Epidemiology of Emergency Medical Services Activations for Sport-Related Injuries in the United States.
Epidemiology of Emergency Medical Services Activations for Sport-Related Injuries in the United States.
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DOI：
10.7759/cureus.27403
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发表时间：
2022-07
影响因子：
1.2
通讯作者：
Yeargin, Susan W.
中科院分区：
文献类型：
--
作者：
Hirschhorn, Rebecca M.;Kerr, Zachary Y.;Mensch, James M.;Huggins, Robert A.;Dompier, Thomas P.;Rudisill, Caroline;Yeargin, Susan W.
研究运动相关损伤的紧急医疗服务（EMS）激活的文献仅限于儿科、高中和大学学生运动员人群，不包括老年人和休闲运动员。本研究的目的是使用2017-2018年国家EMS信息系统数据库检查运动相关损伤的EMS激活情况。方法使用2017-2018年国家EMS信息系统数据库获取数据。对于3-99岁持续运动相关损伤的个体，EMS激活仅限于911反应。自变量包括患者年龄组：儿科（<18岁）与成人（≥18岁）。因变量为患者年龄、性别和主诉解剖部位。计算每个变量的频率和比例。以95%可信区间计算损伤比例比（ipr），比较各年龄组的主诉解剖部位。结果共发生71322例运动相关损伤。患者年龄36.6±22.9岁，男性占58.1% （n= 41132）。成人的损伤比例较高，包括腹部（IPR: 2.05, 95%CI: 1.83, 2.31）、胸部（IPR: 1.90, 95%CI: 1.75, 2.05）、全身/全身（IPR: 1.54, 95%CI: 1.50, 1.58）和生殖器（IPR: 2.40, 95%CI: 1.39, 4.15），而影响背部（IPR: 0.55, 95%CI: 0.50, 0.60）、下肢（IPR: 0.63, 95%CI: 0.60, 0.65）、上肢（IPR: 0.50, 95%CI: 0.47, 0.53）、头部（IPR: 0.73, 95%CI: 0.70, 0.77）和颈部（IPR: 0.18, 95%CI: 0.18）的损伤比例较低。0.16, 0.20)。结论成人和儿童患者的损伤持续程度不同，表明运动相关紧急情况可能在整个生命周期中发生变化。一般/全球主诉可能表明运动相关损伤影响多个解剖部位和器官系统。计划大型或高风险体育赛事的利益相关者应考虑为其赛事安排备用或专用的高级生命支持设备。
Background Literature examining emergency medical services (EMS) activations for sport-related injuries is limited to the pediatric, high school, and collegiate student-athlete populations, excluding older individuals and recreational athletes. The purpose of this study was to examine EMS activations for sport-related injuries using the National EMS Information System Database from 2017-2018. Methods Data were obtained using the National EMS Information System Database from 2017-2018. EMS activations were limited to 9-1-1 responses for individuals aged 3-99 who sustained a sports-related injury. Independent variables included patient age group: pediatric (<18 years old) vs. adult (≥18 years old). Dependent variables were patient age, gender, and chief complaint anatomic location. Frequencies and proportions were calculated for each variable. Injury proportion ratios (IPRs) with 95% confidence intervals were calculated to compare chief complaint anatomic location by age group. Results There were 71,322 sport-related injuries. Patients were 36.6±22.9 years and most (58.1%, n=41,132) were male. Adults had higher proportions of injuries affecting the abdomen (IPR: 2.05, 95%CI: 1.83, 2.31), chest (IPR: 1.90, 95%CI: 1.75, 2.05), general/global (IPR: 1.54, 95%CI: 1.50, 1.58), and genitalia (IPR: 2.40, 95%CI: 1.39, 4.15), and lower proportions of injuries affecting the back (IPR: 0.55, 95%CI: 0.50, 0.60), lower extremity (IPR: 0.63, 95%CI: 0.60, 0.65), upper extremity (IPR: 0.50, 95%CI: 0.47, 0.53), head (IPR: 0.73, 95%CI: 0.70, 0.77), and neck (IPR: 0.18, 95%CI: 0.16, 0.20) compared to pediatric patients. Conclusion Injuries sustained differed between adult and pediatric patients, indicating sport-related emergencies may change across the lifespan. General/global chief complaints likely indicate sport-related injuries affecting multiple anatomic locations and organ systems. Stakeholders planning large or high-risk athletic events should consider arranging standby or dedicated advanced life support units for their events.
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影响因子：
6.2
作者：
Burt, CW;Overpeck, MD
通讯作者：
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影响因子：
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