Dataset Information

Results on sports-related injuries in children from NHS emergency care dataset Oxfordshire pilot: an ecological study.

ABSTRACT:

Objectives

To analyse and report on sports-related injuries using enhanced injury data collected by the testbed for the NHS emergency care injury data set and admissions data collected from inpatients.

Design

Ecological study design.

Setting

Two Oxfordshire NHS England hospitals.

Participants

Emergency department attendees and inpatients aged 0-19 years with sports injuries.

Main outcome measures

Data were analysed from 1 January 2012 to 30 March 2014 by age, gender sport, injury location, injury mechanism and diagnosis including concussion/post-concussion, bone fractures and ligament damage. Admissions data were analysed from 1 January 2012 to 24 January 2015.

Results

Children and adolescents aged 0-19 years accounted for almost half (47.4%) of sports injury-related emergency department attendances and almost one-quarter (23.5%) of sports injury-related admissions for all ages. The highest rates of attendance occurred at 14 years for boys (68.22 per 1000 person-years) and 12 years for girls (33.72 per 1000 person-years). For male 0-19-year-olds the three main sports were (in order) football (soccer), rugby union and rugby league and for females, trampoline, netball and horse-riding. The largest gender differences were in netball where injuries were predominantly in females and in wheeled motorsports where injuries were predominantly in males. Almost one-quarter of emergency department sports-related injuries recorded were fractures, the highest percentage to the upper limbs.

Conclusions

Public health departments in local authorities and schools should consider target sports injury prevention at children in the first four years of secondary school. For younger age groups, trampolines in the home warrant improved safety. Rugby and horse-riding should also be a focus for interventions.

SUBMITTER: Kirkwood G

PROVIDER: S-EPMC6423521 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature

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Publications

Results on sports-related injuries in children from NHS emergency care dataset Oxfordshire pilot: an ecological study.

Kirkwood Graham G Hughes Thomas C TC Pollock Allyson M AM

Journal of the Royal Society of Medicine 20181101 3

<h4>Objectives</h4>To analyse and report on sports-related injuries using enhanced injury data collected by the testbed for the NHS emergency care injury data set and admissions data collected from inpatients.<h4>Design</h4>Ecological study design.<h4>Setting</h4>Two Oxfordshire NHS England hospitals.<h4>Participants</h4>Emergency department attendees and inpatients aged 0-19 years with sports injuries.<h4>Main outcome measures</h4>Data were analysed from 1 January 2012 to 30 March 2014 by age, ...[more]

PMID: 30384797

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Project description:BACKGROUND:There is concern about recent increase and severity of sports-related injuries in children. Despite the benefits of sports participation, injuries may carry long-term health consequences. We aimed to evaluate the prevalence, characteristics and types of hospitalized sports-related injuries in children. METHODS:Population-based study of all acute sports-related injuries requiring hospitalization in children 5 to 15 years of age in New South Wales (NSW), Australia, 2005-2013. Health information was obtained from the NSW Admitted Patient Data Collection, a census of all hospital admissions from public and private hospitals. Children with a recorded ICD10-AM injury code (S00-T79) and sport-related activity code (U50-U70) were included. Prevalence and trend in injuries by age group, sporting code, body region affected and type of injury were assessed. RESULTS:There was a total of 20,034 hospitalizations for sports-related injuries (2.7% of all hospitalizations in children aged 5-15 years), involving 21,346 recorded injuries in 19,576 children. The overall population hospitalization period prevalence was 227 per 100,000 children aged 5-15 years in 2005-2013, remaining stable over time (RR 0.99; 95% CI 0.98-1.00). Football codes such as rugby league/union and soccer combined represented nearly two thirds of the total (60%). The most common body regions affected were the forearm (31%) head (15%) and hand injuries (13%). Fractures accounted for 65% of injuries followed by dislocations (10%) and traumatic brain injury (10%). Compared to other age groups, children aged 5-8 years had double the proportion of shoulder (15% vs. 7%) while 13-15 year olds had higher proportion of lower-leg (14% vs. 8%) and knee (6% vs.2%) injuries. One in seven injuries sustained while playing rugby league/union, baseball and hockey were traumatic brain injuries. A total of 444 (2.2%) of children had more than one hospitalization for sports-related injuries. CONCLUSION:On average, six children were hospitalized every day for sports-related injuries in the last decade with trends remaining stable. The most common sports involved were football codes, one in three injuries involved the forearm and two thirds were fractures. These findings can be used to inform health policy and sporting governing bodies to target preventive interventions and promote safe sports participation in children.

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Dataset Information

Results on sports-related injuries in children from NHS emergency care dataset Oxfordshire pilot: an ecological study.

Objectives

Design

Setting

Participants

Main outcome measures

Results

Conclusions

Publications

Results on sports-related injuries in children from NHS emergency care dataset Oxfordshire pilot: an ecological study.

Similar Datasets

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