Characteristics and outcomes of severe sports-related injury in children and adults: a nationwide cohort study in Japan.

Autor:	Nakao, Shunichiro, Katayama, Yusuke, Kitamura, Tetsuhisa, Tanaka, Kenta, Hirose, Tomoya, Tachino, Jotaro, Ishida, Kenichiro, Ojima, Masahiro, Kiguchi, Takeyuki, Umemura, Yutaka, Kiyohara, Kosuke, Oda, Jun
Předmět:	CONFIDENCE intervals MULTIVARIATE analysis SPORTS injuries HEALTH outcome assessment RETROSPECTIVE studies MANN Whitney U Test FISHER exact test HOSPITAL mortality COMPARATIVE studies DISEASE prevalence CHI-squared test DESCRIPTIVE statistics RESEARCH funding SPORTS injuries in children WOUNDS & injuries LOGISTIC regression analysis ODDS ratio DATA analysis software LONGITUDINAL method EVALUATION
Zdroj:	European Journal of Trauma & Emergency Surgery; Apr2023, Vol. 49 Issue 2, p893-901, 9p, 1 Diagram, 3 Charts, 1 Graph
Abstrakt:	Purpose: Understanding epidemiological patterns in patients with severe sports-related injuries between children and adults is important for injury prevention. We ought to describe the characteristics and outcomes of patients with severe sports-related injuries and compare the characteristics between children and adults. Methods: We conducted a retrospective analysis of the Japan Trauma Data Bank (JTDB). We included patients with sports-related injury and an ISS of at least 16, who were admitted between 2004 and 2018. We compared characteristics between children (< 18 years) and adults (≥ 18 years). We performed a multivariable logistic regression analysis to compare in-hospital mortality. Results: We identified 1369 eligible patients (children, n = 326; adults, n = 1043). The most common season was April–June and July–September in children (28.5% and 27.9%) and January–March in adults (42.1%). Injuries to the head/neck (58.9% vs. 40.8%, p < 0.001) and abdomen (16.0% vs. 8.3%, p < 0.001) were significantly more frequent in children than adults, while injuries to the thorax (8.0% vs. 27.2%, p < 0.001), pelvis/lower extremity (0.6% vs. 6.0%, p < 0.001), and spine (23.9% vs. 35.3%, p < 0.001) were less frequent in children. We did not observe a statistically significant difference in in-hospital mortality between children and adults. Conclusions: We conducted a comprehensive analysis of severe sports-related injuries using a nationwide trauma database and demonstrated different patterns of severe sports-related injuries in children and adults. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
Externí odkaz:	Zobrazit plný text záznamu Full text from SpringerLink