Characteristics of sports and recreation-related emergency department visits among school-age children and youth in North Carolina, 2010-2014.
Characteristics of sports and recreation-related emergency department visits among school-age children and youth in North Carolina, 2010-2014.
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DOI：
10.1186/s40621-018-0152-0
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发表时间：
2018-05-15
影响因子：
2.2
通讯作者：
Marshall, Stephen W
中科院分区：
文献类型：
--
作者：
Harmon, Katherine J;Proescholdbell, Scott K;Marshall, Stephen W
背景技术背景：体育和娱乐活动是儿童和青少年受伤的一个重要原因，考虑到大脑的发育，与体育有关的创伤性脑损伤（TBI）尤其令人关注。本文报告了全州范围内学龄儿童和青少年运动和娱乐相关（SR）急诊科（艾德）就诊的特征。方法：本研究包括2010-2014年期间5- 18岁学龄青年（N= 918，662）对所有北卡罗来纳州24/7急性护理平民医院附属急诊科进行的所有伤害相关就诊。人口估计是基于美国十年一次的人口普查数据。Poisson回归方法被用来估计发病率和率ratio.Results：在五年期间，有767,075意外伤害相关的艾德访问学龄青年，其中213,518（27.8%）被确定为SR损伤。学龄青年SR艾德就诊的平均年绝对数量和发病率（IR）分别为42,704和2374.5次艾德就诊/10万人-年（95%置信区间[CI]，2364.4-2384.6）。与学龄青少年的其他意外伤害相比，SR艾德就诊更有可能被诊断为上肢损伤（损伤比例比[IPR]=1.28; 95%CI，1.27-1.29），下肢（IPR=1.14; 95%CI，1.13-1.15）和TBI或其他头/颈/面部损伤（IPR=1.12; 95%CI，1.11-1.13）。在学龄青少年的艾德就诊中，SR损伤的主要原因是作为一个团体或团队进行的运动/田径运动。团队运动/运动损伤的主要原因是男孩的美式足球和女孩的足球。诊断为TBI的艾德就诊的比例因年龄和性别而异，15- 18岁的青少年和男孩具有最高的人口基础rates.CONCLUSIONS：体育和娱乐活动是一个健康的生活方式的重要组成部分，但他们也是一个主要来源的伤害发病率在学龄青年。体力活动干预应考虑SR损伤风险的性别和年龄差异。
BACKGROUND: Sports and recreational activities are an important cause of injury among children and youth, with sports-related traumatic brain injuries (TBIs) being of particular concern given the developing brain. This paper reports the characteristics of sport and recreation-related (SR) emergency department (ED) visits among school-age children and youth in a statewide population.METHODS: This study included all injury-related visits made to all North Carolina 24/7 acute-care civilian hospital-affiliated EDs by school-age youth, 5-18years of age, during 2010-2014 (N=918,662). Population estimates were based on US decennial census data. Poisson regression methods were used to estimate incidence rates and rate ratios.RESULTS: During the five-year period, there were 767,075 unintentional injury-related ED visits among school-age youth, of which 213,518 (27.8%) were identified as SR injuries. The average annual absolute number and incidence rate (IR) of SR ED visits among school-age youth was 42,704 and 2374.5 ED visits per 100,000 person-years (95% confidence interval [CI], 2364.4-2384.6), respectively. In comparison to other unintentional injuries among school-age youth, SR ED visits were more likely to be diagnosed with an injury to the upper extremity (Injury Proportion Ratio [IPR]=1.28; 95% CI, 1.27-1.29), the lower extremity (IPR=1.14; 95% CI, 1.13-1.15), and a TBI or other head/neck/facial injury (IPR=1.12; 95% CI, 1.11-1.13). Among ED visits made by school-age youth, the leading cause of SR injury was sports/athletics played as a group or team. The leading cause of team sports/athletics injury was American tackle football among boys and soccer among girls. The proportion of ED visits diagnosed with a TBI varied by age and sex, with 15-18year-olds and boys having the highest population-based rates.CONCLUSIONS: Sports and recreational activities are an important component of a healthy lifestyle, but they are also a major source of injury morbidity among school-age youth. Physical activity interventions should take into account sex and age differences in SR injury risk.