关键词: contact sports epidemiology head injuries/concussion mechanisms pediatric sports medicine symptoms

来  源:   DOI:10.1177/23259671241262009   PDF(Pubmed)

Abstract:
UNASSIGNED: Concussions make up a significant proportion of sports injuries. This study aimed to describe the mechanisms of injury and associated symptoms of pediatric patients diagnosed with concussions (age range, 4-17 years) from contact sports.
UNASSIGNED: Mechanisms of injury would differ based on sex and age, with female athletes and younger athletes aged 4 to 11 years sustaining fewer concussions from player-to-player contact.
UNASSIGNED: Descriptive epidemiology study.
UNASSIGNED: The National Electronic Injury Surveillance System was queried for all contact sport concussions presented to United States emergency departments. The sports analyzed included basketball, football, soccer, hockey, rugby, and lacrosse. Descriptive data, mechanisms of injury, and associated symptoms were analyzed for each sport. Differences in the number of concussions sustained by year and sport, the severity of the injury, and associated symptoms were compared using chi-square test, and differences in proportion were calculated for mechanisms of injury stratified by sex and age.
UNASSIGNED: A total of 12,602 youth athletes sustained concussions between 2012 and 2021. Most patients were male (78.5%), with a mean age of 13.48 years. Football concussions were the most common, with 45.32% of the concussions. The mechanism of injury was largely sport-specific, with player-to-player contact the most common overall. Older male athletes were more likely to have concussions from player-to-player contact, whereas younger athletes were more impacted by head-to-ground mechanisms. Symptom presentation was not sport-specific, and headache and dizziness were the most common presentation at 41.2% and 26.2%, respectively.
UNASSIGNED: The most important overall mechanism of injury was player-to-player contact, especially in older male youth athletes, whereas younger athletes were more likely to be concussed due to head-to-ground injuries.
摘要:
脑震荡占运动损伤的很大比例。本研究旨在描述诊断为脑震荡的儿科患者的损伤和相关症状的机制(年龄范围,4-17岁)接触运动。
伤害机制因性别和年龄而异,女性运动员和年龄在4至11岁之间的年轻运动员的脑震荡较少。
描述性流行病学研究。
国家电子伤害监测系统被询问向美国急诊部门提交的所有接触性运动脑震荡。分析的运动包括篮球,足球,足球,曲棍球,橄榄球,还有曲棍球.描述性数据,损伤机制,并对每项运动的相关症状进行分析。年和运动持续的脑震荡数量差异,受伤的严重程度,和相关症状使用卡方检验进行比较,并计算了按性别和年龄分层的损伤机制的比例差异。
在2012年至2021年之间,共有12,602名青年运动员遭受了脑震荡。大多数患者为男性(78.5%),平均年龄13.48岁。足球脑震荡是最常见的,45.32%的脑震荡.损伤的机制主要是运动特异性的,与玩家对玩家接触最常见的整体。年龄较大的男性运动员更有可能因球员与球员的接触而发生脑震荡,而年轻运动员受到头对地机制的影响更大。症状表现不是运动特异性的,头痛和头晕是最常见的表现,分别为41.2%和26.2%,分别。
受伤的最重要的整体机制是球员之间的接触,尤其是老年男性青年运动员,而年轻运动员更有可能因头对地受伤而脑震荡。
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