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Brimm D, Roe J, Warren J, Smyth T, Vallmuur K, Banu S. The epidemiology of sports and leisure-related injury hospitalisations in Queensland: A five-year review. Injury 2023:S0020-1383(23)00377-7. [PMID: 37100695 DOI: 10.1016/j.injury.2023.04.035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/13/2022] [Revised: 03/07/2023] [Accepted: 04/14/2023] [Indexed: 04/28/2023]
Abstract
OBJECTIVE To describe the epidemiology of sports and leisure-related injury hospitalisations in Queensland DESIGN, SETTING, AND PATIENTS: Retrospective analysis of routinely collected hospital admissions data from all Queensland hospitals (public and private) between 2012 and 2016 for injury-related admissions where the activity engaged in when injured was coded as sports or leisure activity. MAIN OUTCOME MEASURES Number of hospitalisations; rate of hospitalisation per 100,000 population and demographic, injury, treatment, and outcome details of hospitalised injury patients. RESULTS Between 01 January 2012 and 31 December 2016, 76,982 people were hospitalised for a sports or leisure-related injury in Queensland. More people were hospitalised in public hospitals than private. Rates were highest for those under 14 years (601.5/100,000 population) and were higher in males (130.6/100,000 population) than females (28.9/100,000 population). A total of 18,734 injuries (24.3%; 79.5/100,000 population) were sustained while playing team ball sports, with rugby codes (rugby union, rugby league and rugby unspecified) representing the single largest source of injuries with 6,592. The extremities were the most likely body location of injury (46,644; 198/100,000 population), and the most common injury type was a fracture (35,018; 148.6/100,000 population). CONCLUSIONS The findings highlight the significant burden of sport and leisure-related injury hospitalisations in Queensland. This information is important for injury prevention and trauma system planning.
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Affiliation(s)
- Daniel Brimm
- Sunshine Coast University Hospital, Birtinya, QLD 4757, Australia; Jamieson Trauma Institute, Metro North Health, Herston, QLD 4029, Australia.
| | - John Roe
- Jamieson Trauma Institute, Metro North Health, Herston, QLD 4029, Australia; The Wesley Hospital, Auchenflower, QLD 4066, Australia; The Royal Brisbane and Women's Hospital, Herston, QLD 4029, Australia
| | - Jacelle Warren
- Jamieson Trauma Institute, Metro North Health, Herston, QLD 4029, Australia; Australian Centre for Health Services Innovation, Centre for Healthcare Transformation, Queensland University of Technology, Kelvin Grove, QLD 4059, Australia
| | - Tanya Smyth
- Jamieson Trauma Institute, Metro North Health, Herston, QLD 4029, Australia
| | - Kirsten Vallmuur
- Jamieson Trauma Institute, Metro North Health, Herston, QLD 4029, Australia; Australian Centre for Health Services Innovation, Centre for Healthcare Transformation, Queensland University of Technology, Kelvin Grove, QLD 4059, Australia
| | - Shahera Banu
- Jamieson Trauma Institute, Metro North Health, Herston, QLD 4029, Australia; School of Clinical Sciences, Queensland University of Technology, Kelvin Grove, QLD 4059, Australia
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Karchynskaya V, Kopcakova J, Madarasova Geckova A, Bakalár P, de Winter AF, Reijneveld SA. Are adolescents' physical activity and body-related factors associated with medically attended injuries? Front Pediatr 2022; 10:901011. [PMID: 36389351 PMCID: PMC9663458 DOI: 10.3389/fped.2022.901011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/21/2022] [Accepted: 10/11/2022] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Injuries are the major cause of disability and death during adolescence, representing a significant public health burden among youth. Body-related factors such as body composition and cardiovascular fitness (CVF) may affect adolescents' vulnerability to injuries. As evidence is lacking, we aimed to explore the associations of medically attended injuries with adolescents' physical activity (PA) and body-related factors, and whether these associations are modified by age, gender and family affluence. METHODS We used data on 888 11- to 15-year-old adolescents (mean age = 13.5, 56% boys) from the Health Behaviour in School-aged Children study conducted in 2018 in Slovakia. We used binary logistic regression analysis to assess the association of medically attended injuries with adolescents' PA and body-related factors (body composition, CVF), considering age, gender and family affluence. RESULTS Adolescents were more likely to report medically attended injuries if they were physically very active (odds ratio/confidence interval OR/CI:2.76/1.83-4.15) or active (OR/CI:1.91/1.27-2.87) rather than inactive. Body-related factors were not associated with medically attended injuries among adolescents. Moreover, age, gender and family affluence did not modify the association of medically attended injuries with adolescents' PA and body-related factors. The only exception was the modifying effect of gender: the association of medically attended injuries with being very active was stronger in boys (OR/CI: 3.04/1.32-6.99). CONCLUSION Very physically active adolescent boys are the most vulnerable group of adolescents in terms of injuries. PA promotion programmes should further consider gender-specific strategies aimed at preventing injuries.
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Affiliation(s)
- Viktoryia Karchynskaya
- Department of Health Psychology and Research Methodology, Faculty of Medicine, P. J. Safarik University in Kosice, Kosice, Slovakia.,Department of Community & Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, Netherlands
| | - Jaroslava Kopcakova
- Department of Health Psychology and Research Methodology, Faculty of Medicine, P. J. Safarik University in Kosice, Kosice, Slovakia.,Department of Community & Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, Netherlands
| | - Andrea Madarasova Geckova
- Department of Health Psychology and Research Methodology, Faculty of Medicine, P. J. Safarik University in Kosice, Kosice, Slovakia.,Department of Community & Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.,Institute of Applied Psychology, Faculty of Social and Economic Sciences, Comenius University in Bratislava, Bratislava, Slovakia
| | - Peter Bakalár
- Department of Sports Educology and Humanistics, Faculty of Sports, University of Presov, Presov, Slovakia
| | - Andrea F de Winter
- Department of Community & Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, Netherlands
| | - Sijmen A Reijneveld
- Department of Community & Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, Netherlands
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Lystad RP, Curtis K, Browne GJ, Mitchell RJ. Incidence, costs, and temporal trends of sports injury-related hospitalisations in Australian children over a 10-year period: A nationwide population-based cohort study. J Sci Med Sport 2018; 22:175-180. [PMID: 30314855 DOI: 10.1016/j.jsams.2018.07.010] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2018] [Revised: 06/27/2018] [Accepted: 07/15/2018] [Indexed: 10/28/2022]
Abstract
OBJECTIVES To quantify and describe the incidence, cost, and temporal trends of sports injury-related hospitalisations in Australian children over a 10-year period. DESIGN Retrospective population-based cohort study. METHODS This study used linked hospitalisation and mortality data of children aged ≤16 years who were hospitalised for sports-related injury in Australia from 1 July 2002 to 30 June 2012. Age-standardised incidence rates were calculated with 95% confidence intervals (CI). Negative binomial regression was used to examine change in temporal trends in incidence rates. RESULTS There were 130,167 sports injury-related hospitalisations during the 10-year study period. The overall annual incidence rate was 281.0 (95%CI: 279.5, 282.6) per 100,000 population. Males and older children were more frequently hospitalised than their female and younger counterparts. The most common sports activities resulting in hospitalisation were team ball sports (43.1%) and wheeled non-motor sport (22.3%). There was no significant annual decline in the overall incidence rate during the 10-year study period (-1.0% [95%CI: -3.0%, 1.0%]). The estimated total hospital treatment cost was $396 million, with an estimated mean cost per injured child of $3058. CONCLUSIONS There has been no significant decline in sports injury-related hospitalisation rates among Australian children during 2002-03 to 2011-12. This may suggest that sports injury prevention initiatives in Australia to date have been inadequate to produce population-level reduction in sports injury-related hospitalisations. It is recommended that a national injury prevention strategy to reduce the burden of sports injuries among Australian children is developed and implemented.
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Affiliation(s)
- Reidar P Lystad
- Australian Institute of Health Innovation, Macquarie University, Sydney, Australia.
| | - Kate Curtis
- Sydney Nursing School, The University of Sydney, Sydney, Australia
| | - Gary J Browne
- Children's Hospital Institute of Sports Medicine, The Children's Hospital at Westmead, Sydney Children's Hospitals Network, Sydney, Australia
| | - Rebecca J Mitchell
- Australian Institute of Health Innovation, Macquarie University, Sydney, Australia
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Räisänen AM, Kokko S, Pasanen K, Leppänen M, Rimpelä A, Villberg J, Parkkari J. Prevalence of adolescent physical activity-related injuries in sports, leisure time, and school: the National Physical Activity Behaviour Study for children and Adolescents. BMC Musculoskelet Disord 2018; 19:58. [PMID: 29448928 PMCID: PMC5815200 DOI: 10.1186/s12891-018-1969-y] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/19/2017] [Accepted: 02/08/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The purpose of this study was to investigate the prevalence of adolescent physical activity-related injuries in sports club activities, leisure time physical activity and school-based physical activity. The secondary aim was to investigate the differences in the prevalence of physical activity -related injuries between years 2014 and 2016. In addition, we set out to study the associations between age, sex and the frequency of physical activity and injury prevalence. METHODS This cross-sectional study is based on the National Physical Activity Behaviour Study for Children and Adolescents (LIITU in Finnish) conducted in years 2014 and 2016. The subjects completed an online questionnaire in the classroom during school hours. A total of 8406 subjects participated in the current study. Out of these, 49% were boys and 51% were girls. The proportions of 11-, 13-, and 15-year-olds were 35%, 34% and 31%, respectively. RESULTS In the combined data for 2014 and 2016, injury prevalence was higher in sports club activities (46%, 95% CI 44.8-47.8) than in leisure time PA (30%, 95% CI, 28.5-30.5) or school-based PA (18%, 95% CI, 17.4-19.1). In leisure time PA, the injury prevalence was higher than in school-based PA. In all the three settings, injury prevalence was higher in 2016 than in 2014. Frequency of PA was associated with a higher risk for PA-related injuries in sports clubs and leisure time. CONCLUSIONS With half of the subjects reporting at least one PA-related injury during the past year, results indicate that adolescent PA-related injuries are a large-scale problem. There is a worrisome rise in injury prevalence in recent years. From a public health standpoint, there is an urgent need to invest in injury prevention to reverse this trend.
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Affiliation(s)
- Anu M Räisänen
- Tampere Research Center of Sports Medicine, UKK Institute for Health Promotion Research, P.O. BOX 30, 33501, Tampere, Finland.
| | - Sami Kokko
- Research Center for Health Promotion, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Kati Pasanen
- Tampere Research Center of Sports Medicine, UKK Institute for Health Promotion Research, P.O. BOX 30, 33501, Tampere, Finland.,Sport Injury Prevention Research Centre, Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada
| | - Mari Leppänen
- Tampere Research Center of Sports Medicine, UKK Institute for Health Promotion Research, P.O. BOX 30, 33501, Tampere, Finland
| | - Arja Rimpelä
- Faculty of Social Sciences, Health Sciences and PERLA (Tampere Centre for Childhood, Youth and Family Research), University of Tampere, Tampere, Finland.,Department of Adolescent Psychiatry, Tampere University Hospital, Tampere, Finland
| | - Jari Villberg
- Research Center for Health Promotion, Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Jari Parkkari
- Tampere Research Center of Sports Medicine, UKK Institute for Health Promotion Research, P.O. BOX 30, 33501, Tampere, Finland
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Finch CF, Wong Shee A, Clapperton A. Time to add a new priority target for child injury prevention? The case for an excess burden associated with sport and exercise injury: population-based study. BMJ Open 2014; 4:e005043. [PMID: 24993758 PMCID: PMC4091508 DOI: 10.1136/bmjopen-2014-005043] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
OBJECTIVE To determine the population-level burden of sports injuries compared with that for road traffic injury for children aged <15 years in Victoria, Australia. DESIGN Retrospective observational study. SETTING Analysis of routinely collected data relating to non-fatal hospital-treated sports injury and road traffic injury cases for children aged <15 years in Victoria, Australia, over 2004-2010, inclusive. PARTICIPANTS 75 413 non-fatal hospital-treated sports injury and road traffic injury cases in children aged <15 years. Data included: all Victorian public and private hospital hospitalisations, using the International Statistical Classification of Diseases and Health Related Problems, 10th Revision, Australian Modification (ICD-10-AM) activity codes to identify sports-related cases and ICD-10-AM cause and location codes to identify road traffic injuries; and injury presentations to 38 Victorian public hospital emergency departments, using a combination of activity, cause and location codes. MAIN OUTCOME MEASURES Trends in injury frequency and rate were analysed by log-linear Poisson regression and the population-level injury burden was assessed in terms of years lived with disability (YLD), hospital bed-days and direct hospital costs. RESULTS Over the 7-year period, the annual frequency of non-fatal hospital-treated sports injury increased significantly by 29% (from N=7405 to N=9923; p<0.001) but the frequency of non-fatal hospital-treated road traffic injury decreased by 26% (from N=1841 to N=1334; p<0.001). Sports injury accounted for a larger population health burden than did road traffic injury on all measures: 3-fold the number of YLDs (7324.8 vs 2453.9); 1.9-fold the number of bed-days (26 233 vs 13 886) and 2.6-fold the direct hospital costs ($A5.9 millions vs $A2.2 millions). CONCLUSIONS The significant 7-year increase in the frequency of hospital-treated sports injury and the substantially higher injury population-health burden (direct hospital costs, bed-day usage and YLD impacts) for sports injury compared with road traffic injury for children aged <15 years indicates an urgent need to prioritise sports injury prevention in this age group.
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Affiliation(s)
- Caroline F Finch
- Australian Centre for Research into Injury in Sport and its Prevention (ACRISP), Federation University Australia, Ballarat, Victoria, Australia
| | - Anna Wong Shee
- Australian Centre for Research into Injury in Sport and its Prevention (ACRISP), Federation University Australia, Ballarat, Victoria, Australia
| | - Angela Clapperton
- Victorian Injury Surveillance Unit (VISU), Monash Injury Research Institute (MIRI), Monash University, Clayton, Victoria, Australia
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