A 15-year regional emergency department study of youth sport and recreational injuries
DOI:
https://doi.org/10.55225/hppa.471Keywords:
sports, sport and recreation injury, children, youth, emergency department, hospitalAbstract
Purpose: The aim of this study was to determine frequency and distribution of sports- and recreation-related injuries (SRIs) affecting children and adolescents who visited a northern tier regional medical center emergency department during a 15-year period.
Material and methods: A descriptive epidemiologic design was employed to retrospectively examine age, gender, month and year of injury, location of injury, sport/recreational activity, mechanism of injury, type and severity of injury, hospital admission and length of stay. Frequency of reported injuries were compared in categories of single factors using Chi-square tests of homogeneity. The impact of risk factors – gender, age class, and sport/activity – on incidence ratios were analyzed via Poisson regression. All statistical analyses were run in R.
Results: Findings heretofore unreported or inconsistent with previous emergency department (ED) studies include a peak injury occurrence of SRIs during September; a preponderance of head/neck injuries and fractures and a higher percent of admitted patients; frequent occurrence of ice hockey injuries; increased severity of injury during ages 10-14; and a trend during 2000-2014 showing increased injury rate of various types of recreational injuries. Findings consistent with previous ED studies included variable distribution of injuries by age, gender and sport/activity; increased frequency of SRIs during ages 12-15 years and during the warmer months of the year; and trends of increased frequency of SRIs affecting females, increased injury rate of closed head injuries, and decreased occurrence of bicycle injuries during the study period. Further to these findings, several suggestions are made to inform and guide local injury prevention efforts and further research.
Conclusions: Our study results provide information on a region-specific occurrence and distribution of SRIs in a northern tier hospital catchment area that can be valuable to guide regional injury prevention efforts and further research to evaluate specific patterns identified and success of prevention efforts.
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References
Rui P, Ashman JJ, Akinseye A. Emergency department visits for injuries sustained during sports and recreational activities by patients aged 5-24 years, 2010–2016. Natl Health Stat Report. 2019;133:1-15. Google Scholar
Simon TD, Bublitz C, Hambidge SJ. Emergency department visits among pediatric patients for sports-related injury: Basic epidemiology and impact of race/ethnicity and insurance status. Pediatr Emerg Care. 2006;22(5):309-315. doi: 10.1097/01.pec.0000215139.29039.5c DOI: https://doi.org/10.1097/01.pec.0000215139.29039.5c Google Scholar
Centers for Disease Control and Prevention. Nonfatal traumatic brain injuries related to sports and recreation activities among persons aged ≤19 years – United States, 2001–2009. MMWR Morb Mortal Wkly Rep. 2011;60(39):1337-1342. Google Scholar
Emery CA. Injury prevention in kids’ adventure and extreme sports: Future directions. Res Sports Med. 2018;26(sup1):199-211. doi: 10.1080/15438627.2018.1452239. DOI: https://doi.org/10.1080/15438627.2018.1452239 Google Scholar
Waltzman D, Womack LS, Thomas KE, Sarmiento K. Trends in emergency department visits for contact sports-related traumatic brain injuries among children – United States, 2001–2018. MMWR Morb Mortal Wkly Rep. 2020;69(27):870-874. doi: 10.15585/mmwr.mm6927a4. DOI: https://doi.org/10.15585/mmwr.mm6927a4 Google Scholar
United States Consumer Product Safety Commission. National Electronic Injury Surveillance System (NEISS). Google Scholar
http//www.cpsc.gov/Research—Statistics/NEISS-Injury-Data. Accessed March 13, 2021. Google Scholar
Conn JM, Annest JL, Gilchrist J. Sports and recreation related injury episodes in the US population, 1997–99. Inj Prev. 2003;9(2):117-123. doi: 10.1136/ip.9.2.117. DOI: https://doi.org/10.1136/ip.9.2.117 Google Scholar
Bayt DR, Bell TM. Trends in paediatric sports-related injuries presenting to US emergency departments, 2001–2013. Inj Prev. 2016;22(5):361-364. doi: 10.1136/injuryprev-2015-041757. DOI: https://doi.org/10.1136/injuryprev-2015-041757 Google Scholar
Schwebel DC, Brezausek CM. Child development and pediatric sport and recreational injuries by age. J Athl Train. 2014;49(6):780-785. doi: 10.4085/1062-6050-49.3.41. DOI: https://doi.org/10.4085/1062-6050-49.3.41 Google Scholar
Loder RT, Abrams S. Temporal variation in childhood injury from common recreational activities. Injury. 2011;42(9):945-957. doi: 10.1016/j.injury.2010.02.009. DOI: https://doi.org/10.1016/j.injury.2010.02.009 Google Scholar
Conn JM, Annest JL, Bossarte RM, Gilchrist J. Non-fatal sports and recreational violent injuries among children and teenagers, United States, 2001–2003. J Sci Med Sport. 2006;9(6):479-489. doi: 10.1016/j.jsams.2006.03.004. DOI: https://doi.org/10.1016/j.jsams.2006.03.004 Google Scholar
Centers for Disease Control and Prevention. Nonfatal sports- and recreation-related injuries treated in emergency departments – United States, July 2000 – June 2001. MMWR Morb Mortal Wkly Rep. 2002;51(33):736-740. Google Scholar
Purcell L. Emergency department studies. In: Caine D, Purcell L, eds. Injury in Pediatric and Adolescent Sports: Epidemiology, Treatment and Prevention. Cham: Springer; 2016:17-32. doi: 10.1007/978-3-319-18141-7_2. DOI: https://doi.org/10.1007/978-3-319-18141-7_2 Google Scholar
North Dakota. In: Wikipedia: The Free Encyclopedia. Google Scholar
https://en.wikipedia.org/wiki/North-Dakota. Accessed April 4, 2021. Google Scholar
Centers for Disease Control and Prevention. International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). https: www.cdc.gov/nchs/icd/icd9cm.htm. Updated November 3, 2021. Google Scholar
Development Core Team. R: A Language and Environment for Statistical Computing. Vienna: R Foundation for Statistical Computing. https://www.r-project.org. Accessed July 9, 2021. Google Scholar
Harmon KJ, Proescholdbell SK, Register-Mihalik J, Richardson DB, Waller AE, Marshall SW. Characteristics of sports and recreation-related emergency department visits among school-age children and youth in North Carolina, 2010–2014. Inj Epidemiol. 2018;5(1):23. doi: 10.1186/s40621-018-0152-0. DOI: https://doi.org/10.1186/s40621-018-0152-0 Google Scholar
Mock C. Case series and trauma registries. In: Rivera P, Cummings P, Koepsell TD, Grossman DC, Maier RV, eds. Injury Control: A Guide to Research and Program Evaluation. Cambridge: Cambridge University Press; 2001:168-182. DOI: https://doi.org/10.1017/CBO9780511530234.013 Google Scholar
Howard AF, Costich, JF, Mattacola CG, Slavova S, Bush HM, Scutchfield FD. A statewide assessment of youth sports- and recreation-related injuries using emergency department administrative records. J Adolesc Health. 2014;55(5):627-632. doi: 10.1016/j.jadohealth.2014.05.013. DOI: https://doi.org/10.1016/j.jadohealth.2014.05.013 Google Scholar
Lykissas MG, Eismann EA, Parikh SN. Trends in pediatric sports-related and recreation-related Injuries in the United States in the last decade. J Pediatr Orthop. 2013;33(8):803-810. doi: 10.1097/BPO.0000000000000099. DOI: https://doi.org/10.1097/BPO.0000000000000099 Google Scholar
Caine D, Goodwin BJ. Risk factors for injury in pediatric and adolescent sports. In: D. Caine D, Purcell L, eds. Injury in Pediatric and Adolescent Sports: Epidemiology, Treatment and Prevention. Cham: Springer; 2016:191-204. doi: 10.1007/978-3-319-18141-7_14. DOI: https://doi.org/10.1007/978-3-319-18141-7_14 Google Scholar
Wik EH. Growth, maturation and injuries in high-level youth football (soccer): A mini review. Front Sports Act Living. 2022;4:975900. doi: 10.3389/fspor.2022.975900. DOI: https://doi.org/10.3389/fspor.2022.975900 Google Scholar
Towlson C, Salter J, Ade JD, Enright K, Harper LD, Page RM, Malone JJ. Maturity-associated considerations for training load, injury risk, and physical performance in youth soccer: One size does not fit all. J Sport Health Sci. 2021;10(4):403-412. doi: 10.1016/j.jshs.2020.09.003. DOI: https://doi.org/10.1016/j.jshs.2020.09.003 Google Scholar
Monasterio X, Gil SM, Bidaurrazaga-Letona I, et al. Peak height velocity affects injury burden in circa-PHV soccer players. Int J Sports Med. 2022;1. doi: 10.1055/a-1983-6762. DOI: https://doi.org/10.1055/a-1983-6762 Google Scholar
Nalliah RP, Anderson IM, Lee MK, Rampa S, Allareddy V, Allareddy V. Epidemiology of hospital-based emergency department visits due to sports injuries. Pediatr Emerg Care. 2014;30(8):511-515. doi: 10.1097/PEC.0000000000000180. DOI: https://doi.org/10.1097/PEC.0000000000000180 Google Scholar
Kucera KL, Marshall SW, Kirkendall DT, Marchak PM, Garrett WE Jr. Injury history as a risk factor for incident injury in youth soccer. Br J Sports Med. 2005;39(7):462-466. doi: 10.1136/bjsm.2004.013672. DOI: https://doi.org/10.1136/bjsm.2004.013672 Google Scholar
Comstock RD, Dahab KS, James DA. Epidemiology of injury in high school sports. In: Caine D, Purcell L, eds. Injury in Pediatric and Adolescent Sports: Epidemiology, Treatment and Prevention. Cham: Springer; 2016:51-67. doi: 10.1007/978-3-319-18141-7_4. DOI: https://doi.org/10.1007/978-3-319-18141-7_4 Google Scholar
Bram JT, Magee LC, Mehta NN, Patel NM, Ganley TJ. Anterior cruciate ligament injury incidence in adolescent athletes: A systematic review and meta-analysis. Am J Sports Med. 2021;49(7):1962-1972. doi: 10.1177/0363546520959619. DOI: https://doi.org/10.1177/0363546520959619 Google Scholar
Kerr ZY, Chandran A, Nedimyer AK, Arakkal A, Pierpoint LA, Zuckerman SL. Concussion incidence and trends in 20 high school sports. Pediatrics. 2019;144(5):e20192180. doi: 10.1542/peds.2019-2180. DOI: https://doi.org/10.1542/peds.2019-2180 Google Scholar
Kamboj AK, Chounthirath T, Hodges NL, Smith GA. Nonfatal pediatric injuries associated with consumer products and sports and recreational activities in the United States. Pediatr Emerg Care. 2020;36(9):e485-e493. doi: 10.1097/PEC.0000000000001778. DOI: https://doi.org/10.1097/PEC.0000000000001778 Google Scholar
Farooq A, Martin A, Janssen X, et al. Longitudinal changes in moderate-to-vigorous-intensity physical activity in children and adolescents: A systematic review and meta-analysis. Obes Rev. 2020;21(1):e12953. doi: 10.1111/obr.12953. DOI: https://doi.org/10.1111/obr.12953 Google Scholar
Sheu Y, Li-Hui C, Hedegaard, H. Sports- and recreation-related injury episodes in the United States, 2011–2014. Natl Health Stat Report. 2016;99:1-12. Google Scholar
Britton JW. Kids can’t fly: Preventing fall injuries in children. Wisc Med J. 2005;104(1):33-36. Google Scholar
Caine D, DiFiori, J, Maffulli N. Physeal injuries in children’s and youth sports: Reasons for concern? Br J Sports Med. 2006;40(9):749-760. doi: 10.1136/bjsm.2005.017822. DOI: https://doi.org/10.1136/bjsm.2005.017822 Google Scholar
Ogden JA. Skeletal Injury in the Child. New York: Springer-Verlag; 2000. DOI: https://doi.org/10.1007/b97655 Google Scholar
Wier L, Miller A, Steiner C. Sports injuries in children requiring hospital emergency care, 2006. In: Healthcare Cost and Utilization Project (HCUP) Statistical Briefs. Rockville: Agency for Healthcare Research and Quality (US); 2006. Statistical Brief #75. http://www.hcup-us.ahrq.gov/reports/statbriefs/sb75.pdf. Google Scholar
National Federation of State High School Association. 2015––16 High School Athletics Participation Survey. https://nfhs.org/media/1020203/2015-16_hs_participation_survey.pdf. Google Scholar
McAdams RJ, Swidarski K, Clark RM, Roberts KJ, Yang J, McKenzie LB. Bicycle-related injuries among children treated in US emergency departments, 2006–2015. Accid Anal Prev. 2018;118:11-17. doi: 10.1016/j.aap.2018.05.019. DOI: https://doi.org/10.1016/j.aap.2018.05.019 Google Scholar
MacKay JM, Steel A, Corsini S, Green A. Ready for the Ride: Keeping Kids Safe on Wheels. Washington: Safe Kids Worldwide; 2017. Google Scholar
Lee LK, Flaherty MR, Blanchard AM, Agarwal M, Council on Injury, Violence, and Poison Prevention. Helmet use in preventing head injuries in bicycling, snow sports, and other recreational activities and sports. Pediatrics. 2022;150(3):e2022058877. doi: 10.1542/peds.2022-058877. DOI: https://doi.org/10.1542/peds.2022-058877 Google Scholar
Coronado VG, Haileyesus T, Cheng TA, et al. Trends in sports- and recreation-related traumatic brain injuries treated in US emergency departments: The National Electronic Injury Surveillance System – All Injury Program (NEISS–AIP), 2001–2012. J Head Trauma Rehabil. 2015;30(3):185-197. doi: 10.1097/HTR.0000000000000156. DOI: https://doi.org/10.1097/HTR.0000000000000156 Google Scholar
Emery C, Roy TO, Hagel B, Macpherson A, Nettel-Aquirre A. Injury prevention in youth sport. In: Caine D, Purcell L, eds. Injury in Pediatric and Adolescent Sports: Epidemiology, Treatment and Prevention. Cham: Springer; 2016:205-232. doi: 10.1007/978-3-319-18141-7_15. DOI: https://doi.org/10.1007/978-3-319-18141-7_15 Google Scholar
Emery CA, Owoeye OBA, Räisänen AM, Befus K, Hubkarao T, Palacios-Derflingher L, Pasanen K. The “SHRed Injuries Basketball” Neuromuscular Training Warm-up Program reduces ankle and knee injury rates by 36% in youth basketball. J Orthop Sports Phys Ther. 2022;52(1):40-48. doi: 10.2519/jospt.2022.10959. DOI: https://doi.org/10.2519/jospt.2022.10959 Google Scholar
American Academy of Pediatrics. Preparticipation Physical Evaluation (PPE). https://www.aap.org/en/patient-care/preparticipation-physical-evaluation. Accessed January 31, 2022. Google Scholar
Johnson DM, Cumming SP, Bradley B, Williams S. The influence of exposure, growth and maturation on injury risk in male academy football players. J Sports Sci. 2022;40(10):1127-1136. DOI: https://doi.org/10.1080/02640414.2022.2051380 Google Scholar
Malina RM, Cumming SP, Rogol AD, Coelho-E-Silva MJ, Figueiredo AJ, Konarski JM, Kozieł SM. Bio-Banding in Youth Sports: Background, Concept, and Application. Sports Med. 2019 Nov;49(11):1671-1685. doi: 10.1080/02640414.2022.2051380. DOI: https://doi.org/10.1007/s40279-019-01166-x Google Scholar
Salter J, Black J, Mallett J, Barrett S, Towlson C, Hughes JD, De St Croix M. Does biologically categorised training alter the perceived exertion and neuromuscular movement profile of academy soccer players compared to traditional age-group categorisation? Eur J Sport Sci. 2022:1-10. doi: 10.1080/17461391.2022.2117090. DOI: https://doi.org/10.1080/17461391.2022.2117090 Google Scholar
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Copyright (c) 2022 Dennis Caine, Mark A. Romanick, Thomas Schuch, Brett J. Goodwin, Carma Hanson
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