Characteristics and outcomes of severe sports-related injury in children and adults: a nationwide cohort study in Japan

被引：0

作者：

Nakao, Shunichiro ^{[1
]}

Katayama, Yusuke ^{[1
]}

Kitamura, Tetsuhisa ^{[2
]}

Tanaka, Kenta ^{[2
]}

Hirose, Tomoya ^{[1
]}

Tachino, Jotaro ^{[1
]}

Ishida, Kenichiro ^{[3
]}

Ojima, Masahiro ^{[3
]}

Kiguchi, Takeyuki ^{[4
]}

Umemura, Yutaka ^{[4
]}

Kiyohara, Kosuke ^{[5
]}

Oda, Jun ^{[1
]}

机构：

[1] Osaka Univ, Dept Traumatol & Acute Crit Med, Grad Sch Med, 2-15 Yamadaoka, Suita, Osaka 5650871, Japan

[2] Osaka Univ, Dept Social & Environm Med, Div Environm Med & Populat Sci, Grad Sch Med, Suita, Osaka, Japan

[3] Natl Hosp Org Osaka Natl Hosp, Traumatol & Crit Care Med Ctr, Osaka, Japan

[4] Osaka Gen Med Ctr, Div Trauma & Surg Crit Care, Osaka, Japan

[5] Otsuma Womens Univ, Fac Home Econ, Dept Food Sci, Tokyo, Japan

来源：

EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY | 2023年 / 49卷 / 02期

关键词：

Sports-related injury; Severe trauma; Mortality; Japan trauma data bank; HIGH-SCHOOL; MULTIPLE INJURIES; PEDIATRIC TRAUMA; SPINE INJURIES; WINTER SPORTS; MAJOR TRAUMA; EPIDEMIOLOGY; PREVENTION; RISK; HEAD;

D O I：

10.1007/s00068-022-02144-1

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Purpose Understanding epidemiological patterns in patients with severe sports-related injuries between children and adults is important for injury prevention. We ought to describe the characteristics and outcomes of patients with severe sports-related injuries and compare the characteristics between children and adults. Methods We conducted a retrospective analysis of the Japan Trauma Data Bank (JTDB). We included patients with sports-related injury and an ISS of at least 16, who were admitted between 2004 and 2018. We compared characteristics between children (< 18 years) and adults (>= 18 years). We performed a multivariable logistic regression analysis to compare in-hospital mortality. Results We identified 1369 eligible patients (children, n = 326; adults, n = 1043). The most common season was April-June and July-September in children (28.5% and 27.9%) and January-March in adults (42.1%). Injuries to the head/neck (58.9% vs. 40.8%, p < 0.001) and abdomen (16.0% vs. 8.3%, p < 0.001) were significantly more frequent in children than adults, while injuries to the thorax (8.0% vs. 27.2%, p < 0.001), pelvis/lower extremity (0.6% vs. 6.0%, p < 0.001), and spine (23.9% vs. 35.3%, p < 0.001) were less frequent in children. We did not observe a statistically significant difference in in-hospital mortality between children and adults. Conclusions We conducted a comprehensive analysis of severe sports-related injuries using a nationwide trauma database and demonstrated different patterns of severe sports-related injuries in children and adults.

引用

页码：893 / 901

页数：9