New sports, COVID-19 and the heat: sports injuries and illnesses in the Tokyo 2020 Summer Olympics

Soligard, Torbjørn; Palmer, Debbie; Steffen, Kathrin; Lópes, Alexandre Días; Grek, Natalia; Onishi, Kentaro; Shimakawa, Tomoyuki; Grant, Marie‐Elaine; Mountjoy, Margo; Budgett, Richard; Engebretsen, Lars

doi:10.1136/bjsports-2022-106155

Cited by 43 publications

(73 citation statements)

References 35 publications

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“…Given the insurance registry‐based data collection, the generalisability of the findings to other populations and surveillance methods is unclear. Gradual onset injuries and non‐time loss injuries dominate the injury pattern in Olympic sports [4, 19, 20], and gathering information about these injuries in a structured and systematic manner is important to get a complete understanding of injuries in Olympic athletes.…”

Section: Discussionmentioning

confidence: 99%

Swedish Olympic athletes report one injury insurance claim every second year: a 22‐year insurance registry‐based cohort study

Torvaldsson

Lindblom

Sonesson

et al. 2023

Knee surg. sports traumatol. arthrosc.

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Purpose To describe injury incidence, time trends in injury incidence, and injury characteristics among Swedish Olympic athletes over 22 years based on insurance data, as a first step to inform injury preventive measures among Olympic athletes. Methods The cohort comprised 762 elite athletes (54% males; age 26.5 ± 5.9 years) in 38 sports in the Swedish Olympic Committee support program ‘Top and Talent’ between 1999 and 2020, with total 3427 athlete-years included. Acute and gradual onset injuries were reported to the insurance registry by the athletes’ medical staff. Results A total of 1635 injuries in 468 athletes were registered. The overall injury incidence was 47.7 injuries/100 athlete-years (one injury per athlete every second year). An increasing trend in injury incidence was observed in the first decade 2001 to 2010 (annual change 6.0%, 95% CI 3.3–8.8%), while in the second decade 2011 to 2020 no change was evident (0.4%, 95% CI − 1.9 to 2.7%). Gymnastics, tennis, and athletics had the highest incidence (100.0, 99.3, and 93.4 injuries/100 athlete-years, respectively). Among sport categories, mixed and power sports had the highest incidence (72.8 and 69.5 injuries/100 athlete-years, respectively). Higher incidences were seen in the younger age groups (≤ 25 years) in mixed and skill sports. The injury incidence was comparable between male and female athletes, and summer and winter sports. Most injuries occurred in the lower limb, and specifically the knee (24%), foot/ankle (15%) and spine/pelvis (13%). Conclusion The results on injury patterns in different sports and age groups may guide preventive focus for health and performance teams working with Olympic athletes. Level of evidence II.

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Section: Discussionmentioning

confidence: 99%

Swedish Olympic athletes report one injury insurance claim every second year: a 22‐year insurance registry‐based cohort study

Torvaldsson

Lindblom

Sonesson

et al. 2023

Knee surg. sports traumatol. arthrosc.

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“…At the polyclinic, information on all athletes and NOC staff treated for injuries and illnesses was entered into an electronic medical record form (client‐side module of General Electric Athlete Management Solution; GE AMS) (General Electric Company). Data were collected using an electronic medical record system (GE AMS), 1 nursing records on paper, and questionnaires administered during triage (Figure 1D). During triage, the following data were collected: date and time of triage, athlete/nonathlete status, presence of fever, which NOC or NPC they belonged to, and the purpose of their visit.…”

Section: Methodsmentioning

confidence: 99%

“…The Tokyo 2020 Olympic and Paralympic Games (Tokyo 2020 Games) were postponed to 2021 due to the coronavirus disease (COVID‐19) pandemic. Therefore, making the Tokyo 2020 Games a successful event while protecting the health and safety of the athletes and public was an unprecedented project 1–3 …”

Section: Introductionmentioning

confidence: 99%

“…Therefore, making the Tokyo 2020 Games a successful event while protecting the health and safety of the athletes and public was an unprecedented project. [1][2][3] At the Tokyo Olympic Games, 11,417 athletes participated, representing 206 National Olympic Committees (NOCs). Meanwhile, at the Tokyo Paralympic Games, 4403 athletes participated, representing 162 National Paralympic Committees (NPCs).…”

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confidence: 99%

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Emergency department activities at the Athletes' Village during the Tokyo 2020 Olympic and Paralympic Games

Kuroki,

Yagishita,

Shimizu

et al. 2023

Acute Medicine & Surgery

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AimMore than 15,000 elite athletes participated in the Tokyo 2020 Olympic and Paralympic Games. Providing adequate medical services to these elite athletes was a priority. Hence, a polyclinic was established in the Athletes' Village. Visitors were triaged at the emergency department of the polyclinic to enable early treatment of critical illnesses or injuries in the emergency room (ER) and to identify patients suspected of having coronavirus disease as early as possible. No reports of emergency department activities at large sporting events in the pandemic era are available. Here, we aim to summarize the activities at the emergency department of the polyclinic.MethodsData were collected using an electronic medical record system, nursing records, and questionnaires administered during triage from July 13 to September 8, 2021. Polyclinic data involving accredited athletes and team members were summarized.ResultsDuring the Olympic Games, 12,318 triage cases were reported, of which 75 were treated in the ER. During the Paralympic Games, 8398 triage cases were reported, of which 94 were treated in the ER. During the Olympic Games, musculoskeletal issues (26 patients) were the most common. During the Paralympic Games, ear, nose, and throat issues were the most common (21 patients). Two patients experienced cardiopulmonary arrest in the Athletes' Village and were transported to the hospital postresuscitation.ConclusionDuring the study period, many critically ill patients were triaged and treated at the emergency department. Our data can be used to improve medical care and infection prevention at future international sporting events.

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“…8 In comparison with other Olympic sports, golf ranked ninth (n 5 46) for the number of injuries; however, golf was among the lowest quartile of sports for injury severity. 9 Golf reported a 6% illness rate (ninth/46 sports), all with less than 1 day of time loss from play. During the 2016 Olympic Games, golf reported less than 5% injury and 2% illness rate.…”

Section: Introductionmentioning

confidence: 99%

Inequities in the Training Environment and Health of Female Golfers Participating in the 2022 International Golf Federation World Amateur Team Championships

Mountjoy,

Schamasch,

Murray

et al. 2023

Clinical Journal of Sport Medicine

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Objective: To assess health problems and training environment of female golfers participating in the 2022 World Amateur Team Championships (WATC) and to compare golfers (a) with and without health problems prior the WATC and (b) living and training in countries ranking in the upper versus lower 50% of the team results at the 2022 WATC. Design: Cross-sectional cohort study using an anonymous questionnaire. Setting: International Golf Federation WATC. Participants: One hundred sixty-two female golfers from 56 countries. Interventions: N/A. Main Outcome Measures: Golfers’ answers on the presence and characteristics of health problems, their training environment, and to the Oslo Sport Trauma Research Centre Questionnaire. Results: Almost all golfers (n = 162; 96%) answered the questionnaire. In the 4 weeks before the WATC, 101 golfers (63.1%) experienced 186 musculoskeletal complaints, mainly at the lumbar spine/lower back, wrist, or shoulder. Just half of the golfers (50.6%) performed injury prevention exercises always or often. More than a third (37.4%) of the golfers reported illness complaints and 32.5% mental health problems in the 4 weeks preceding the WATC. General anxiety, performance anxiety, and low mood/depression were the most frequent mental health problems. Golfers with injury complaints rated their daily training environment poorer. Golfers ranking in the lower 50% at the WATC had significantly less support staff, rated their training environment poorer, and had a higher prevalence of illness complaints and mental health problems. Conclusions: Effective illness and injury prevention programs should be implemented and better access to education and health support in the daily training environment provided.

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New sports, COVID-19 and the heat: sports injuries and illnesses in the Tokyo 2020 Summer Olympics

Cited by 43 publications

References 35 publications

Swedish Olympic athletes report one injury insurance claim every second year: a 22‐year insurance registry‐based cohort study

Swedish Olympic athletes report one injury insurance claim every second year: a 22‐year insurance registry‐based cohort study

Emergency department activities at the Athletes' Village during the Tokyo 2020 Olympic and Paralympic Games

Inequities in the Training Environment and Health of Female Golfers Participating in the 2022 International Golf Federation World Amateur Team Championships

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