National estimates of outdoor recreational injuries treated in emergency departments, United States, 2004-2005
National estimates of outdoor recreational injuries treated in emergency departments, United States, 2004-2005
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DOI：
10.1580/07-weme-or-152.1
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发表时间：
2008-06-01
影响因子：
1.4
通讯作者：
Greenspan, Arlene I.
中科院分区：
文献类型：
--
作者：
Flores, Adrian H.;Haileyesus, Tadesse;Greenspan, Arlene I.
客观。-提供在美国急诊科（ED）治疗的非致命性户外娱乐伤害的国家估计。户外娱乐伤害从2004年1月至2005年12月确定使用国家电子伤害监测系统，所有伤害程序，一个全国代表性的样本艾德访问。计算了全国户外娱乐伤害的估计数，并描述了导致伤害的活动、人口统计学特征、主要诊断和受影响的主要身体部位。从2004年1月至2005年12月，估计每年有212 708（95%CI = 113 808-311 608）人在美国急诊室接受户外娱乐损伤治疗。伤害年发生率为72.1/10万（95%CI = 38.6-105.6）。男性占68.2%。下肢（27%）、上肢（25%）和头颈部（23.3%）是最常见的受伤部位。骨折（27.4%）和扭伤或拉伤（23.9%）是最常见的诊断。6.5%的损伤被诊断为创伤性脑损伤，5%的损伤导致住院或转移到另一家医院。这项研究的结果为进一步研究户外和野外伤害的流行病学提供了一个起点。结果加强了许多关于这些伤害的性质的共同看法，同时突出了伤害的潜在严重性和长期后果。应遵循户外和荒野伤害预防的适当规划，准备和问题预测的一般建议，以减少伤害的数量和严重程度。
Objective.-To provide national estimates of nonfatal outdoor recreational injuries treated in US emergency departments (EDs).Methods.-Outdoor recreational injuries from January 2004 through December 2005 were identified using the National Electronic Injury Surveillance System-All Injury Program, a nationally representative sample of ED visits. National estimates of outdoor recreational injuries were calculated, and activities leading to injury, demographic characteristics, principal diagnoses, and primary body parts affected were described.Results.-From January 2004 through December 2005, an estimated 212 708 (95% CI = 113 808-311 608) persons were treated each year in US EDs for outdoor recreational injuries. The annual rate of injuries was 72.1 per 100 000 population (95% CI = 38.6-105.6). Males accounted for 68.2% of the injuries. The lower limb (27%), upper limb (25%), and head and neck region (23.3%) were the most commonly injured body regions. Fractures (27.4%) and sprains or strains (23.9%) were the most common diagnoses. Traumatic brain injuries were diagnosed in 6.5% of injuries, and 5% of injuries resulted in hospitalization or transfer to another hospital.Conclusions.-The results of this study provide a starting point for further research into the epidemiology of outdoor and wilderness injury. The results reinforce many common perceptions about the nature of these injuries while highlighting the potential severity and long-term consequences of the injuries. The general recommendations of proper planning, preparation, and problem anticipation for outdoor and wilderness injury prevention should be followed to reduce both the number and severity of injuries.