The Epidemiology of Severe Injuries Sustained by National Collegiate Athletic Association StudentAthletes, 2009-2010 Through 2014-2015
The Epidemiology of Severe Injuries Sustained by National Collegiate Athletic Association StudentAthletes, 2009-2010 Through 2014-2015
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DOI：
10.4085/1062-6050-52.1.01
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发表时间：
2017-02-01
影响因子：
3.3
通讯作者：
Kerr, Zachary Y.
中科院分区：
文献类型：
--
作者：
Kay, Melissa C.;Register-Mihalik, Johna K.;Kerr, Zachary Y.
背景：很少有研究人员描述过大学级别学生运动员遭受的最严重伤害的发生率。目的：描述 2009-2010 至 2014-2015 学年 25 项美国大学体育协会 (NCAA) 运动中严重伤害的流行病学。设计：描述性流行病学研究。设置：来自 25 项 NCAA 的伤害和暴露数据汇总运动.病人或其他 参与者：2009-2010 至 2014-2015 学年的大学生运动员。 主要结果指标：分析 NCAA 伤害监测计划的伤害数据。严重伤害 (1) 在经批准的比赛或练习期间发生，(2) 需要运动教练或医生的医疗护理，以及 (3) 导致至少 21 天的体育活动损失或运动赛季提前结束。以 95% 置信区间 (CI) 报告损伤计数、比例、每 1000 名运动员暴露的发生率 (AE)、发生率比 (RR) 和损伤比例比。 结果：总共报告了 3183 例严重损伤，损伤率为 0.66/1000 AE。摔跤的重伤率最高（1.73/1000 AEs），其次是女子体操（1.40/1000 AEs）和足球（0.97/1000 AEs）。总体而言，比赛中的重伤率高于练习中（RR = 4.25，95% CI = 3.97，4.56）。最严重的伤病发生在常规赛期间（69.3%，n = 2206）；然而，季前赛和常规赛之间的严重受伤率没有差异（RR = 0.98，95% CI = 0.91，1.06）。常见严重受伤的身体部位是膝盖（32.9%，n = 1047）、小腿/脚踝/脚（22.5%，n = 715）和头/脸/颈部（11.2%，n = 358）。常见的严重损伤诊断为扭伤（32.9%，n = 1048）、拉伤（16.9%，n = 538）和骨折（14.4%，n = 458）。常见的严重伤害机制是运动员接触（39.3%，n = 1251）、非接触（25.1%，n = 800）和表面接触（12.0%，n = 383）。 结论：严重伤害发生在许多运动项目中，并通过多种机制发生。通过识别这些特定运动模式，临床医生可以调整工作以改善伤害预防策略和健康结果。
Context: Few researchers have described the incidence of the most severe injuries sustained by student-athletes at the collegiate level.Objective: To describe the epidemiology of severe injuries within 25 National Collegiate Athletic Association (NCAA) sports in the 2009-2010 through 2014-2015 academic years.Design: Descriptive epidemiology study.Setting: Aggregate injury and exposure data from 25 NCAA sports.Patients or Other Participants: Collegiate student-athletes in the 2009-2010 through 2014-2015 academic years.Main Outcome Measure(s): Injury data from the NCAA Injury Surveillance Program were analyzed. A severe injury (1) occurred during a sanctioned competition or practice, (2) required medical attention by an athletic trainer or physician, and (3) resulted in at least 21 days lost from sport activity or a premature end to the sport season. Injury counts, proportions, rates per 1000 athlete-exposures (AEs), rate ratios (RRs), and injury proportion ratios were reported with 95% confidence intervals (CIs).Results: A total of 3183 severe injuries were reported, for an injury rate of 0.66/1000 AEs. Wrestling had the highest severe injury rate (1.73/1000 AEs), followed by women's gymnastics (1.40/1000 AEs) and football (0.97/1000 AEs). Overall, the severe injury rate was higher in competition than in practice (RR = 4.25, 95% CI = 3.97, 4.56). Most severe injuries were reported during the regular season (69.3%, n = 2206); however, severe injury rates did not differ between the preseason and regular season (RR = 0.98, 95% CI = 0.91, 1.06). Common severely injured body parts were the knee (32.9%, n = 1047), lower leg/ankle/foot (22.5%, n = 715), and head/face/neck (11.2%, n = 358). Common severe injury diagnoses were sprains (32.9%, n = 1048), strains (16.9%, n = 538), and fractures (14.4%, n = 458). Common severe injury mechanisms were player contact (39.3%, n = 1251), noncontact (25.1%, n = 800), and surface contact (12.0%, n = 383).Conclusions: Severe injuries occurred across many sports and by numerous mechanisms. By identifying these sportspecific patterns, clinicians' efforts can be tailored toward improving injury-prevention strategies and health outcomes.