目标:在现有的冰球损伤研究中,成年人的比例不足,尽管美国(US)成年冰球运动员的数量从2007年的103,533人增加到2016年的180,400人(74%)。这项研究确立了人口统计学的趋势,损伤位置,和伤害类型的成人冰球运动员(≥19岁)在美国。
方法:从2007年1月1日至2016年12月31日,向国家电子伤害监测系统(NEISS)查询了所有冰球伤害。19岁以下的病例被排除。回顾了每种损伤的叙述性文本字段,以确定损伤的机制。
结果:共有1,653名患者,估计有68,786起冰球相关伤害,提交给参与NEISS的美国ED。最常见的受伤部位是面部(n=12,432,18.1%),头(n=10,201,14.8%),肩(n=9,654,14.0%)和踝(n=5,389,7.8%)。最常见的诊断是裂伤(n=18,153,26.4%),拉伤/扭伤(n=12,202,17.7%),断裂(n=10079,14.7%),挫伤(n=9,283,13.5%)和脑震荡(n=4,794,7.0%)。最常见的损伤机制是跌倒(n=11,786,18.7%),冰球接触(n=10,544,15.3%)和球员接触(n=9,449,13.7%)。脑震荡从2007年的46例增加到2016年的928例(R2=0.8,β=0.9,p<0.001)。女性(n=1,852,32%)的头部受伤比例高于男性(n=8,349,13.3%)(IPR=2.4,p<0.0001)。50岁以上的队列在研究期间显示损伤显著增加(n=146vs.982,R2=0.75,β=0.87,p=0.001)。
结论:尽管年龄和性别相关的人口统计学趋势发生变化,通过适当执行防护装备的使用,该人群中的大多数伤害是可以预防的。增加玩家之间的教育,教练,培训师,应鼓励整形外科医生和初级保健医生尽量减少伤害。
OBJECTIVE: The adult population is under-represented in existing ice hockey injury studies, despite the number of United States (US) adult ice hockey players increasing from 103,533 in 2007 to 180,400 in 2016 (74%). This study establishes trends in demographics, injury location, and injury type for adult ice hockey players (≥19 years old) in the United States.
METHODS: The National Electronic Injury Surveillance System (NEISS) was queried for all ice hockey injuries from January 1, 2007 to December 31, 2016. Cases under age 19 were excluded. Each injury\'s narrative text field was reviewed to determine mechanism of injury.
RESULTS: A total of 1,653 patients, representing an estimated 68,786 ice-hockey related injuries, presented to NEISS-participating US EDs. The most commonly injured body parts were the face (n = 12,432, 18.1%), head (n = 10,201, 14.8%), shoulder (n = 9,654, 14.0%) and ankle (n = 5,389, 7.8%). The most common diagnoses made were laceration (n = 18,153, 26.4%), strain/sprain (n = 12,202, 17.7%), fracture (n = 10,079, 14.7%), contusion (n = 9,283, 13.5%) and concussion (n = 4,794, 7.0%). The most common mechanisms of injury were falling (n = 11,786, 18.7%), puck contact (n = 10,544, 15.3%) and player contact (n = 9,449, 13.7%). Concussions increased from 46 in 2007 to 928 in 2016 (R2 = 0.8, β = 0.9, p < 0.001). Females (n = 1,852, 32%) had a higher proportion of head injuries than males (n = 8,349, 13.3%) (IPR = 2.4, p < 0.0001). The 50+ year old cohort showed a significant increase in injuries during the study period (n = 146 vs. 982, R2 = 0.75, β = 0.87, p = 0.001).
CONCLUSIONS: Despite changing trends in age and sex-related demographics, the majority of injuries in this population may be preventable with adequate enforcement of protective gear use. Increased education amongst players, coaches, trainers, orthopaedic surgeons and primary care physicians should be encouraged to minimize injuries.