Epidemiology and Severity of Sports and Recreation Injuries Presenting to a Tertiary Adult Emergency Department
Epidemiology and Severity of Sports and Recreation Injuries Presenting to a Tertiary Adult Emergency Department
复制标题
DOI：
10.1080/00913847.2016.1171683
复制
发表时间：
2016-01-01
影响因子：
2.3
通讯作者：
Brophy, Robert H.
中科院分区：
文献类型：
--
作者：
Padegimas, Eric M.;Stepan, Jeffrey G.;Brophy, Robert H.
目的：本研究旨在评估急诊部门的所有运动和娱乐损伤，确定与住院相关的活动和损伤模式，并确定在替代护理环境中可以更好地治疗的损伤。方法：回顾性分析2010年1月1日至2011年12月31日在一家高容量城市三级转诊中心急诊科就诊的所有运动损伤病例。这些是通过应用于所有急诊科记录的体育术语搜索算法确定的。测量的主要结局是运动损伤后的住院情况。进行单因素和多因素回归分析，以确定运动损伤人群住院的危险因素。结果：191,259例患者中有1,101例（0.6%）发生1,210例运动损伤。入院84例（7.6%）。篮球伤害最为普遍（31.6%）。全地形车辆（ATV）相关损伤最为常见（46.4%）。Logistic回归分析发现，骑ATV （95% CI 6.15 ~ 23.37, p < 0.001）和年龄大于50岁（4.09 ~ 17.40,p < 0.001）是住院的独立危险因素，而篮球（0.101 ~ 0.985,p=0.047）和黑人（0.17 ~ 0.77,p=0.008）是独立保护因素。孤立性扭伤/拉伤和软组织损伤（4/649,0.6%）很少需要住院治疗。结论：7.6%的入院率高于先前报道，可能是因为该研究机构是三级转诊中心。亚视骑行与更严重的伤害有关，更有可能需要住院治疗。大多数送到急诊科的运动损伤，特别是孤立的四肢软组织损伤，在非紧急情况下可能更有效地治疗。
Objective: This study aims to evaluate all sports and recreation injuries that present to an emergency department, identify the activity and injury patterns associated with hospital admission, and determine injuries that could be better treated in alternative care settings.Methods: This is a retrospective review of all sports injuries that presented to the emergency department of a high volume, urban, tertiary referral center from 1/1/2010 to 12/31/2011. These were identified by a sports term search algorithm applied to all emergency department records. The main outcome measured was hospital admission status after sports injury. Univariate and multivariate regression analysis was performed to identify risk factors for hospital admission in the sports injury population.Results: 1,101 of the 191,259 encounters (0.6%) had 1,210 sports injuries. 84 were admitted (7.6%). Basketball injuries were most prevalent (31.6%). All-terrain vehicle (ATV) related injuries was most often admitted (46.4%). Logistic regression identified ATV riding (95% CI 6.15-23.37, p < 0.001) and age over 50years-old (4.09-17.40, p < 0.001) as independent risk factors for admission while basketball (0.101-0.985, p=0.047) and black race (0.17-0.77, p=0.008) were independently protective. Isolated sprains/strains and soft tissue injuries (4/649, 0.6%) rarely required admission.Conclusions: The 7.6% admission rate is higher than previously reported, likely because the study institution is a tertiary referral center. ATV riding is associated with higher severity injuries that are more likely to require hospital admission. Most sports injuries that present to an emergency department, specifically isolated soft tissue injuries of the extremities, may be more efficiently treated in a non-emergent setting.