Emergency visits for sports-related injuries
Emergency visits for sports-related injuries
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DOI：
10.1067/mem.2001.111707
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发表时间：
2001-03-01
影响因子：
6.2
通讯作者：
Overpeck, MD
中科院分区：
文献类型：
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作者：
Burt, CW;Overpeck, MD
研究目的：我们试图估计美国医院急诊科的运动相关损伤患者的影响和程度，并检查运动相关损伤和非运动相关损伤患者酸访视特征的差异。方法：数据来自1997年和1998年全国医院门诊医疗护理调查，这是496名美国医院急诊室的全国概率样本，结合起来检查与运动有关的伤害的紧急访问。分析了16，997例艾德就诊记录样本的数据，包括叙述性损伤原因文本。叙述性文本条目被编码为84个体育和娱乐活动代码中的1个。采用抽样加权法提供年度国家估计数。运动相关的伤害访问的估计是基于1.775记录与分配的运动相关的activitycodes.Results：有一个平均每年估计260万紧急访问的运动相关的伤害的人之间的年龄在5岁和24岁。他们占所有年龄段的人向艾德提出的370万运动损伤总数的68%以上。在向艾德就诊的各类伤害中，运动相关伤害占5至24岁人群就诊的五分之一以上。该年龄组的使用率为每1，000人33.9次艾德就诊（95%置信区间为30.3至37.5）。男性患者的运动相关伤害就诊率是女性患者的两倍多（5至24岁之间每1 000人中有48.2对19.2）。与其他类别（例如，棒球、滑板、体操）相比，该年龄组的篮球和自行车运动相关活动的访问更频繁。与这个年龄组的非运动相关损伤相比，运动相关损伤更可能发生在大脑或头骨以及上肢和下肢。运动相关损伤的患者更有可能被诊断为骨折和扭伤或拉伤，而不太可能有开放性伤口。他们也更有可能有诊断和治疗服务提供，特别是骨科care.Conclusion：体育相关的活动，学龄儿童和年轻人产生了显着的金额在美国的紧急医疗使用。艾德是一个合适的场所，有针对性的伤害预防咨询。
Study objective: We sought to estimate the effect and magnitude of patients with sports-related injuries presenting to hospital emergency departments in the United States and to examine differences in patient acid visit characteristics between sports- and nonsports-related injuries.Methods: Data from the 1997 and 1998 National Hospital Ambulatory Medical Care Survey, a national probabilistic sample of 496 US hospital EDs, were combined to examine emergency visits for sports-related injuries. Data from 16,997 sample ED encounter records for injuries that included narrative cause of injury text were analyzed. Narrative text entries were coded to 1 of 84 sport and recreational activity codes. Sample weights were applied to provide annual national estimates. Estimates of sports-related injury visits were based on 1.775 records with an assigned sports-related activity code.Results: There were an average annual estimated 2.6 million emergency visits for sports-related injuries by persons between the ages of 5 and 24 years. They accounted for over 68% of the total 3.7 million sport injuries presented to the ED by persons of all ages. As a proportion of all kinds of injuries presenting to the ED, sports-related injuries accounted for more than one fifth of the visits by persons 5 to 24 years old. The use rate was 33.9 ED visits per 1,000 persons in this age group (95% confidence interval 30.3 to 37.5). The sports-related injury visit rate for male patients was more than double the rate for female patients (48.2 versus 19.2 per 1,000 persons between 5 and 24 years of age). Visits from sports-related activities for this age group were more frequent for basketball and cycling compared with other categories (eg, baseball, skateboarding, gymnastics). Compared with nonsports-related injuries for this age group, sports-related injuries were more likely to be to the brain or skull and upper and lower extremities. Patients with sports-related injuries were more likely to have a diagnosis of fracture and sprain or strain and less likely to have an open wound. They were also more likely to have diagnostic and therapeutic services provided, especially orthopedic care.Conclusion: Sports-related activities by school-age children and young adults produce a significant amount of emergency medical use in the United States. The ED is an appropriate venue to target injury prevention counseling.