Author(s): Taylor BL, Attia MW, Taylor BL, Attia MW
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Abstract OBJECTIVE: To describe the demographics and types of sports-related injuries (SRIs) in children. METHODS: The authors performed a retrospective chart review of children 5-18 years of age diagnosed as having an SRI in a pediatric emergency department (ED) during a two-year period. Patients were identified by ICD-9 codes. Data collected were age, sex, sport, ED interventions, consultations, mechanism, location, and injury type. Pairwise comparisons were reported as odds ratios with 95\% confidence intervals. RESULTS: Six hundred seventy-seven SRIs fit the inclusion criteria; 480 of the patients were male (71\%). The mean ages of the males and females were 13.0 years (SD +/- 3.0 yr) and 12.4 years (SD +/- 2.9 yr), respectively. The six most common sports implicated were basketball (19.5\%), football (17.1\%), baseball/softball (14.9\%), soccer (14.2\%), in-line skating (Rollerblading)/skating (5.7\%), and hockey (4.6\%). Sprains/strains (32.0\%), fractures (29.4\%), contusions/abrasions (19. 3\%), and lacerations (9.7\%) accounted for 90\% of injury types. Pairwise comparison of the four injury types in the six sports listed showed significant associations for contusions/abrasions in baseball, sprains/strains in basketball, fractures in Rollerblading/skating, and lacerations in hockey. Age variance, including all sports, of the younger group (5-11 yr) in fractures and the older group (12-18 yr) in sprains was significant. The most common injury location was wrist/hand (28\%), followed by head/face (22\%) and ankle/foot (18\%). Each had significant sport-specific predilections. Contact with person or object was the mechanism for >50\% of the SRIs. Sport-specific mechanisms followed lines drawn from the sport-specific injury types and locations. CONCLUSIONS: The pediatric age group incurs a variety of injuries in numerous sports with diverse sex, age, mechanism, location, injury type, and sport-specific differences.
This article was published in Acad Emerg Med
and referenced in Journal of Clinical Trials