational pickleball players presenting to US emergency departments.

RESULTS

Annual national estimates of pickleball-related injuries increased significantly ( < .001) from 2014 (1313; CI, 550-2078) to 2023 (24,461; CI, 3837-45,086). A transient 19.3% reduction in injury rates occurred in 2020, coinciding with the COVID-19 pandemic. Most injuries affected people aged 60 to 79 years, with nearly equal sex distribution (51.2% men vs 48.8% women). Most patients were discharged, although 5 deaths due to cardiac arrest were reported. Women had higher odds of upper extremity injuries (odds ratio [OR], 1.66), hand/wrist injuries (OR, 3.22), and fractures (OR 3.03). Men experienced more lower extremity injuries (OR, 1.71), trunk injuries (OR, 1.28), lacerations (OR, 1.71) and strains/sprains (OR, 1.87). Women were more likely to fall (OR, 2.08), while men were more often hit (OR, 1.92) or overexerted themselves (OR, 1.89). Older adults, aged 60 to 79 years, had increased odds of wrist/hand injuries (OR, 1.47) and fractures (OR, 1.75), with falls being 2.10 times more likely in this cohort. People aged 40 to 59 years had higher odds of lower extremity injuries (OR, 2.09), whereas those <19 years had higher odds of dislocation (OR, 5.25), head injury (OR, 1.95), and laceration (OR, 2.83).

CONCLUSION

Pickleball injuries affect predominantly older adults, with distinct sex and age-related patterns.

CLINICAL RELEVANCE

There is a need for age and sex-specific injury prevention strategies to enhance safety in pickleball participation.

摘要

背景

在过去十年中,匹克球作为一项休闲和竞技运动在美国的受欢迎程度急剧上升。

假设

评估匹克球损伤率和特定损伤特征的趋势。

研究设计

描述性流行病学研究。

证据水平

3级。

方法

查询2014年至2023年国家电子伤害监测系统数据库,以获取向美国急诊科就诊的休闲匹克球运动员的全国加权伤害估计数和损伤特征。

结果

从2014年(1313例;置信区间,550 - 2078例)到2023年(24461例;置信区间,3837 - 45086例),与匹克球相关的损伤的年度全国估计数显著增加(P <.001)。2020年损伤率出现了19.3%的短暂下降,这与新冠疫情同时发生。大多数损伤影响60至79岁的人群,男女分布几乎相等(男性占51.2%,女性占48.8%)。大多数患者出院,不过报告了5例因心脏骤停死亡的病例。女性上肢损伤(优势比[OR],1.6)、手/腕部损伤(OR,3.22)和骨折(OR,3.03)的几率更高。男性下肢损伤(OR,1.71)、躯干损伤(OR,1.28)、撕裂伤(OR)和拉伤/扭伤(OR,1.87)更多。女性更易摔倒(OR,2.08),而男性更常被击中(OR,1.92)或过度劳累(OR,1.89)。60至79岁的老年人手腕/手部损伤(OR,1.47)和骨折(OR,1.75)的几率增加,该年龄段人群摔倒的可能性是其他人群的2.10倍。40至59岁的人下肢损伤几率更高(OR,2.09),而19岁以下的人脱位(OR,5.25)、头部损伤(OR,1.95)和撕裂伤(OR,2.83)的几率更高。

结论

匹克球损伤主要影响老年人,存在明显的性别和年龄相关模式。

临床意义

需要针对特定年龄和性别的损伤预防策略,以提高参与匹克球运动的安全性。