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Epidemiologic comparisons of soccer-related injuries presenting to emergency departments and reported within high school and collegiate settings

BACKGROUND: Few studies compare sports injury patterns in different settings. This study described the epidemiology of soccer injuries presenting to emergency departments (EDs) and compared injuries presenting to EDs to injuries presenting to collegiate and high school athletic trainers (ATs). METHO...

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Autores principales: Kerr, Zachary Y., Pierpoint, Lauren A., Currie, Dustin W., Wasserman, Erin B., Comstock, R. Dawn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5494284/
https://www.ncbi.nlm.nih.gov/pubmed/28670666
http://dx.doi.org/10.1186/s40621-017-0116-9
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author Kerr, Zachary Y.
Pierpoint, Lauren A.
Currie, Dustin W.
Wasserman, Erin B.
Comstock, R. Dawn
author_facet Kerr, Zachary Y.
Pierpoint, Lauren A.
Currie, Dustin W.
Wasserman, Erin B.
Comstock, R. Dawn
author_sort Kerr, Zachary Y.
collection PubMed
description BACKGROUND: Few studies compare sports injury patterns in different settings. This study described the epidemiology of soccer injuries presenting to emergency departments (EDs) and compared injuries presenting to EDs to injuries presenting to collegiate and high school athletic trainers (ATs). METHODS: Soccer-related injuries (product code 1267) in the National Electronic Injury Surveillance System (NEISS) that were sustained by individuals at least two years of age in 2004–2013 were included. High School Reporting Information Online (HS RIO) data for high school soccer injuries during the 2005/06–2013/14 academic years were compared to NEISS data for those aged 14–17 years in 2005–2013. National Collegiate Athletic Association Injury Surveillance Program (NCAA-ISP) data for collegiate soccer injuries during the 2009/10–2013/14 academic years were compared to NEISS data for those aged 18–22 years in 2009–2013. All datasets included weights to calculate national estimates. Injury proportion ratios (IPRs) with 95% confidence intervals (CIs) compared nationally estimated injury distributions between the HS RIO/NCAA-ISP and NEISS data subsets. RESULTS: During the study period, 63,258 soccer-related injuries were captured by NEISS, which translates to an estimated 2,039,250 injuries seen at US EDs nationwide. Commonly injured body parts included the head/face (19.1%), ankle (17.6%), hand/wrist (15.3%), and knee (12.2%). Common diagnoses included sprains/strains (34.0%), fractures (22.2%), and contusions (17.7%). Compared to their respective age ranges in NEISS, sprains/strains comprised a larger proportion of injuries in HS RIO (48.3% vs. 33.7%; IPR = 1.38; 95% CI: 1.33, 1.42) and NCAA-ISP (51.3% vs. 37.0%; IPR = 1.39; 95% CI: 1.31, 1.46). In contrast, fractures comprised a smaller proportion of injuries in HS RIO than in NEISS (7.5% vs. 18.6%; IPR = 0.43; 95% CI: 0.39, 0.47) and NCAA-ISP (2.8% vs. 15.7%; IPR = 0.18; 95% CI: 0.14, 0.22). CONCLUSIONS: ATs more commonly reported injuries that are easily diagnosed and treated (e.g., sprains/strains); EDs more commonly reported injuries with longer recovery times and rehabilitation (e.g., fractures). Although ED surveillance data can identify the most severe sports-related injuries, high school and college sports surveillance may better describe the breadth of sports-related injuries. Our findings may provide further support for school-based sports medicine professionals, but further research is needed to comprehensively examine the potential economic and health-related benefits.
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spelling pubmed-54942842017-07-18 Epidemiologic comparisons of soccer-related injuries presenting to emergency departments and reported within high school and collegiate settings Kerr, Zachary Y. Pierpoint, Lauren A. Currie, Dustin W. Wasserman, Erin B. Comstock, R. Dawn Inj Epidemiol Original Contribution BACKGROUND: Few studies compare sports injury patterns in different settings. This study described the epidemiology of soccer injuries presenting to emergency departments (EDs) and compared injuries presenting to EDs to injuries presenting to collegiate and high school athletic trainers (ATs). METHODS: Soccer-related injuries (product code 1267) in the National Electronic Injury Surveillance System (NEISS) that were sustained by individuals at least two years of age in 2004–2013 were included. High School Reporting Information Online (HS RIO) data for high school soccer injuries during the 2005/06–2013/14 academic years were compared to NEISS data for those aged 14–17 years in 2005–2013. National Collegiate Athletic Association Injury Surveillance Program (NCAA-ISP) data for collegiate soccer injuries during the 2009/10–2013/14 academic years were compared to NEISS data for those aged 18–22 years in 2009–2013. All datasets included weights to calculate national estimates. Injury proportion ratios (IPRs) with 95% confidence intervals (CIs) compared nationally estimated injury distributions between the HS RIO/NCAA-ISP and NEISS data subsets. RESULTS: During the study period, 63,258 soccer-related injuries were captured by NEISS, which translates to an estimated 2,039,250 injuries seen at US EDs nationwide. Commonly injured body parts included the head/face (19.1%), ankle (17.6%), hand/wrist (15.3%), and knee (12.2%). Common diagnoses included sprains/strains (34.0%), fractures (22.2%), and contusions (17.7%). Compared to their respective age ranges in NEISS, sprains/strains comprised a larger proportion of injuries in HS RIO (48.3% vs. 33.7%; IPR = 1.38; 95% CI: 1.33, 1.42) and NCAA-ISP (51.3% vs. 37.0%; IPR = 1.39; 95% CI: 1.31, 1.46). In contrast, fractures comprised a smaller proportion of injuries in HS RIO than in NEISS (7.5% vs. 18.6%; IPR = 0.43; 95% CI: 0.39, 0.47) and NCAA-ISP (2.8% vs. 15.7%; IPR = 0.18; 95% CI: 0.14, 0.22). CONCLUSIONS: ATs more commonly reported injuries that are easily diagnosed and treated (e.g., sprains/strains); EDs more commonly reported injuries with longer recovery times and rehabilitation (e.g., fractures). Although ED surveillance data can identify the most severe sports-related injuries, high school and college sports surveillance may better describe the breadth of sports-related injuries. Our findings may provide further support for school-based sports medicine professionals, but further research is needed to comprehensively examine the potential economic and health-related benefits. Springer International Publishing 2017-07-03 /pmc/articles/PMC5494284/ /pubmed/28670666 http://dx.doi.org/10.1186/s40621-017-0116-9 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Contribution
Kerr, Zachary Y.
Pierpoint, Lauren A.
Currie, Dustin W.
Wasserman, Erin B.
Comstock, R. Dawn
Epidemiologic comparisons of soccer-related injuries presenting to emergency departments and reported within high school and collegiate settings
title Epidemiologic comparisons of soccer-related injuries presenting to emergency departments and reported within high school and collegiate settings
title_full Epidemiologic comparisons of soccer-related injuries presenting to emergency departments and reported within high school and collegiate settings
title_fullStr Epidemiologic comparisons of soccer-related injuries presenting to emergency departments and reported within high school and collegiate settings
title_full_unstemmed Epidemiologic comparisons of soccer-related injuries presenting to emergency departments and reported within high school and collegiate settings
title_short Epidemiologic comparisons of soccer-related injuries presenting to emergency departments and reported within high school and collegiate settings
title_sort epidemiologic comparisons of soccer-related injuries presenting to emergency departments and reported within high school and collegiate settings
topic Original Contribution
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5494284/
https://www.ncbi.nlm.nih.gov/pubmed/28670666
http://dx.doi.org/10.1186/s40621-017-0116-9
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