Tennis-Related Injuries Treated in United States Emergency Departments, 1990 to 2011
Tennis-Related Injuries Treated in United States Emergency Departments, 1990 to 2011
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DOI：
10.1097/jsm.0000000000000029
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发表时间：
2014-05-01
影响因子：
2.7
通讯作者：
Smith, Gary A.
中科院分区：
文献类型：
--
作者：
Gaw, Christopher E.;Chounthirath, Thiphalak;Smith, Gary A.
目的：首次使用具有全国代表性的数据集分析网球相关损伤的模式和原因。设计：使用国家电子损伤监测系统数据库进行回顾性队列分析。背景：分析1990年至2011年在美国急诊科(EDS)接受治疗的所有网球相关损伤。患者：在研究期间，估计有492002人(95%可信区间，364668-619336)向美国急诊科提交网球相关损伤。危险因素评估：自变量包括患者的年龄和性别，损伤机制，主要结果指标：结果变量包括损伤诊断、身体部位损伤、对ED的处置和网络的参与。结果：大多数损伤是在游戏过程中由非特定机制造成的(37.9%)，发生在运动或娱乐设施(83.4%)。5至18岁儿童的平均伤害发生率高于19岁以上的成年人。肢体损伤最常见的部位是下肢(42.2%)和上肢(26.7%)。扭伤或扭伤(44.1%)是最常见的损伤类型。网球相关伤害的数量在1990-2011年间下降了41.4%，在研究期间与网球相关的伤害发生率下降了45%以上。在3.4%的住院患者中，三分之二(65.6%)的患者年龄在56岁或以上。结论：尽管网球相关伤害的减少，但这项运动的日益流行需要加强预防伤害的努力，特别是在儿童和老年人参与者中。
Objective:To analyze the patterns and causes of tennis-related injuries using, for the first time, a nationally representative data set.Design:A retrospective cohort analysis was performed using the National Electronic Injury Surveillance System database.Setting:All tennis-related injuries treated in US emergency departments (EDs) from 1990 to 2011 were analyzed.Patients:During the study period, an estimated 492002 (95% confidence interval, 364668-619336) individuals, aged 5 to 94 years, presented to US EDs for tennis-related injuries.Assessment of Risk Factors:Independent variables included patient age and gender, mechanism of injury, and location of injury event.Main Outcome Measures:Outcome variables included injury diagnosis, body region injured, disposition from ED, and involvement of the net.Results:Most injuries were sustained by a nonspecific mechanism during play (37.9%) and occurred at a sport or recreation facility (83.4%). Children aged 5 to 18 years had a higher mean injury rate than adults older than 19 years. The most commonly injured body regions were the lower extremities (42.2%) and upper extremities (26.7%). Sprains or strains (44.1%) were the most common type of injury. The number of tennis-related injuries decreased by 41.4% during the years 1990 to 2011, and the tennis-related injury rates decreased by more than 45% during the study period. Among the 3.4% of patients who were admitted to the hospital, two-thirds (65.6%) involved patients 56 years of age or older.Conclusions:Despite the decrease in tennis-related injuries, the growing popularity of this sport warrants increased efforts to prevent injuries, especially among child and older adult participants.