scholarly journals Ten-Year Incidence of Sport and Recreation Injuries Resulting in Major Trauma or Death in Victoria, Australia, 2005-2015

2018 ◽  
Vol 6 (3) ◽  
pp. 232596711875750 ◽  
Author(s):  
Christina L. Ekegren ◽  
Ben Beck ◽  
Pamela M. Simpson ◽  
Belinda J. Gabbe

Background: Sports injuries that result in major trauma or death are associated with significant health care burden and societal costs. An understanding of changes in injury trends, and their drivers, is needed to implement policy aimed at risk reduction and injury prevention. To date, population-level reporting has not been available regarding trends in serious sport and recreation injuries anywhere in Australia over such an extended period, nor have any studies of this length captured comprehensive, long-term data on all sports-related major trauma internationally. Purpose: To describe the incidence of sport and active recreation injuries resulting in major trauma or death over a 10-year period (July 2005 to June 2015) in the state of Victoria, Australia. Study Design: Descriptive epidemiological study. Methods: All sport and active recreation–related major trauma cases and deaths in Victoria, Australia, over a 10-year period were extracted from the population-level Victorian State Trauma Registry and the National Coroners Information System. Poisson regression analysis was used to examine trends in the incidence of sport and active recreation–related major trauma and death. Results: The 10-year study period entailed 2847 nonfatal major trauma cases and 614 deaths (including 96 in-hospital deaths). The highest frequencies of major trauma cases and deaths were in cycling, motor sports, and equestrian activities. The participation-adjusted major trauma and death rate was 12.2 per 100,000 participants per year over the study period. An 8% increase was noted in the rate of nonfatal major trauma (incident rate ratio [IRR], 1.08; 95% CI, 1.06-1.10; P < .001) and a 7% decrease in the death rate (IRR, 0.93; 95% CI, 0.90-0.97; P < .001). Significant increases were found in the rates of major trauma (including deaths) in equestrian activities, motor sports, and cycling. Conclusion: The death rate from sport and active recreation decreased by more than half over the course of 10 years in Victoria, while the rate of nonfatal major trauma almost doubled. This increase is largely attributable to equestrian activities, motor sports, and cycling. Study findings highlight the need to prioritize investments in the prevention of trauma in these activities.

Author(s):  
Stephanie C. Rutten-Ramos ◽  
Shabbir Simjee ◽  
Michelle S. Calvo-Lorenzo ◽  
Jason L. Bargen

Abstract OBJECTIVE To assess antibiotic use and other factors associated with death rates in beef feedlots in 3 regions of the US over a 10-year period. SAMPLE Data for 186,297 lots (groups) of finished cattle marketed between 2010 and 2019 were obtained from a database representing feedlots in the central, high, and north plains of the US. PROCEDURES Descriptive statistics were generated. Generalized linear mixed models were used to estimate lot death rates for each region, sex (steer or heifer), and cattle origin (Mexico or the US) combination. Death rate was calculated as the (number of deaths/number of cattle placed in the lot) × 100. Lot antibiotic use (TotalActiveMG/KGOut) was calculated as the total milligrams of active antibiotics assigned to the lot per live weight (in kilograms) of cattle marketed from the lot. Rate ratios were calculated to evaluate the respective associations between lot death rate and characteristics of cattle and antibiotic use. RESULTS Mean death rate increased during the 10-year period, peaking in 2018. Mean number of days on feed also increased over time. Mean TotalActiveMG/KGOut was greatest in 2014 and 2015, lowest in 2017, and moderated in 2018 and 2019. Death rate was positively associated with the number of days on feed and had a nonlinear association with TotalActiveMG/KGOut. Feeding medicated feed articles mitigated death rate. CONCLUSIONS AND CLINICAL RELEVANCE Results suggested a balance between disease prevention and control in feedlots for cattle with various risk profiles. Additional data sources are needed to assess TotalActiveMG/KGOut across the cattle lifetime.


2020 ◽  
pp. jech-2019-213285
Author(s):  
Nicholas Jennings ◽  
Kenneth Chambaere ◽  
Luc Deliens ◽  
Joachim Cohen

BackgroundValuable information for planning future end-of-life care (EOLC) services and care facilities can be gained by studying trends in place of death (POD). Scarce data exist on the POD in small developing countries. This study aims to examine shifts in the POD of all persons dying between 1999 and 2010 in Trinidad and Tobago, to draw conclusions about changes in the distribution of POD over time and the possible implications for EOLC practice and policy.MethodsA population-level analysis of routinely collected death certificate data of the most recent available fully coded years at the time of the study—1999 to 2010. Observed proportions for the POD of all deaths were standardised according to the age, sex and cause of death distribution in 1999. Trends for a subgroup of persons who died from causes indicative of a palliative care (PC) need were also examined.ResultsThe proportion of deaths in government hospitals increased from 48.9% to 55.4% and decreased from 38.7% to 29.7% at private homes. There was little variation between observed and standardised rates. The decrease in home deaths was stronger when the PC subcategory was considered, most notably from cancer.ConclusionInternationally, the proportion of deaths at institutions is increasing. A national strategy on palliative and EOLC is needed to facilitate the increasing number of people who seek EOLC at government hospitals in Trinidad and Tobago, including an investigation into the reasons for the trend. Alternatives to accommodate out-of-hospital deaths can be considered.


2020 ◽  
Vol 13 (1) ◽  
Author(s):  
Mohsen Bayati ◽  
Mehrnoosh Emadi

Abstract Objective Hospital deaths account for a large number of community deaths. Moreover, one of the main indicators of inpatient services quality is the hospital death. This study was performed to investigate the factors affecting hospital death rate in Iran using panel data analysis. Results The net death rates in teaching and not-teaching hospitals were 6.24 and 5.58 per 1000 patients, respectively. Models' estimates showed, in teaching hospitals the number of surgeries (P < 0.05) and special beds (P < 0.01) had a significant positive relationship with death rate. In non-teaching hospitals, outpatient admissions (P < 0.01), number of surgeries (P < 0.05), number of special beds (P < 0.01), and length of stay (P < 0.01) had a positive and the number of inpatient admissions (P < 0.05) and active beds (P < 0.01) had a negative relationship with death rate. Policy-making towards optimization of hospital service size and volume, standardization of length of stay, interventions to control nosocomial infections, and planning to control the complications of surgeries and anesthesia could effectively reduce hospital death rate.


2016 ◽  
Vol 51 (4) ◽  
pp. 309-316 ◽  
Author(s):  
Matthew S. Tenan

Few authors have reported nationally representative data on the number of sport and recreation (SR) injuries resulting in emergency department (ED) visitation. The existing studies have only provided 1 or 2 years of data and are not longitudinal in nature.Context: To use a novel algorithmic approach to determine if ED visitation is due to SR, resulting in a substantially larger longitudinal dataset.Objective: Descriptive epidemiology study.Design: Hospital.Setting: The National Hospital Ambulatory Medical Care Survey, a stratified random-sample survey of US hospital EDs was combined for years 1997–2009. There were 15 699 unweighted patient visits determined to be from SR.Patients or Other Participants: A custom algorithm classified SR visits based on the International Classification of Diseases, Ninth Revision, Clinical Modification E-code and pattern recognition of narrative text. Sport and recreation visits were assessed by age and categorized according to broad injury classifications. Additional quantification was performed on SR visits for lower extremity and knee-specific injuries. Sample weights were applied to provide national annual estimates.Main Outcome Measure(s): Annually, 4 243 000 ED visits resulted from SR. The largest classification of injury from SR was sprains and strains (896 000/y). Males had substantially more SR-related ED visits than females (2 929 000/y versus 1 314 000/y). For patients 10–49 years old, 1 093 000 lower extremity and 169 000 knee-specific injury visits annually were from SR. For both injury types, males had a higher rate of ED visitation; however, females had 25% and 39% greater odds of visitation for lower extremity and knee-specific injury, respectively.Results: The burden on the health system of ED visits from SR was substantial. Males presented in the ED at a higher rate for SR injury, though females had a higher proportion of lower extremity and knee-specific injury ED visitations from SR. This longitudinal analysis of population-level data provides the information to target research on specific subpopulations to mitigate SR injury.Conclusions:


2015 ◽  
Vol 28 (3) ◽  
pp. 115-122 ◽  
Author(s):  
Chan Yong Park ◽  
Byungchul Yu ◽  
Ho Hyun Kim ◽  
Jung Joo Hwang ◽  
Jungnam Lee ◽  
...  
Keyword(s):  

2019 ◽  
Vol 16 (4) ◽  
pp. 1145-1155
Author(s):  
Yücel Ocak ◽  
Sebiha Gölünük Başpınar ◽  
Gülseren Bebek

Background and Aim: Sports injuries are the common name of all kinds of injuries generally occurring during sport activities. Besides, they are also stated as the case preventing participation in sport the day after the injury occurs. Injuries are the ones generally arising either due to a single internal or external major trauma (bone fracture, muscle tearing, tissue injuries, and so on) or recurrent micro-traumas (apophysitis, stress fractures, tendonitis, and so on). In this study, it was aimed to detect the health problems and types of injuries encountered by sportsmen continuing their sport life in different branches and to reveal the relationships of these health problems and types of injuries with sports branch, demographical features, and lifestyle. Method: A total of 604 people including 332 males and 272 females between the ages of 17-26 and in six different branches participated in the study. The participants voluntarily attended the study. They signed a voluntary participation consent form. The survey method was used in the study. A “Sportsman Health Information Form” that was formed by the Sportsman Health and Research Centre was arranged and given its final form by the researcher, and it was conducted to the participants. The obtained data were analysed with the SPSS package programme. First, normal distribution of the data was checked, and they were analysed with non-parametric tests as they did not show a normal distribution. In the analysis, percentages and frequencies were controlled and Kruskal Wallis Analyses were also carried out for the correlation of the variables. It was evaluated at the level of 0,05 at the significant point. Results: It was seen that the participants had the problems such as vision disorders, pitting, loss of feeling, breathing disorders, chest pain, and having frequent cramps, and this situation varied across branches. It was concluded that 49% of the participants were exposed to injuries of muscle, bone, and tendon. ​Extended English summary is in the end of Full Text PDF (TURKISH) file.   Özet Giriş ve Amaç:  Spor sakatlıkları genel olarak sportif aktiviteler esnasında meydana gelen her türlü hasarın ortak adıdır. Bunun yanı sıra sakatlığın oluştuğu günün ertesinde spora katılımı engelleyen durum olarak da ifade edilmektedir. Yaralanmalar genel olarak ya içsel ya da dışsal kaynaklı tek bir büyük travmaya bağlı (kemik kırıkları kas yırtılmaları ve bağ yaralanmaları vb.) Ya da tekrarlayan mikro travmalara bağlı gelişen (apofizitis, stres kırıkları, tendonitis vb.) yaralanmalardır. Bu çalışmada; farklı branşlarda sportif yaşantısını devam ettiren sporcuların karşılaştıkları sağlık sorunları ve sakatlık türlerinin belirlenmesi, bu sağlık sorunları ve sakatlık türlerinin spor branşıyla, demografik özellikleriyle ve yaşam tarzıyla olan ilişkilerinin belirlenmesi amaçlanmıştır.Yöntem: Çalışmaya 17-26 yaş aralığında, 6 farklı branşta, 332 erkek, 272 kadın toplamda 604 kişi katılmıştır. Katılımcılar araştırmaya gönüllü olarak katılmışlardır. Katılımcılara gönüllü katılım onan formu imzalatılmıştır. Çalışmada anket yöntemi kullanılmıştır. Sporcu Sağlığı ve Araştırma Merkezi  (SESAM)  tarafından oluşturulan,  “Sporcu Sağlığı Bilgi Formu” araştırmacı tarafından düzenlenerek son sekli verilmiş ve katılımcılara uygulanmıştır. Elde edilen veriler SPSS paket programı ile analiz edilmiştir. Öncelikle verilerin normal dağılımına bakılmış ve normal dağılım göstermediği için nonparametrik testlerle analiz edilmiştir. Değerlendirmelerde yüzde ve frekanslara bakılmış, değişkenler arasındaki ilişkilendirmelere de Kuruskal-Wallis analizleri uygulanmıştır. Anlamlılık noktasında 0,05 seviyesinde değerlendirilmiştir.Sonuç: Katılımcıların görme, uyuşma ve his kaybı,  nefes alma,  göğüs ağrısı ve sıksık kramp girme gibi sağlık sorunları yaşadığı ve bu durumun branşlar arasında farklılıklar gösterdiği,  yine  % 49’nun kas kemik ve tendon yaralanmalarına maruz kaldıkları görülmüştür.


Author(s):  
Moaath A. Alamir ◽  
Reem A. AlMohaini ◽  
Ahmed A . Alharbi ◽  
Mohammad K. Almazied ◽  
Ghada F. AlSwaji ◽  
...  

Aims: This study aims to compare the incident rate of sports injuries before and during the COVID-19 quarantine among active and nonactive adults and identify and compare patterns, types and sites of sports injuries. Study Design: Cross-sectional study. Place and Duration of Study: A self-administered online survey was conducted in Riyadh, Saudi Arabia, between June 2020 to November 2020. Methodology: We conducted a descriptive, cross-sectional web-based survey on active and nonactive adults of Riyadh, Saudi Arabia. A total of 537 respondents from Riyadh completed the questionnaire. The study included adults active during quarantine who are also residents of Riyadh. Residents of other cities and respondents younger than age 18 or older than 64 were excluded. Results: A total of 537 participants fulfilled the criteria. More than half of the respondents were aged 18 to 24 years (54.7%). Of those who did not exercise before quarantine, 42.9% (n = 91) started during quarantine, while 26.5% (n = 86) of respondents who exercised before quarantine stopped during the quarantine. Running and walking were the most common sports practiced by 70.9% of respondents during quarantine and 63.1% before the quarantine. Muscle strain/tears were the most common injuries before quarantine (26.2%), while bruises were the most common injury during quarantine (28.6%). Soccer and basketball were the most affected by quarantine. Conclusion: The number of active individuals had increased during quarantine. Paradoxically, the prevalence of sports injuries decreased. Soccer and basketball were the most significantly affected by a lack of participation during the quarantine; both were a common cause of sports injuries. Medical providers should investigate and support preventive measurements on sports that cause most injuries.


Injury ◽  
2012 ◽  
Vol 43 (9) ◽  
pp. 1527-1533 ◽  
Author(s):  
Nadine E. Andrew ◽  
Belinda J. Gabbe ◽  
Rory Wolfe ◽  
Peter A. Cameron

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