Concussion Rates in US Middle School Athletes, 2015-2016 School Year
Concussion Rates in US Middle School Athletes, 2015-2016 School Year
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DOI：
10.1016/j.amepre.2017.05.017
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发表时间：
2017-12-01
影响因子：
5.5
通讯作者：
Caswell, Shane V.
中科院分区：
文献类型：
--
作者：
Kerr, Zachary Y.;Cortes, Nelson;Caswell, Shane V.
简介：脑震荡发生率估计在中学体育设置是有限的。本研究调查了2015-2016学年美国九所中学的脑震荡发生率。方法：2015-2016学年，来自弗吉尼亚州威廉王子县9所公立中学的脑震荡数据。经过认证的运动训练师在学校批准的男孩棒球、篮球、足球、足球、田径和摔跤比赛和训练中收集脑震荡和运动员暴露（AE）数据；还有女子篮球、啦啦队、足球、垒球、田径和排球。运动教练还获得了非学校认可的运动脑震荡的数据。2017年，每1000例ae计算脑震荡率。95% ci的受伤率比较了比赛和训练以及性别之间的受伤率。结果：共报告73例脑震荡，其中21.9%发生在非学校认可的运动场所。剩下的57例比赛和训练脑震荡发生在76,384个ae中，脑震荡率为0.75/1,000 ae。足球运动的脑震荡率最高（2.61/ 1000 ae）。脑震荡的发生率在比赛中高于训练中（受伤率比= 1.83,95% CI = 1.06, 3.15），在性别比较的运动中，即棒球/垒球、篮球、足球和田径运动中，女孩比男孩高（受伤率比= 3.73,95% CI = 1.24, 11.23）。结论：目前的研究结果与在高中和大学体育环境中发现的相似，在女孩和比赛中报道的脑震荡率更高。然而，脑震荡率超过了最近在高中和青少年联盟的报道，强调了在中学体育环境中继续研究的必要性。鉴于五分之一的脑震荡来自非学校认可的体育活动，中学体育活动的预防工作应考虑到体育和非体育活动的风险暴露。(C) 2017年美国预防医学杂志。Elsevier Inc.出版。版权所有。
Introduction: Concussion incidence estimates in middle school sports settings are limited. This study examines concussion incidence in nine U.S. middle schools during the 2015-2016 school year.Methods: Concussion data originated from nine public middle schools in Prince William County, Virginia, during the 2015-2016 school year. Certified athletic trainers collected concussion and athlete exposure (AE) data in school-sanctioned games and practices in boys' baseball, basketball, football, soccer, track, and wrestling; and girls' basketball, cheerleading, soccer, softball, track, and volleyball. Athletic trainers also acquired data on non-school sanctioned sport concussions. In 2017, concussion rates were calculated per 1,000 AEs. Injury rate ratios with 95% CIs compared rates between games and practices and by sex.Results: Overall, 73 concussions were reported, of which 21.9% were from non-school sanctioned sport settings. The 57 remaining game and practice concussions were reported during 76,384 AEs, for a concussion rate of 0.75/1,000 AEs. Football had the highest concussion rate (2.61/1,000 AEs). Concussion rates were higher in games versus practices (injury rate ratio = 1.83, 95% CI = 1.06, 3.15), and in girls versus boys in sex-comparable sports, i.e., baseball/softball, basketball, soccer, and track (injury rate ratio = 3.73, 95% CI = 1.24, 11.23).Conclusions: Current findings parallel those found in high school and college sports settings in that higher concussion rates were reported in girls and competitions. However, concussion rates exceeded those recently reported in high school and youth league settings, highlighting the need for continued research in the middle school sports setting. Given that one in five concussions were from non-school sanctioned sport settings, prevention efforts in middle school sports settings should consider sport and non-sport at-risk exposure. (C) 2017 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.