The Impact of an Extreme Sports Event on a District General Hospital

Carmont, Michael R.; Daynes, R; Sedgwick, D M

doi:10.1177/003693300505000306

Cited by 18 publications

(20 citation statements)

References 15 publications

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“…1 Being thrown over the handlebars following sudden deceleration is the most common mechanism of injury and has the most serious results. 4 Most papers agree that orthopaedic injuries are the most commonly sustained, [3][4][5] including fractures and soft tissue injuries. Of the upper limb fractures, fractures of the clavicle is the most common.…”

Section: Discussionmentioning

confidence: 99%

“…With the rising popularity of the sport, an increasing number of enthusiasts are involved in exploring new, exciting but treacherous terrain. [1][2][3][4][5] We aimed to review the incidence and produce a breakdown of orthopaedic injuries related to this sport at a regional district general hospital in North of England, that serves a population of 550 000. This enabled us to report in greater detail on patients sustaining complex injuries of the shoulder girdle, involving disruption to the four-bar linkage consisting of disruption of the bony-soft tissue ring of structures namely, clavicle, coracoclavicular ligaments and coracoid linkage ( figure 1A).…”

Section: Introductionmentioning

confidence: 99%

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Complex shoulder girdle injuries following mountain bike accidents and a review of the literature

Lea

Makaram

Srinivasan

2016

BMJ Open Sport Exerc Med

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BackgroundMountain and road bike accidents are particularly common with the increased popularity of the sport. We reviewed the attendances in our emergency department over a 4-year period looking at cycling injuries to detect the level and grade of these injuries and their outcomes.MethodRoyal Blackburn Hospital caters for a population of 550 000. A search through the Hospital information system revealed 104 patients with fractures following mountain bike injuries. These were looked at in more detail. We present a series of 5 severe shoulder girdle injuries following mountain bike accidents in this cohort, to highlight the serious level of injury sustained in this sport. We searched MEDLINE and EMBASE databases over the past 10 years using the keywords, mountain, biking and fracture. This yielded 7 papers. We compared our series with the literature.Results104 fractures following mountain bike accidents between 2008 and 2011. Fractures of the upper limb were the most common (88.5%) with the clavicle being the most commonly fractured bone (28.8%).ConclusionsMajor scapular injuries with destruction or disruption of the four bar linkage of the shoulder girdle are very common following mountain accidents. Clavicular fractures are the commonest upper limb injury. It is easy to miss a disruption to the four-bar linkage associated with a clavicular injury. This paper highlights the severity of the injuries sustained in mountain bike accidents of the upper limb and requirement of adequate protection in this exhilarating sport.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Complex shoulder girdle injuries following mountain bike accidents and a review of the literature

Lea

Makaram

Srinivasan

2016

BMJ Open Sport Exerc Med

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“…Of those emergency department admissions, 66% required surgical intervention (8). It has been suggested that presentations related to mountain bike competitions in small jurisdictions can have a significant workload impact on healthcare providers and facilities (16). Of those injured, young males are most commonly represented, however females may have a higher propensity for injury (6,9).…”

Section: Introductionmentioning

confidence: 99%

Epidemiology of injuries at the Australian 24 hour mountain bike championships

Taylor

Ranse

2013

Australasian Journal of Paramedicine

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Introduction To describe injury type and frequency, and the factors influencing these, in endurance mountain bike riders. Methods This study used a cross-sectional retrospective audit of patient report forms, prospective meteorological information and race data over an eight-year period. The Australian twenty-four hour mountain bike championships is held annually in Canberra, Australia. All riders who presented to a first aid station for treatment during the race from 2000-2007, were included. Studied factors influencing injury were race time, ambient temperature and rider gender. Studied outcome measures were injury frequency, location, type and management. Results Of the 14,777 riders over the eight years, 596 required first aid treatment for injuries (4.03%), the majority for minor injuries to extremities. Only 0.25% of riders were referred to hospital, 0.06% by ambulance. The injury incidence was 8.4/1000 bike hours with a race-ending presentation (a patient referred to hospital) incidence of 0.5/1000 bike hours. Patient presentation rates were highest in the first eight hours of a race. Higher average temperatures per year were associated with a greater risk of injury. Females were more likely to be injured. Conclusion This mountain bike competition was safe with minor injuries to extremities predominating and low referral rates to hospital. Higher injury rates should be anticipated in hotter weather and during the first third of the race. The first aid service organisation provided adequate clinical care at this event.

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“…The people who exercise regularly might receive better overall long term health benefits [19, 22, 24]. Several researchers also claim that the warm-up and stretching movements is highly important prior to the actual exercise in order to avoid sports-related injuries [25–28]. People with sports-related injuries will look for rehabilitative treatments, and may lead to an increased number of outpatient visits.…”

Section: Discussionmentioning

confidence: 99%

Do healthier lifestyles lead to less utilization of healthcare resources?

Lee

Chang

2017

BMC Health Serv Res

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BackgroundGovernments are urged to determine methods to control the use of medical resources and curb the rise of healthcare costs. The question is, do health behaviors have an impact on the use of medical resources? This study aims to identify and understand the difference in the number of outpatient visits and health examinations based on various health behaviors and to determine whether patients seek medical care for illness from the same physicians.MethodsThis study used the dataset derived from the Department of Budget, Accounting and Statistics of Kaohsiung, Taiwan in 2005. Persons older than 15 years were surveyed using an on-site questionnaire. A total of 2911 persons were enrolled in this study. Independent t-tests, chi-square tests, one-way ANOVA, multiple linear regression and binominal logistic regression were used in the data analysis.ResultsThe regression model for the frequency of doctor visits, health examinations, and whether the same physician is sought for medical care has demonstrated significant correlations with gender, age and education-level variables. Four health behaviors (i.e., exercise habits, dietary habits, regular blood pressure measurement, drinking habits) exhibited a significant correlation with healthcare utilization (P <0.05).ConclusionsHealthy lifestyles lead to an increase in the utilization of preventive health services. However, there is not much significantly reducing the number of outpatient visits in people with health behaviors. Specifically, people with regular exercise habits and who take their blood pressure measurement regularly have an increased number of outpatient visits. It is suggested that more available and accessible health consultation services be provided to inculcate in the general public the importance of maintaining a healthy lifestyle.

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The Impact of an Extreme Sports Event on a District General Hospital

Cited by 18 publications

References 15 publications

Complex shoulder girdle injuries following mountain bike accidents and a review of the literature

Complex shoulder girdle injuries following mountain bike accidents and a review of the literature

Epidemiology of injuries at the Australian 24 hour mountain bike championships

Do healthier lifestyles lead to less utilization of healthcare resources?

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