The demographics of equestrian-related injuries in the United States: Injury patterns, orthopedic specific injuries, and avenues for injury prevention
The demographics of equestrian-related injuries in the United States: Injury patterns, orthopedic specific injuries, and avenues for injury prevention
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DOI：
10.1097/ta.0b013e31817dac43
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发表时间：
2008-08-01
影响因子：
--
通讯作者：
Loder, Randall T.
中科院分区：
文献类型：
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作者：
Loder, Randall T.
背景资料：这是本研究的目的，以审查马术相关的伤害，使用一个大型的全国性的数据库和分析预测的重大injure.Methods：国家电子监控系统数据库查询马术伤害，从2002年至2004年。记录骨折、脱位、创伤性脑损伤、肌肉骨骼损伤、骨科损伤和脊柱损伤的存在，以及损伤机制、地理位置和急诊室处置。进行双变量、余弦或季节性和多元logistic回归分析。结果：从2002年到2004年，由于马术相关的伤害急诊室访问从NEISS数据库进行了审查，有5,033次访问在这段时间跨度。平均年龄为30.0 +/- 17.0岁; 66%为女性。受伤发生在家中（36%），娱乐/体育设施（30%），农场（19%）和其他公共财产（12%）。受伤原因包括跌倒（59%）、从马上摔下来（22.0%）和骑马（9%）。最常见的损伤是挫伤/擦伤（31%）、骨折（28%）、扭伤/拉伤（18%）、创伤性脑损伤（12%）和撕裂伤（6%）。受伤部位为头颈部（24%）、躯干（29%）、上肢（30%）、下肢（16%）和多部位（11%）。大部分的伤病都发生在夏天。入院的预测因素是年龄> 18岁，创伤性脑损伤，骨折，或发生在其他公共财产（优势比分别为1.4，6.25，7.7和1.5，）。结论：最大数量的马术受伤发生在白色女性在第2，第4和第5个几十年的生活。严重的伤害是由于失败或从马上摔下来，最常见的发生在家里或娱乐/体育设施。预防战略（教育和被动保护设备）应特别针对这一高风险群体。
Background: It was the purpose of this study to review equestrian-related injuries using a large nation wide database and analyze predictors of significant injury.Methods: The National Electronic Surveillance System database was queried for equestrian injuries from 2002 to 2004. The presence of a fracture, dislocation, traumatic brain injury, musculoskeletal injury, orthopedic injury, and spinal injury, as well as injury mechanism, geographical location, and emergency room disposition were noted. Bivariate, cosinor seasonal, and multiple logistic regression analyses were performed. p < 0.01 was considered significant.Results: Emergency room visits because of equestrian-related injuries from 2002 to 2004 from the NEISS database were reviewed; there were 5,033 visits during this time span. The average age was 30.0 +/- 17.0 years; 66% were women. The injuries occurred at home (36%), recreation/sporting facility (30%), on a farm (19%), and other public property (12%). The injury was due to a fall (59%), thrown/bucked from the horse (22.0%), and while riding the horse (9%). The most common injuries were contusion/abrasions (31%), fractures (28%), sprain/strains (18%), traumatic brain injuries (12%), and lacerations (6%). The body area injured was the head and neck (24%), trunk (29%), upper extremity (30%), lower extremity (16%), and multiple locations (11%). Most injuries occurred in the summer. Predictors of hospital admission were age > 18 years, traumatic brain injury, fracture, or occurrence on other public property (odds ratios 1.4, 6.25, 7.7, and 1.5, respectively).Conclusions: The largest number of equestrian injuries occur in white females in the 2nd, 4th, and 5th decades of life. Serious injuries are due to failing or being bucked off a horse and most commonly occur at home or at a recreational/sporting facility. Prevention strategies (educational and passive protection equipment) should be especially targeted to this high risk group.