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Epidemiology of Emergency Medical Services Activations for Sport-Related Injuries in the United States
Background Literature examining emergency medical services (EMS) activations for sport-related injuries is limited to the pediatric, high school, and collegiate student-athlete populations, excluding older individuals and recreational athletes. The purpose of this study was to examine EMS activation...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9419755/ https://www.ncbi.nlm.nih.gov/pubmed/36046296 http://dx.doi.org/10.7759/cureus.27403 |
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author | Hirschhorn, Rebecca M Kerr, Zachary Y Mensch, James M Huggins, Robert A Dompier, Thomas P Rudisill, Caroline Yeargin, Susan W |
author_facet | Hirschhorn, Rebecca M Kerr, Zachary Y Mensch, James M Huggins, Robert A Dompier, Thomas P Rudisill, Caroline Yeargin, Susan W |
author_sort | Hirschhorn, Rebecca M |
collection | PubMed |
description | Background Literature examining emergency medical services (EMS) activations for sport-related injuries is limited to the pediatric, high school, and collegiate student-athlete populations, excluding older individuals and recreational athletes. The purpose of this study was to examine EMS activations for sport-related injuries using the National EMS Information System Database from 2017-2018. Methods Data were obtained using the National EMS Information System Database from 2017-2018. EMS activations were limited to 9-1-1 responses for individuals aged 3-99 who sustained a sports-related injury. Independent variables included patient age group: pediatric (<18 years old) vs. adult (≥18 years old). Dependent variables were patient age, gender, and chief complaint anatomic location. Frequencies and proportions were calculated for each variable. Injury proportion ratios (IPRs) with 95% confidence intervals were calculated to compare chief complaint anatomic location by age group. Results There were 71,322 sport-related injuries. Patients were 36.6±22.9 years and most (58.1%, n=41,132) were male. Adults had higher proportions of injuries affecting the abdomen (IPR: 2.05, 95%CI: 1.83, 2.31), chest (IPR: 1.90, 95%CI: 1.75, 2.05), general/global (IPR: 1.54, 95%CI: 1.50, 1.58), and genitalia (IPR: 2.40, 95%CI: 1.39, 4.15), and lower proportions of injuries affecting the back (IPR: 0.55, 95%CI: 0.50, 0.60), lower extremity (IPR: 0.63, 95%CI: 0.60, 0.65), upper extremity (IPR: 0.50, 95%CI: 0.47, 0.53), head (IPR: 0.73, 95%CI: 0.70, 0.77), and neck (IPR: 0.18, 95%CI: 0.16, 0.20) compared to pediatric patients. Conclusion Injuries sustained differed between adult and pediatric patients, indicating sport-related emergencies may change across the lifespan. General/global chief complaints likely indicate sport-related injuries affecting multiple anatomic locations and organ systems. Stakeholders planning large or high-risk athletic events should consider arranging standby or dedicated advanced life support units for their events. |
format | Online Article Text |
id | pubmed-9419755 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-94197552022-08-30 Epidemiology of Emergency Medical Services Activations for Sport-Related Injuries in the United States Hirschhorn, Rebecca M Kerr, Zachary Y Mensch, James M Huggins, Robert A Dompier, Thomas P Rudisill, Caroline Yeargin, Susan W Cureus Emergency Medicine Background Literature examining emergency medical services (EMS) activations for sport-related injuries is limited to the pediatric, high school, and collegiate student-athlete populations, excluding older individuals and recreational athletes. The purpose of this study was to examine EMS activations for sport-related injuries using the National EMS Information System Database from 2017-2018. Methods Data were obtained using the National EMS Information System Database from 2017-2018. EMS activations were limited to 9-1-1 responses for individuals aged 3-99 who sustained a sports-related injury. Independent variables included patient age group: pediatric (<18 years old) vs. adult (≥18 years old). Dependent variables were patient age, gender, and chief complaint anatomic location. Frequencies and proportions were calculated for each variable. Injury proportion ratios (IPRs) with 95% confidence intervals were calculated to compare chief complaint anatomic location by age group. Results There were 71,322 sport-related injuries. Patients were 36.6±22.9 years and most (58.1%, n=41,132) were male. Adults had higher proportions of injuries affecting the abdomen (IPR: 2.05, 95%CI: 1.83, 2.31), chest (IPR: 1.90, 95%CI: 1.75, 2.05), general/global (IPR: 1.54, 95%CI: 1.50, 1.58), and genitalia (IPR: 2.40, 95%CI: 1.39, 4.15), and lower proportions of injuries affecting the back (IPR: 0.55, 95%CI: 0.50, 0.60), lower extremity (IPR: 0.63, 95%CI: 0.60, 0.65), upper extremity (IPR: 0.50, 95%CI: 0.47, 0.53), head (IPR: 0.73, 95%CI: 0.70, 0.77), and neck (IPR: 0.18, 95%CI: 0.16, 0.20) compared to pediatric patients. Conclusion Injuries sustained differed between adult and pediatric patients, indicating sport-related emergencies may change across the lifespan. General/global chief complaints likely indicate sport-related injuries affecting multiple anatomic locations and organ systems. Stakeholders planning large or high-risk athletic events should consider arranging standby or dedicated advanced life support units for their events. Cureus 2022-07-28 /pmc/articles/PMC9419755/ /pubmed/36046296 http://dx.doi.org/10.7759/cureus.27403 Text en Copyright © 2022, Hirschhorn et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Emergency Medicine Hirschhorn, Rebecca M Kerr, Zachary Y Mensch, James M Huggins, Robert A Dompier, Thomas P Rudisill, Caroline Yeargin, Susan W Epidemiology of Emergency Medical Services Activations for Sport-Related Injuries in the United States |
title | Epidemiology of Emergency Medical Services Activations for Sport-Related Injuries in the United States |
title_full | Epidemiology of Emergency Medical Services Activations for Sport-Related Injuries in the United States |
title_fullStr | Epidemiology of Emergency Medical Services Activations for Sport-Related Injuries in the United States |
title_full_unstemmed | Epidemiology of Emergency Medical Services Activations for Sport-Related Injuries in the United States |
title_short | Epidemiology of Emergency Medical Services Activations for Sport-Related Injuries in the United States |
title_sort | epidemiology of emergency medical services activations for sport-related injuries in the united states |
topic | Emergency Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9419755/ https://www.ncbi.nlm.nih.gov/pubmed/36046296 http://dx.doi.org/10.7759/cureus.27403 |
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