Epidemiology of Hospital-Based Emergency Department Visits Due to Sports Injuries

Nalliah, Romesh; Anderson, Ingrid; Lee, Min Kyeong; Rampa, Sankeerth; Allareddy, Veerasathpurush; Allareddy, Veerajalandhar

doi:10.1097/pec.0000000000000180

Cited by 46 publications

(36 citation statements)

References 6 publications

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“…Similarly to previous studies [3,6,11,13,[16][17][18], the most frequently occurring injuries were sprain/strain 36.9% (n=375), contusion 30% (n=312), and fractures 18.6% (n=189). These injuries were reported more in the lower extremities.…”

Section: Discussionsupporting

confidence: 73%

“…Sport-related injuries were found to be the third most common cause of admission in an Australian hospital [4]. Furthermore, different studies have shown that sport related injuries cause a significant burden to the emergency department and to the hospital economic status [3][4][5][6][7]. A study from Australia reported that $ 265 million were spent on all sports injuries in people aged 15 years and older, and more than $ 110 million on hospital treatment of acute lower limb injuries over a period of 7 years [5].…”

Section: Introductionmentioning

confidence: 99%

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Epidemiology of Sport and Active Recreation Injuries Presenting to a Tertiary Emergency Department in the Sultanate of Oman

Al-Atbi¹,

Kashmiri²,

Shaqsi³

2018

Emerg Med

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Background: Sport and recreational activities are becoming popular worldwide. This is attributed to the increase in public awareness about the benefits of physical activity. Furthermore, the availability of fitness facilities has increased in recent years. With such change in daily activities comes an increase in sport-related injuries presenting to emergency departments. There is a lack of data regarding the epidemiology of sport related injuries and their burden on emergency departments in the sultanate of Oman.Aims: This study aims to provide a scientific perspective on the epidemiology and burden of sports and recreation related injuries in the Sultanate of Oman. Methods:A retrospective cross-sectional study of all sports and recreation related injuries presented to the emergency department of the national trauma Center in the Sultanate of Oman between Jan 1st, 2016 and December 31st, 2016. Data was extracted from the electronic medical system used at the national trauma center. Demographics, clinical and management details were extracted. Data was recorded in EXCEL Software and analyzed using SPSS software. Results:A total of 1015 patients were identified to have presented to the national trauma Center during the study period with sport and recreation related injuries. Young men in the second and third decade of life were the most prevalent population affected by sport injuries (mean age 24 SD+-8). The rate of emergency department visits due to sport-related injuries was higher in November 14.9% (n=151) and June 10.5% (n=107). Football related injuries are the most common among different sports 59% (n=594), followed by weight lifting related injuries 2% (n=22). Knee, ankle and foot are the most commonly injured which constitute 18.8%, 17.6%, 17.3% respectively. 95.5% of cases were treated non-operatively. A significant number of patients who were discharged from the ED were treated conservatively 76.9% (n747) p-value <0.001, whereas 58.5% (n=24) p-value <0.001of those who got admitted underwent emergent surgeries.Conclusion: Sports and recreation related injuries are common in our community. Although most of these injuries are not of a serious nature, most of the injured individuals seek medical care at the emergency department leading to unnecessary crowding and inappropriate utilization of the health system. Increasing public awareness about sport related injuries and the preventive methods when practicing sports and recreational activities is necessary.

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Section: Discussionsupporting

confidence: 73%

Section: Introductionmentioning

confidence: 99%

Epidemiology of Sport and Active Recreation Injuries Presenting to a Tertiary Emergency Department in the Sultanate of Oman

Al-Atbi¹,

Kashmiri²,

Shaqsi³

2018

Emerg Med

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“…Sprains, strains, and fractures were commonly reported as being severe in nature or having undergone evaluation in the ED. 8,9,13 It is important to note that, although an injury may be considered severe, we cannot assume that the athlete would have required transportation by EMS, as few of the aforementioned studies included this information.…”

mentioning

confidence: 99%

Epidemiology of Injuries Requiring Emergency Transport Among Collegiate and High School Student-Athletes

Hirschhorn

Kerr

Wasserman

et al. 2018

Journal of Athletic Training

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Context: Data regarding the epidemiology of emergency-transport incidents (ETIs) of patients with sport-related injuries are lacking. Understanding the use of emergency services by athletic trainers can help improve emergency preparedness and prehospital care for injured student-athletes. Objective: To determine the frequencies and types of ETIs resulting from athletic participation. Design: Descriptive epidemiology study. Setting: Participating colleges and high schools during 2009–2010 to 2014–2015 and 2011–2012 to 2013–2014, respectively. Patients or Other Participants: Student-athletes in 23 high school and 25 intercollegiate sports. Main Outcome Measure(s): Data on injuries requiring emergency transport were collected by each team's athletic trainer via their respective online injury-tracking software. Athletic trainers also collected data on athlete-exposures (AEs). Emergency-transport incident frequencies and injury rates per 10 000 AEs with 95% confidence intervals (CIs) were reported. For each ETI, the sport, body part, injury mechanism, and final diagnosis were recorded. Results: A total of 339 and 146 ETIs were reported in collegiate and high school players, respectively. Collegiate women's ice hockey had the highest ETI rate (1.28/10 000 AEs; 95% CI = 0.71, 1.86). In high school, football had the highest rate at 0.80 per 10 000 AEs (95% CI = 0.64, 0.97). Athletes with head or face injuries required the most transports in college (n = 71, 20.9%) and high school (n = 33, 22.6%) across all sports. Strains (n = 50, 14.7%) and fractures (n = 35, 24.0%) were the leading diagnoses for patients undergoing transport in college and high school, respectively. Conclusions: Athletic trainers should maintain a high level of emergency preparedness when working with sports that have high rates and numbers of ETIs. Athletes with injuries to the head/face required the most frequent transport across competition levels. Athletic trainers should have the appropriate equipment and protocols in place to handle these patients. Future researchers should examine the differences between field and hospital diagnoses to help improve prehospital care and decrease the likelihood of unnecessary emergency transports.

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“…However, emergency room visits for dental trauma are very common with an estimated 199,061 visits between the years of 2008 and 2010 with the most common cause being falls and MVAs. 13 When evaluating a patient with dental trauma, it is important to obtain a relevant dental history such as the presence of crowns, bridges, and fillings. Like any other injury, it is important to understand the mechanism of injury.…”

Section: Dental Fracturesmentioning

confidence: 99%

Midface Fractures II

Agrawal

Truong

Louis

2017

Seminars in Plastic Surgery

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Facial fractures are a common source of emergency department consultations for the plastic surgeon. A working understanding of the evaluation, the assessment, the management, and the prevention of further injury when dealing with these fractures is vital. This second of a two-part series detailing the management of midfacial fractures serves as a guide for the appropriate workup and management of the wide variety of fracture patterns that are commonly encountered.

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Epidemiology of Hospital-Based Emergency Department Visits Due to Sports Injuries

Abstract: Sports injuries account for a substantial number of 2008 teenage ED visits in the United States. Patient- and hospital-level characteristics were analyzed and highlighted.

Cited by 46 publications

References 6 publications

Epidemiology of Sport and Active Recreation Injuries Presenting to a Tertiary Emergency Department in the Sultanate of Oman

Epidemiology of Sport and Active Recreation Injuries Presenting to a Tertiary Emergency Department in the Sultanate of Oman

Epidemiology of Injuries Requiring Emergency Transport Among Collegiate and High School Student-Athletes

Midface Fractures II

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