scholarly journals Comparison of Dental Injury Rates in Perioperative Intubation and Suspension Laryngoscopy for Otolaryngology Procedures

OTO Open ◽  
2021 ◽  
Vol 5 (4) ◽  
pp. 2473974X2110650
Author(s):  
Caleb P. Wilson ◽  
Erica Romano ◽  
Nilesh R. Vasan
Keyword(s):  
Direct Laryngoscopy ◽  
Injury Rate ◽  
Injury Rates ◽  
Dental Injury ◽  
Search Terms ◽  
Significant Difference ◽  
Comprehensive Search ◽  
The Difference ◽  
Dental Injuries ◽  
Suspension Laryngoscopy

Objective Direct laryngoscopy is an essential skill during perioperative intubation and otolaryngology procedures. Dental injury is a common complication of direct laryngoscopy. However, the technique and tools used by anesthesiologists, nurse anesthetists, and others during perioperative intubation and by ear, nose, and throat surgeons for their procedures are different. The purpose of this review is to explore the literature for all studies detailing rates of dental injury in each of these settings and to compare them to see if the approaches have a significant difference in rate of dental injury. Data Sources PubMed. Review Methods A comprehensive search of PubMed was performed through February 2021 with search terms “dental” and “intubation” or “laryngoscopy.” PRISMA guidelines were followed. Studies documenting rates of dental injuries during intubation or during laryngologic procedures were included, and the 2 groups were compared. Results Twenty-three studies met inclusion criteria: 17 in the perioperative intubation group and 6 in the suspension laryngoscopy group. There was an increased incidence of dental injury in the perioperative intubation group (4.86%) as compared with the suspension laryngoscopy group (1.70%). Conclusions The difference in dental injury rate between the groups could be due to the differences in direct laryngoscopy technique or tools used, the presence vs absence of a dental guard, or a combination of these factors. More studies need to be performed to develop definitive and specific conclusions to recommend changes that prevent dental injury.

Complications of Suspension Laryngoscopy

2002 ◽  
Vol 111 (11) ◽  
pp. 972-976 ◽  
Author(s):  
Jens Peter Klussmann ◽  
Robert Knoedgen ◽  
Michael Damm ◽  
Claus Wittekindt ◽  
Hans Edmund Eckel
Keyword(s):  
Hypoglossal Nerve ◽  
Injury Rate ◽  
Diagnostic Procedures ◽  
Lingual Nerve ◽  
Safe Procedure ◽  
Dental Injury ◽  
Mucosal Lesions ◽  
Operative Laryngology ◽  
Dental Injuries ◽  
Suspension Laryngoscopy

Although suspension laryngoscopy (SL) is routinely used in operative laryngology, no prospectively gathered data on the complications of this procedure have so far been available. We prospectively analyzed 339 consecutive procedures for ***intervention-related complications. The survey included preoperative dental status and assessment of postoperative dental, mucosal, and nerve injuries. Minor mucosal lesions were found in 75% of all patients. All healed spontaneously within a few days. Dental injuries occurred in 6.5% of all patients. These were more frequent in therapeutic laryngoscopy than in diagnostic procedures (6.8% versus 6.0%). Highly significant correlations were found between dental injury rate and preoperative dental disease (p < .04) and grade of periodontitis (p < .001). Temporary nerve lesions were observed in 13 patients (9 of the lingual nerve and 4 of the hypoglossal nerve). Although minor complications frequently occur during SL, it is a relatively safe procedure with a low risk of significant morbidity.

scholarly journals Should syndesmotic screws be removed or retained? A meta-analysis

2020 ◽  
Author(s):  
Wanjin Qin ◽  
Peng Yang ◽  
Nanning Lv ◽  
Kaiwen Chen ◽  
Huilin Yang ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Meta Analysis ◽  
Controlled Trials ◽  
Cochrane Central Register ◽  
Search Terms ◽  
Central Register ◽  
Significant Difference ◽  
The Difference ◽  
Mean Differences ◽  
American Orthopaedic

Abstract Background The aim of this study was to evaluate the different clinical outcomes after removing or retaining syndesmotic screws, and the difference in clinical outcomes after retaining broken or loose syndesmotic screws was also evaluated. Methods A systematic literature search was performed using PubMed, Web of Science, EMBASE and the Cochrane Central Register of Controlled Trials. In this meta-analysis, we conducted online searches using the search terms “syndesmotic diastasis”, “syndesmotic injury”, “syndesmotic screw”, “syndesmotic fixation”, and “tibiofibular syndesmosis”. The analysis was performed on individual patient data from all the studies that met the selection criteria. Clinical outcomes were expressed as standard mean differences for continuous outcomes with 95% confidence intervals. Heterogeneity was assessed using the Chi 2 test and the I 2 statistic. Results There were 2 randomized controlled trials (RCTs) and 6 observational articles included in this analysis. In the comparison between retained and removed screws and the comparison between broken or loose and removed screws, no significant difference was found in terms of visual analogue scale (VAS), Olerud-Molander Ankle Score (OMAS) and American Orthopaedic Foot and Ankle Society (AOFAS) ankle/hindfoot score. Broken or loose screws were associated with better AOFAS scores compared with removed or intact screws, and no significant difference was found in terms of VAS and OMAS scores. Conclusions According to our analysis, there was no significant difference in clinical outcomes between removed and retained screws. Broken or loose screws were not associated with bad functional outcomes and may even lead to better function compared with removed or retained screws.

scholarly journals Injuries in the Chinese Arena Football League: American Versus Chinese Players

2018 ◽  
Vol 6 (6) ◽  
pp. 232596711878004
Author(s):  
Tianwu Chen ◽  
Austin Wetzler ◽  
Scott Singer ◽  
Michael Feldman ◽  
David Rubenstein ◽  
...  
Keyword(s):  
Injury Rate ◽  
Binary Logistic Regression ◽  
Medical Personnel ◽  
American Football ◽  
Years Of Experience ◽  
Level Of Evidence ◽  
Severe Injuries ◽  
Injury Rates ◽  
Logistic Regression Models ◽  
Significant Difference

Background: Arena football is an indoor version of American football played in indoor arenas on a smaller field with 8 players per team. Only 1 study has evaluated injury rates in arena football, and no study had compared 2 distinct cohorts of players. Purpose/Hypothesis: The purpose of this study was to evaluate and compare injury rates in American versus Chinese athletes in the Chinese Arena Football League. Our hypothesis was that the rate of significant injuries (≥7 days of time lost from play) would be statistically significantly higher in Chinese athletes. Study Design: Cohort study; Level of evidence, 2. Methods: Each of the 6 teams included in this study comprised 11 American and 11 Chinese athletes, for a total of 132 included athletes (66 Chinese, 66 American). All players stayed in the same hotel, trained and played in the same facilities, and were covered by the same medical staff. A total of 18 games were played consecutively in 6 cities from October 1 to November 6, 2016. At least 4 Chinese players had to be on the field for each team at all times during game play. Results: American athletes were significantly older, taller, and heavier than Chinese athletes. The total exposure was 759 athlete-hours, and there were 80 reported injuries, with 74 (92.5%) occurring during games (overall injury rate, 105.4 injuries per 1000 athlete-hours). For American athletes, the exposure was 387 athlete-hours with 38 injuries observed, and the injury rate was 98.2 injuries per 1000 athlete-hours. For Chinese athletes, the exposure was 372 athlete-hours with 42 injuries observed, and the injury rate was 112.9 injuries per 1000 athlete-hours. There was no statistically significant difference in exposure or overall injury rate between American and Chinese athletes. The rate of significant injuries was 30.3 per 1000 athlete-hours; there were 17 such injuries in Chinese athletes compared with 6 such injuries for American athletes. The rate of significant injuries was 45.7 (Chinese) and 15.5 (American) injuries per 1000 athlete-hours, and the relative risk for Chinese versus American athletes for significant injuries was 3.0 (95% CI, 1.2-7.8; P = .019) . Binary logistic regression models were utilized to analyze whether the baseline variables (height, weight, body mass index, age, years of experience, and nationality) were potential predictors for an injury, and only years of experience (odds ratio, 1.147 [95% CI, 1.034-1.271]; P = .009) was found to be associated with severe injuries (>21 days of time loss). Conclusion: The overall risk of injuries was similar between Chinese and American athletes, but Chinese athletes showed statistically higher rates of significant injuries than their American counterparts. Years of experience was the only factor that was associated with severe injuries. As professional sports become more global, medical personnel must take into account the distinct differences and levels of experience between the national and international professional athletes. The results of this study will be used to make recommendations to develop preventive training measures, including techniques to improve tackling.

scholarly journals Analysis of Injury Incidences in Male Professional Adult and Elite Youth Soccer Players: A Systematic Review

2016 ◽  
Vol 51 (5) ◽  
pp. 410-424 ◽  
Author(s):  
Daniel Pfirrmann ◽  
Mark Herbst ◽  
Patrick Ingelfinger ◽  
Perikles Simon ◽  
Suzan Tug
Keyword(s):  
Data Extraction ◽  
Injury Rate ◽  
American Football ◽  
Soccer Players ◽  
Injury Rates ◽  
Youth Soccer ◽  
Search Terms ◽  
Important Concern ◽  
Study Selection ◽  
High Level

Context: The incidence of injury for elite youth and professional adult soccer players is an important concern, but the risk factors for these groups are different. Objective: To summarize and compare the injury incidences and injury characteristics of male professional adult and elite youth soccer players. Data Sources: We searched MEDLINE and Web of Science using the search terms elite, international, European, soccer, football, injury, injuries, epidemiology, incidence, prevalence, not female, not American football, and not rugby. We also used the search terms professional for studies on professional adult soccer players and high-level, soccer academy, youth, adolescent, and young for studies on elite youth soccer players. Study Selection: Eligible studies were published in English, had a prospective cohort design, and had a minimum study period of 6 months. To ensure that injury data were assessed in relationship to the athlete's individual exposure, we included only studies that reported on injuries and documented exposure volume. Data Extraction: Two independent reviewers applied the selection criteria and assessed the quality of the studies. Data Synthesis: A total of 676 studies were retrieved from the literature search. Eighteen articles met the inclusion criteria: 6 for elite youth and 12 for professional adult soccer players. Conclusions: Injury rates were higher for matches than for training for both youth and adult players. Youth players had a higher incidence of training injuries than professionals. Efforts must be made to reduce the overall injury rate in matches. Therefore, preventive interventions, such as adequately enforcing rules and focusing on fair play, must be analyzed and developed to reduce match-related injury incidences. Reducing training injuries should be a particular focus for youth soccer players.

Examining Relationship Between Safety Culture Maturity and Safety Performance in Oil and Gas Company

2021 ◽  
Author(s):  
Diah Kusumawati ◽  
Dadan Erwandi
Keyword(s):  
Safety Culture ◽  
Oil And Gas ◽  
Safety Management ◽  
Injury Rate ◽  
Secondary Data ◽  
Safety Performance ◽  
Injury Rates ◽  
Significant Difference ◽  
Human Failure ◽  
The Relationship

Abstract Studies show that 80-90% of losses are caused by human failure, both as individuals and organizations. Yet, only 3.4% of organizations have mature processes in place to actively identify, evaluate, and manage their risks. Safety culture, which has been introduced for more than two decades, has been considered as an effective approach to improve safety performance. Having a positive safety culture is now seen as a prerequisite for, and the basis for, good safety performance. Thus, good safety culture is considered a predictor of good safety performance. However, there are only a limited number of studies that examine the relationship between safety culture and safety performance. This study used a safety culture maturity framework and the level of injury as the variables measured at five sites of PT. X. Data for both variables were secondary data obtained directly from PT.X. The five sites were found to have a statistically significant difference between their injury rates but no statistically significant difference was observed between their safety culture maturity scores. The figure for the safety culture maturity in each site can be considered similar, considering that they have implemented a safety management system for more than two decades. At PT. X, the safety culture maturity alone cannot be considered to have a direct correlation with safety performance. There may be several other factors that contribute to safety performance. However, in sites with a high injury rate, a lower SCM score was identified in twelve elements of safety culture maturity when compared to the sites with low injury rates.

A Nationwide Study of the Risk of Injury Associated With Day Care Center Attendance

PEDIATRICS ◽  
1994 ◽  
Vol 93 (3) ◽  
pp. 364-368
Author(s):  
Peter A. Briss ◽  
Jeffrey J. Sacks ◽  
Marcie-jo Kresnow ◽  
Joann O'Neil ◽  
David G. Addiss
Keyword(s):  
Day Care ◽  
Care Center ◽  
Injury Rate ◽  
Medical Attention ◽  
Injury Rates ◽  
Day Care Centers ◽  
Day Care Center ◽  
Risk Of Injury ◽  
Us Children ◽  
Dental Injuries

Objective. Because an increasing proportion of US children spends time in day care center environments, a national estimate of injury risks in day care centers is needed. Methods. We interviewed directors of 1797 day care centers from every state and the District of Columbia from October to December 1990 and analyzed medically attended injuries and center characteristics reported by the directors. Results. The centers were attended by 138 404 children. In the 2 months before the center directors were interviewed, 556 children sustained injuries requiring medical attention while attending the centers. The injury rate was 1.5 injuries per 100 000 child hours in day care. The most common injuries were cuts or lacerations (31%), bumps or bruises (15%), fractures (10%), and dental injuries (8%). Most injuries (51%) occurred on the play-ground. Many injuries (18%), and more than half of fractures and concussions (53%) were due to falls from climbing equipment. Conclusions. Day care center injury rates estimated by this study were relatively low. Many injuries that occur in this setting are probably minor. However, lowering the height of playground equipment and providing more resilient playground surfaces could further reduce injury risks in day care centers.

A - 09 The Epidemiology of Concussion in Middle School Wrestling

2021 ◽  
Vol 36 (4) ◽  
pp. 649-649
Author(s):  
Ferranti SA ◽  
Kelshaw PM ◽  
Hacherl SL ◽  
Erdman NK ◽  
Lincoln AE ◽  
...  
Keyword(s):  
High School ◽  
Middle School ◽  
Return To Sport ◽  
Injury Rate ◽  
Collegiate Sports ◽  
Certified Athletic Trainers ◽  
Injury Rates ◽  
School Division ◽  
Significant Difference ◽  
Rate Ratios

Abstract Objective Wrestling has among the highest concussion incidence in all high school and collegiate sports. Many children begin wrestling in middle school (MS), however, research describing concussion incidence in MS wrestling remains limited. Therefore, we sought to describe the incidence of concussion and subsequent sport time loss (TL) sustained by MS wrestlers. Methods Certified athletic trainers collected concussion and athlete exposure (AE) data for all MS wrestling practices and matches in a large metropolitan public-school division between 2015/16 and 2019/20. AE was defined as one athlete participating in one practice or match. Frequencies and proportions were calculated for diagnosed concussions by event type. TL was the number of days from date of injury to return to sport. Concussion injury rates (IR) per 1000 AEs and injury rate ratios (IRR) to compare IR between practice and matches were calculated with 95% Confidence Intervals (CIs). IRRs with 95% CIs excluding 1.0 were statistically significant. Results 43 concussions occurred across 38,297 AEs (IR = 1.12, 95%CI = 0.79–1.46). No significant difference in the concussion IR between practices (n = 33, IR = 1.11, 95%CI = 0.73–1.49) and matches (n = 10, IR = 1.16, CI = 0.44–1.87; IRR = 1.04, 95% CI = 0.51–2.11) was observed. The mean TL was 18.38 ± 8.25 days. Conclusions We observed higher practice and match concussion rates than those previously reported among middle and high school wrestlers. Additionally, our findings showed that MS wrestlers required approximately 5 more days to return to sport than reported among HS wrestlers. Further investigation of concussion risk factors for concussion and prolonged TL in MS wrestling is needed.

scholarly journals SEX AND AGE-BASED DIFFERENCES IN PEDIATRIC BASKETBALL INJURIES

2020 ◽  
Vol 8 (4_suppl3) ◽  
pp. 2325967120S0015
Author(s):  
Aaron J. Zynda ◽  
Jie Liu ◽  
Meagan J. Sabatino ◽  
Jane S. Chung ◽  
Shane M. Miller ◽  
...  
Keyword(s):  
Knee Injury ◽  
Age Groups ◽  
Injury Rate ◽  
Incidence Rates ◽  
Ankle Injuries ◽  
Injury Incidence ◽  
Injury Surveillance System ◽  
Injury Rates ◽  
Significant Difference ◽  
Notable Increase

Background: There is limited epidemiologic data on pediatric basketball injuries and the correlation of these injuries with sex-based differences pre- and post-adolescence. Purpose: To describe sex and age-based injury rates associated with common pediatric basketball injuries. Methods: A descriptive epidemiology study was conducted utilizing publicly available injury data from the National Electronic Injury Surveillance System (NEISS) and participation data from the National Sporting Goods Association (NSGA). Data on pediatric basketball injuries from January 2012 – December 2018 in patients ages 7-17 years were extracted and used to calculate national injury incidence rates with 95% confidence intervals. Results: Over 7 years, 9,582 basketball injuries were reported annually in the NEISS in pediatric patients 7-17 years old, which corresponds to an annual national estimate of 294,920 visits. The 5 most common diagnoses were ankle strain/sprain (17.7%), finger strain/sprain and finger fracture (12.1%), concussion/head injury (9.4%), knee strain/sprain (4.5%), and facial laceration (3.3%). There was a notable increase in injury rate in adolescents when compared with childhood ages; 7- to 11-year-old category accounted for 19.1% of estimated injuries (56,242 injuries per year) and the 12- to 17-year-old category accounted for 80.9% (238,678 injuries per year). While boys accounted for the majority of injuries in both age groups [72.6% of all injuries (40,824 injuries per year) in the 7- to 11-year-old category and 74.4% of all injuries (177,572 injuries per year) in the 12- to 17-year-old category], overall, there was no significant difference in injury rate between boys and girls (boys: 91 injuries per 100,000 athlete days, 95% CI = 73-109; girls: 110 injuries per 100,000 athlete days, 95% CI = 92-128; p=0.140). Overall injury rates across the two age groups are reported in Table 1. Head injuries/concussions were a frequent cause of presentation (second only to finger injuries) in 7- to 11-year-olds, and occurred at a similar rate in girls and boys. In adolescents, ankle injuries were the most common injury overall, but there was a most notable increase in the rate of girls’ head and knee injury compared with their boy counterparts within these ages (Table 1). Conclusions: Ankle injuries continue to be the most predominant pediatric basketball injury. However, disproportionate rates of girls’ head and knee injuries during adolescent basketball suggest that style of play and knee injury prevention programs should target girls participating in youth basketball. [Table: see text]

scholarly journals Injuries and training variables in Filipino judo athletes

2016 ◽  
Vol 8 (1) ◽  
pp. 165-172 ◽  
Author(s):  
Reylin Maciejewski ◽  
Hercules Callanta
Keyword(s):  
Female Athletes ◽  
Injury Rate ◽  
Body Parts ◽  
Injury Rates ◽  
Male And Female ◽  
National Competition ◽  
Adults And Children ◽  
Judo Athletes ◽  
The Difference ◽  
And Training

SummaryStudy aim: The aim of this study was twofold: first, to compare the incidence of injuries between male and female athletes in the junior and youth divisions during competition, as well as to identify body parts commonly injured and the types of injury frequently incurred; second, to assess overall incidence of injuries in relation to the frequency and duration of training as well as supplemental training. Material and methods: Subjects were Filipino judokas (n = 192) competing in 4 major divisions at a national competition in Manila in 2009. Injury rates are expressed per 1,000 athlete-exposures, and the confidence intervals around the rates were computed. Results: There was no difference in injury rate between boys (84.03/1,000 athlete-exposures (A-E), 95% CI: 47.20–120.86) and girls (37.04/1,000 A-E, 95% CI: –14.29–88.37). Although the boys were at a higher risk than the girls, the difference was not significant (OR = 3.13, 95% CI: 0.62–15.76). The junior women were at a higher risk than the girls (OR = 6.30, 95% CI: 1.26–31.66). Neither training frequencies of ≤2, 3, and ≥4 sessions per week nor training durations of ≤2 and >2 hours were significant predictors of injury. Supplemental training was not found to be related to the occurrence of injuries. Conclusion: Judo is a relatively safe physical activity for young adults and children. Training variables, such as frequency and duration, and supplemental training do not influence the occurence of injury.

scholarly journals An Epidemiological Comparison of Elbow Injuries Among United States High School Baseball and Softball Players, 2005-2006 Through 2014-2015

2017 ◽  
Vol 10 (2) ◽  
pp. 119-124 ◽  
Author(s):  
Andrew V. Pytiak ◽  
Matthew J. Kraeutler ◽  
Dustin W. Currie ◽  
Eric C. McCarty ◽  
R. Dawn Comstock
Keyword(s):  
High School ◽  
Injury Rate ◽  
Common Mechanism ◽  
Level Of Evidence ◽  
Injury Rates ◽  
Elbow Injury ◽  
Injury Data ◽  
Elbow Injuries ◽  
The Difference ◽  
Rate Ratios

Background: Pitching is a common mechanism of injury in baseball, with known risk factors for elbow injuries among adolescent pitchers. Hypothesis: Elbow injury rates and mechanisms will differ between high school baseball and softball players. Study Design: Descriptive epidemiology study. Level of Evidence: Level 3. Methods: Baseball- and softball-related injury data from the 2005-2006 through 2014-2015 academic years were collected from the High School Reporting Information Online (RIO) Internet-based data collection tool. Athlete-exposure (AE) and injury data were collected by certified athletic trainers. Rate ratios (RRs) were calculated comparing injury rates in the 2 populations. Injury proportion ratios (IPRs) comparing elbow injuries in pitchers and nonpitchers were calculated as the proportion of all elbow injuries in pitchers divided by the proportion of all elbow injuries in nonpitchers. Results: A total of 214 elbow injuries in male baseball players occurred over 2,327,774 AEs, for an overall elbow injury rate of 0.92 per 10,000 AEs. A total of 75 elbow injuries were reported in female softball players over 1,731,644 AEs, for an overall rate of 0.43 per 10,000 AEs. The rate of elbow injury was significantly higher for baseball than softball (RR, 2.12; 95% CI, 1.64-2.77). A significantly greater proportion of elbow injuries in baseball were pitching-related compared with those from softball, with 50.2% occurring while pitching in baseball versus 11.0% in softball (IPR, 4.58; 95% CI, 2.35-8.93). If all injuries occurring during pitching were removed from both sports, the difference in elbow injury rate for baseball and softball would no longer be significant (RR, 1.19; 95% CI, 0.88-1.62). Conclusion: The rate of elbow injuries is significantly higher in baseball than softball. This is attributable to differences in rates of pitching-related injuries between these 2 groups. Clinical Relevance: These results demonstrate that overhand pitching increases risk of elbow injury in high school athletes.

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