Injuries in Youth Football: National Emergency Department Visits during 2001-2005 for Young and Adolescent Players
Injuries in Youth Football: National Emergency Department Visits during 2001-2005 for Young and Adolescent Players
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DOI：
10.1111/j.1553-2712.2009.00357.x
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发表时间：
2009-03-01
影响因子：
4.4
通讯作者：
Linakis, James G.
中科院分区：
文献类型：
--
作者：
Mello, Michael J.;Myers, Richard;Linakis, James G.
有限的研究存在描述青少年足球受伤，其中许多仅限于特定的地区或社区。作者描述了接受急诊科（艾德）评估的美国儿童足球损伤模式，并比较了年轻和老年青少年足球参与者的损伤模式，使用国家电子损伤监测系统-所有损伤程序对艾德数据进行了回顾性分析。伤害风险估计是在5年期间（2001-2005年）使用国家体育用品协会的参与数据计算的。受伤类型描述为年轻（7-11岁）和青少年（12-17岁）男性足球参与者。估计共有1，060，823名男性因足球相关受伤而前往美国急诊室就诊。年轻组（7-11岁）最常见的诊断是骨折/脱位（29%）、扭伤/拉伤（27%）和挫伤（27%）。在老年组（12-17岁）中，诊断包括扭伤/拉伤（31%）、骨折/脱位（29%）和挫伤（23%）。在5年的研究期间，老年参与者的受伤风险显著更高：每1,000名参与者/年11.0（95%置信区间[CI] = 9.2至12.8）与6.1（95% CI = 4.8至7.3）。年龄较大的参与者在所有类别中都有较高的受伤风险，其中最大的差异是创伤性脑损伤（TBI），每1,000名参与者每年0.8（95%CI = 0.6至1.0）与0.3（95%CI = 0.2至0.4）。年龄较大的参与者有更高的受伤风险，特别是TBI。
Limited research exists describing youth football injuries, and many of these are confined to specific regions or communities. The authors describe U.S. pediatric football injury patterns receiving emergency department (ED) evaluation and compare injury patterns between the younger and older youth football participants.A retrospective analysis of ED data on football injuries was performed using the National Electronic Injury Surveillance System-All Injury Program. Injury risk estimates were calculated over a 5-year period (2001-2005) using participation data from the National Sporting Goods Association. Injury types are described for young (7-11 years) and adolescent (12-17 years) male football participants.There were an estimated total of 1,060,823 visits to U.S. EDs for males with football-related injuries. The most common diagnoses in the younger group (7-11 years) were fracture/dislocation (29%), sprain/strain (27%), and contusion (27%). In the older group (ages 12-17 years), diagnoses included sprain/strain (31%), fracture/dislocation (29%), and contusion (23%). Older participants had a significantly higher injury risk of injury over the 5-year study period: 11.0 (95% confidence interval [CI] = 9.2 to 12.8) versus 6.1 (95% CI = 4.8 to 7.3) per 1,000 participants/year. Older participants had a higher injury risk across all categories, with the greatest disparity being with traumatic brain injury (TBI), 0.8 (95% CI = 0.6 to 1.0) versus 0.3 (95% CI = 0.2 to 0.4) per 1,000 participants/year.National youth football injury patterns are similar to those previously reported in community and cohort studies. Older participants have a significantly higher injury risk, especially with TBI.