scholarly journals The diagnostic yield of the first episode of a periodic health evaluation: a descriptive epidemiology study

2012 ◽  
Vol 12 (1) ◽  
Author(s):  
Cindy A Kermott ◽  
Carol S Kuhle ◽  
Stephanie S Faubion ◽  
Ruth E Johnson ◽  
Donald D Hensrud ◽  
...  
Keyword(s):  
Diagnostic Yield ◽  
First Episode ◽  
Health Evaluation ◽  
Descriptive Epidemiology ◽  
Epidemiology Study ◽  
Periodic Health Evaluation

scholarly journals High Incidence of Hand Injuries From Blocking in Elite Taekwondo Despite the Use of Protective Gear: A 5-Year Descriptive Epidemiology Study

2021 ◽  
Vol 9 (1) ◽  
pp. 232596712097399
Author(s):  
Markus Geßlein ◽  
Johannes Rüther ◽  
Michael Millrose ◽  
Hermann Josef Bail ◽  
Robin Martin ◽  
...  
Keyword(s):  
Injury Risk ◽  
Injury Incidence ◽  
Dominant Hand ◽  
Wrist Injuries ◽  
Descriptive Epidemiology ◽  
Epidemiology Study ◽  
Time Loss ◽  
Data Set ◽  
Injury Site ◽  
Protective Gear

Background: Hand and wrist injuries are a common but underestimated issue in taekwondo. Detailed data on injury risk, patterns, and mechanism are missing. Purpose: To evaluate (1) the fight time exposure-adjusted injury incidence rate (IIR) and clinical incidence and (2) injury site, type, sport-specific mechanism, and time loss in taekwondo. Study Design: Descriptive epidemiology study. Methods: Athletes from a single national Olympic taekwondo training center were investigated prospectively for hand and wrist injuries during training and competition over 5 years. The Orchard Sports Injury Classification System Version 10 was used to classify injury type, and analysis of the anatomic injury site was performed. The mechanism of injury was classified as due to either striking or blocking techniques. Results: From a total of 107 athletes, 79 athletes (73.8%) with a total exposure time of 8495 hours were included in the final data set. During the study period, 75 injuries of the hand and wrist region were recorded despite the athletes using protective hand gear. The IIR was 13.9 (95% CI, 10.5-17.5) and was significantly higher during competition. The clinical incidence as an indicator for risk of injury was 60.7% (95% CI, 50.9-70.5). Finger rays were the most affected location (68%), and fractures (43%) and joint ligament injuries (35%) were the most common type of injury. Significantly more injuries were found on the dominant hand side ( P < .001). Comparison of injury mechanisms demonstrated significantly more injuries at the finger rays deriving from blocking techniques ( P = .0104). The mean time loss for all hand and wrist injuries was 15.7 ± 13.5 days (range, 3-45 days) and was highest for distal radial fractures, with a mean of 39.7 ± 4.8 days (range, 32-45 days). Conclusion: There was a significantly higher IIR for acute hand and wrist injuries in elite taekwondo athletes during competition, which resulted in considerable time loss, especially when fractures or dislocations occurred. Significantly more injuries to the finger rays were found during blocking despite the use of protective hand gear. Improvement of tactical skills and blocking techniques during training and improved protective gear appear to be essential for injury prevention.

Evaluation of Selected Laboratory Components of a Comprehensive Periodic Health Evaluation for Veterans With Spinal Cord Injury and Disorders

2006 ◽  
Vol 87 (5) ◽  
pp. 603-610 ◽  
Author(s):  
Howard Choi ◽  
David S. Binder ◽  
Marjorie L. Oropilla ◽  
Ervin E. Bernotus ◽  
Deniz Konya ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Health Evaluation ◽  
Cord Injury ◽  
Periodic Health Evaluation

scholarly journals Epidemiology of Sport-Related Concussions in High School Athletes: National Athletic Treatment, Injury and Outcomes Network (NATION), 2011–2012 Through 2013–2014

2017 ◽  
Vol 52 (3) ◽  
pp. 175-185 ◽  
Author(s):  
Kathryn L. O'Connor ◽  
Melissa M. Baker ◽  
Sara L. Dalton ◽  
Thomas P. Dompier ◽  
Steven P. Broglio ◽  
...  
Keyword(s):  
High School ◽  
Outcome Measure ◽  
Sports Participation ◽  
Descriptive Epidemiology ◽  
Epidemiology Study ◽  
High School Athletes ◽  
High School Sports ◽  
School Sports ◽  
Exposure Data ◽  
Rate Ratios

Context:Sports participation is one of the leading causes of concussions among nearly 8 million US high school student-athletes.Objective:To describe the epidemiology of sport-related concussion (SRC) in 27 high school sports during the 2011–2012 through 2013–2014 academic years.Design:Descriptive epidemiology study.Setting:Aggregate injury and exposure data from 27 sports in 147 high schools in the National Athletic Treatment, Injury and Outcomes Network (NATION).Patients or Other Participants:Boy and girl high school athletes during the 2011–2012 through 2013–2014 academic years.Main Outcome Measure(s):Sport-related concussion counts, percentages, rates per 10 000 athlete-exposures (AEs), rate ratios (RRs), and injury proportion ratios (IPRs) were reported with 95% confidence intervals (CIs). Rate ratios and IPRs with 95% CIs not containing 1.0 were considered significant.Results:Overall, 2004 SRCs were reported among 27 high school sports, for a rate of 3.89 per 10 000 AEs. Football had the highest SRC rate (9.21/10 000 AEs), followed by boys' lacrosse (6.65/10 000 AEs) and girls' soccer (6.11/10 000 AEs). The SRC rate was higher in competition than in practice (RR = 3.30; 95% CI = 3.02, 3.60). Among sex-comparable sports, the SRC rate was higher in girls than in boys (RR = 1.56; 95% CI = 1.34, 1.81); however, the proportion of SRCs due to player-to-player contact was higher in boys than in girls (IPR = 1.48; 95% CI = 1.27, 1.73). Common symptoms reported among all athletes with SRCs were headache (94.7%), dizziness (74.8%), and difficulty concentrating (61.0%). Only 0.8% of players with SRCs returned to play within 24 hours. The majority of athletes with SRCs (65.8%) returned to play between 7 and 28 days. More players had symptoms resolve after 7 days (48.8%) than less than a week (40.7%).Conclusions:Our findings provide updated high school SRC incidence estimates and further evidence of sex differences in reported SRCs. Few athletes with SRCs returned to play within 24 hours or a week. Most injured players returned after 7 days, despite a smaller proportion having symptoms resolve within a week.

Descriptive Characteristics of Concussions in National Football League Games, 2010-2011 to 2013-2014

2017 ◽  
Vol 45 (4) ◽  
pp. 929-936 ◽  
Author(s):  
Michael D. Clark ◽  
Breton M. Asken ◽  
Stephen W. Marshall ◽  
Kevin M. Guskiewicz
Keyword(s):  
Incidence Rate ◽  
National Football League ◽  
Descriptive Statistics ◽  
Descriptive Epidemiology ◽  
Epidemiology Study ◽  
Head Impacts ◽  
Impact Location ◽  
Tests Of Association ◽  
Biomechanical Features ◽  
The Impact

Background: Despite a high reported incidence rate of concussion, little is known about the on-field characteristics of injurious head impacts in National Football League (NFL) games. Purpose: To characterize on-field features (location, player position, and time during game) and biomechanical features (anticipation status, closing distance, impact location and type) associated with concussions in NFL games over a 4-season period (2010-2011 to 2013-2014). Study Design: Descriptive epidemiology study. Methods: We analyzed video of a subset of reported, in-game concussions for the 2010-2011 to 2013-2014 seasons. These videos represented a sample of injuries that were diagnosed and reported on the same day and that could be clearly associated with an in-game collision as captured on video. We determined anticipation status, closing distance, impact location on the injured player’s helmet, and impact type (helmet-to-helmet, helmet-to-body, or helmet-to-ground). Associations between these variables were analyzed by use of descriptive statistics and tests of association. Results: A total of 871 diagnosed concussions were reported as occurring during NFL preseason, regular season, and postseason games for the 2010-2011, 2011-2012, 2012-2013, and 2013-2014 seasons. A total of 1324 games were played during this period, giving a concussion incidence rate of 0.658 per game (95% CI, 0.61-0.70). From the video-reviewed subset (n = 429; 49.3%), the majority of injurious impacts occurred with good anticipation (57.3%) and <10 yards of closing distance (59.0%). An association was found between anticipation status and play type ([Formula: see text] = 27.398, P < .001), largely because injuries occurring on pass plays were more likely to be poorly anticipated than injuries during run plays (43.0% vs 21.4%; [Formula: see text] = 14.78, P < .001). Kick returns had the greatest proportion of well-anticipated impacts (78%) and the greatest proportion of impacts with ≥10 yards of closing distance (80%). The type of impact was approximately equally divided between helmet-to-helmet, helmet-to-body, and helmet-to-ground types. The impact location was broadly distributed over the helmet of the injured player. Conclusion: In-game concussions in the NFL occurred through a diverse variety of mechanisms, surprisingly tended to be well-anticipated, and, also surprisingly, occurred with <10 yards of closing distance. The impacts causing concussion were broadly distributed over the helmet. More concussions occurred during the second half of game play, but we do not have evidence to explain this finding.

scholarly journals Epidemiology of Shoulder Injuries in Schoolboy Rugby Union in Ireland

2021 ◽  
Vol 9 (8) ◽  
pp. 232596712110234
Author(s):  
Therese M. Leahy ◽  
Ian C. Kenny ◽  
Mark J. Campbell ◽  
Giles D. Warrington ◽  
Roisin Cahalan ◽  
...  
Keyword(s):  
Incidence Rates ◽  
Rugby Union ◽  
Injury Incidence ◽  
Shoulder Injuries ◽  
Descriptive Epidemiology ◽  
Epidemiology Study ◽  
Time Loss ◽  
Potential Risk Factors ◽  
Rugby Players ◽  
And Training

Background: The shoulder has been reported as a frequent location of injury in adult professional and amateur rugby, with match injury incidence rates ranging from 1.8 to 3 per 1000 player-hours (h). An increased understanding of the incidence and mechanism of shoulder injuries in school rugby players is vital to establish effective injury preventive strategies and advise on appropriate rehabilitation. Purpose: To describe the incidence, nature, and severity of shoulder injuries in schoolboy rugby in Ireland. Study Design: Descriptive epidemiology study. Methods: Injury surveillance was carried out for Senior Cup teams across two seasons (N = 665 players aged 17-19 years) in Ireland from 2018 to 2020. Match and training injury data were recorded using an online system by trained nominated injury recorders. Match exposure was also recorded. Results: Shoulder match injury incidence was 12.2 per 1000 h (95% CI, 9.1-16.2), with a mean severity of 47 days’ time loss and an overall burden of 573 days per 1000 h. In total, 47 match and 5 training shoulder injuries were recorded. The most common injuries were shoulder dislocations/subluxations (34%), followed by acromioclavicular joint sprains (30%). Shoulder dislocations/subluxations represented the most burdensome injury (280 days per 1000 h). The tackle accounted for the majority (81%) of shoulder injuries. Forwards sustained a significantly higher incidence of shoulder injuries (8.3/1000 h) in comparison with backs (3.9/1000 h), with a rate ratio of 2.13 (95% CI, 1.15-3.94; P = .015). Conclusion: We found a notably higher injury incidence rate in schoolboy rugby as compared with the adult amateur and professional game. Shoulder injuries were responsible for more days lost than any other injury, and shoulder dislocations were the most severe. This is of particular concern so early in a player’s career and warrants further investigation into potential risk factors and mechanisms associated with shoulder injuries in school-age players.

Abstract 17461: Efficacy of Long-Term Monitoring on Detecting Critical Cardiac Arrhythmias

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Ruhi Mahajan ◽  
Alok Gambhir ◽  
Sameer Adumala
Keyword(s):  
Diagnostic Yield ◽  
Cardiac Monitoring ◽  
First Episode ◽  
Cardiac Assessment ◽  
First Occurrence ◽  
Patients At Risk ◽  
Outpatient Settings ◽  
The Impact ◽  
Term Monitoring

Introduction: The ambulatory continuous ECG monitors can provide a comprehensive cardiac assessment in outpatient settings. Extended cardiac monitoring is often needed by physicians to assess the efficacy of treatment, evaluate symptoms, and to stratify patients at risk. In this study, we compare the impact of outpatient cardiac monitoring between 1-14 days and 15-30 days. Method: A retrospective analysis was done on ECG data collected from 2,679 patients using Zywie ECG monitors (Zywie, Inc., Georgia). These patients were monitored for 14-30 days. We evaluated three arrhythmias in this study: i) Atrial fibrillation (AF) of duration >15s ii) Ventricular tachycardia (VT) consisting of more than 3 heartbeats iii) Pause of duration >3s. We analyzed the first occurrence of arrhythmia episodes in every patient during their monitoring period. We identified at least one episode of AF in 486 patients, VT in 106 patients, and pause in 78 patients. Results: The incidence of the first episode of AF, VT, and pause was observed after 14 days of monitoring in 15.8%, 28.3%, and 23.1% patients, respectively (Figure 1). Furthermore, among the VT episodes, 85.3% episodes had a duration between 1-10s and 14.7% with a duration >10s. Similarly, 76% of identified pauses had a duration between 3-4s, 12% between 4-5s, and 12% with a duration >5s. Conclusion: The results demonstrate the incremental diagnostic yield of critical arrhythmic events when the monitoring is extended beyond 14 days. This study suggests that long-term outpatient monitoring can provide better diagnosis, especially for patients at a higher risk of developing critical arrhythmias.

Pre-participation health evaluation in adolescent athletes competing at Youth Olympic Games: proposal for a tailored protocol

2018 ◽  
Vol 53 (17) ◽  
pp. 1111-1116 ◽  
Author(s):  
Paolo Emilio Adami ◽  
Maria Rosaria Squeo ◽  
Filippo Maria Quattrini ◽  
Fernando Maria Di Paolo ◽  
Cataldo Pisicchio ◽  
...  
Keyword(s):  
Sports Medicine ◽  
Olympic Games ◽  
Significant Proportion ◽  
Sports Participation ◽  
Final Diagnosis ◽  
Health Evaluation ◽  
Adolescent Athletes ◽  
Wide Range ◽  
Periodic Health Evaluation ◽  
Guidelines And Recommendations

ObjectiveTo promote sports participation in young people, the International Olympic Committee (IOC) introduced the Youth Olympic Games (YOG) in 2007. In 2009, the IOC Consensus Statement was published, which highlighted the value of periodic health evaluation in elite athletes. The objective of this study was to assess the efficacy of a comprehensive protocol for illness and injury detection, tailored for adolescent athletes participating in Summer or Winter YOG.MethodsBetween 2010 and 2014, a total of 247 unique adolescent elite Italian athletes (53% females), mean age 16±1,0 years, competing in 22 summer or 15 winter sport disciplines, were evaluated through a tailored pre-participation health evaluation protocol, at the Sports Medicine and Science Institute of the Italian Olympic Committee.ResultsIn 30 of the 247 athletes (12%), the pre-participation evaluation led to the final diagnosis of pathological conditions warranting treatment and/or surveillance, including cardiovascular in 11 (4.5%), pulmonary in 11 (4.5%), endocrine in five (2.0%), infectious, neurological and psychiatric disorders in one each (0.4%). Based on National and International Guidelines and Recommendations, none of the athletes was considered at high risk for acute events and all were judged eligible to compete at the YOG. Athletes with abnormal conditions were required to undergo a periodic follow-up.ConclusionsThe Youth Pre-Participation Health Evaluation proved to be effective in identifying a wide range of disorders, allowing prompt treatment, appropriate surveillance and avoidance of potential long-term consequences, in a significant proportion (12%) of adolescent Italian Olympic athletes.

scholarly journals Injury Rate in TackleBar Football

2019 ◽  
Vol 7 (10) ◽  
pp. 232596711987406
Author(s):  
Joseph Toninato ◽  
Tim Healy ◽  
Uzma Samadani ◽  
Eric Christianson
Keyword(s):  
Study Design ◽  
Injury Rate ◽  
Descriptive Epidemiology ◽  
Epidemiology Study ◽  
Male Athletes ◽  
Injury Rates ◽  
Youth Athletes ◽  
Reasonable Alternative ◽  
Age Range

Background: As football comes under greater scrutiny because of concussions and other injuries, many people are searching for safer alternatives, especially for youth athletes. The injury rate in TackleBar football, one such alternative, is not currently known. Purpose: To describe TackleBar football and calculate its injury rate over a single season to compare it with both traditional tackle and flag football. Study Design: Descriptive epidemiology study. Methods: TackleBar football was described, and injuries of male athletes (age range, 9-14 years) participating in TackleBar football were tracked over the course of a season (August 5 through October 27, 2018) and compared with published injury rates for traditional tackle and flag football. Results: The overall injury rate of TackleBar football was found to be 0.31 per 1000 athlete-exposures (AEs), which is lower than youth tackle (2.25-2.60/1000 AEs) and flag (5.77/1000 AEs) football. Conclusion: TackleBar football may represent a reasonable alternative to tackle and flag football with regard to injuries.

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