Incidence of sport-related traumatic brain injury and risk factors of severity: a population-based epidemiologic study
| Autor: | Anbesaw W. Selassie, Dulaney A. Wilson, Jonathan C. Edwards, Nolan R. Williams, Delia Voronca, Elisabeth Pickelsimer |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Epidemiology Traumatic brain injury South Carolina Population Poison control Article Occupational safety and health Young Adult Age Distribution Physical medicine and rehabilitation Recurrence Risk Factors Concussion Injury prevention Odds Ratio Humans Medicine education education.field_of_study Trauma Severity Indices business.industry Incidence Incidence (epidemiology) medicine.disease nervous system diseases Hospitalization Epidemiologic Studies Socioeconomic Factors nervous system Brain Injuries Population Surveillance Athletic Injuries Emergency medicine Female business human activities Sports |
| Zdroj: | Annals of Epidemiology. 23:750-756 |
| ISSN: | 1047-2797 1998-2011 |
| DOI: | 10.1016/j.annepidem.2013.07.022 |
| Popis: | Few studies of sport-related traumatic brain injury (TBI) are population-based or rely on directly observed data on cause, demographic characteristics, and severity. This study addresses the epidemiology of sport-related TBI in a large population.Data on all South Carolina hospital and emergency department encounters for TBI, 1998-2011, were analyzed. Annual incidence rate of sport-related TBI was calculated, and rates were compared across demographic groups. Sport-related TBI severity was modeled as a function of demographic and TBI characteristics using logistic regression.A total of 16,642 individuals with sport-related TBI yielded an average annual incidence rate of 31.5/100,000 population with a steady increase from 19.7 in 1998 to 45.6 in 2011. The most common mechanisms of sport-related TBI were kicked in football (38.1%), followed by fall injuries in sports (20.3%). Incidence rate was greatest in adolescents ages 12-18 (120.6/100,000/persons). Severe sport-related TBI was strongly associated with off-road vehicular sport (odds ratio [OR], 4.73; 95% confidence interval [95% CI], 2.92-7.67); repeated head trauma (OR, 4.36; 95% CI, 3.69-5.15); equestrian sport (OR, 2.73; 95% CI, 1.64-4.51); and falls during sport activities (OR, 2.72; 95% CI, 1.67-4.46).The high incidence of sport-related TBI in youth, potential for repetitive mild TBI, and its long-term consequences on learning warrants coordinated surveillance activities and population-based outcome studies. |
| Databáze: | OpenAIRE |
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