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European Journal of Trauma and Emergency Surgery

Erschienen in:

20.10.2022 | Original Article

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

verfasst von: Shunichiro Nakao, Yusuke Katayama, Tetsuhisa Kitamura, Kenta Tanaka, Tomoya Hirose, Jotaro Tachino, Kenichiro Ishida, Masahiro Ojima, Takeyuki Kiguchi, Yutaka Umemura, Kosuke Kiyohara, Jun Oda

Erschienen in: European Journal of Trauma and Emergency Surgery | Ausgabe 2/2023

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Abstract

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.

Mock C, Joshipura M, Arreola-Risa C, Quansah R. An estimate of the number of lives that could be saved through improvements in trauma care globally. World J Surg. 2012;36:959–63.CrossRefPubMed

Petridou E, Kedikoglou S, Belechri M, Papadopoulos F, Alexe DM, Trichopoulos D, et al. Sports injuries among adults in six European Union Countries. Eur J Trauma. 2003;29:278–83.CrossRef

Green RS, Butler MB, Kureshi N, Erdogan M. A retrospective evaluation of pediatric major trauma related to sport and recreational activities in Nova Scotia. Can J Emerg Med. 2016;18:106–11.CrossRef

Caine D, Caine C, Maffulli N. Incidence and distribution of pediatric sport-related injuries. Clin J Sport Med. 2006;16:500–13.CrossRefPubMed

Caine D, Maffulli N, Caine C. Epidemiology of injury in child and adolescent sports: injury rates, risk factors, and prevention. Clin Sports Med. 2008;27:19–50.CrossRefPubMed

Ekegren CL, Beck B, Simpson PM, Gabbe BJ. Ten-year incidence of sport and recreation injuries resulting in major trauma or death in Victoria, Australia, 2005–2015. Orthop J Sports Med. 2018;6:1–8.CrossRef

Maisonneuve E, Roumeliotis N, Basso A, Venchiarutti D, Vallot C, Ricard C, et al. Epidemiology of severe paediatric trauma following winter sport accidents. Acta Paediatr Int J Paediatr. 2020;109:2125–30.CrossRef

Mcguine T. Sports injuries in high school athletes: a review of injury-risk and injury-prevention research. Clin J Sport Med. 2006;16:488–99.CrossRefPubMed

Dwek JR. A structural and mechanism-based perspective toward understanding pediatric and adult sports injuries. Am J Roentgenol. 2016;206:980–6.CrossRef

10.

Scarneo SE, Kerr ZY, Kroshus E, Register-Mihalik JK, Hosokawa Y, Stearns RL, et al. The socioecological framework: a multifaceted approach to preventing sport-related deaths in high school sports. J Athl Train. 2019;54:356–60.CrossRefPubMedPubMedCentral

11.

Miyata S, Cho J, Park H, Matsushima K, Bliss DW. Comparison of outcomes in severe pediatric trauma at adult trauma centers with different trauma case volumes. J Pediatr Surg. 2017;52:1831–5. https://doi.org/10.1016/j.jpedsurg.2017.01.066.CrossRefPubMed

12.

Kobayashi K. Challenges for improving trauma care in Japan. J Trauma. 2005;58:1134–9.CrossRefPubMed

13.

Japan Trauma Care and Research. Japan Trauma Data Bank Report 2019 [Internet]. 2019 [cited 2021 Apr 30]. Available from: https://www.jtcr-jatec.org/traumabank/dataroom/data/JTDB2019e.pdf

14.

Baker SP, O’Neill B, Haddon WJR, Long WB. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. 1974;14:187–96.CrossRefPubMed

15.

Pivarnik JM, Reeves MJ, Rafferty AP. Seasonal variation in adult leisure-time physical activity. Med Sci Sports Exerc. 2003;35:1004–8.CrossRefPubMed

16.

da Costa IT, Garganta J, Greco PJ, Mesquita I, Seabra A. Influence of relative age effects and quality of tactical behaviour in the performance of youth soccer players. Int J Perform Anal Sport. 2010;10:82–97.CrossRef

17.

Neidel T, Salvador N, Heller R. Impact of systolic blood pressure limits on the diagnostic value of triage algorithms. Scand J Trauma Resusc Emerg Med. 2017;25:2.CrossRef

18.

Kumar R, Holland AJA, Shi E, Cass DT. Isolated and multisystem hepatic trauma in children: the true role of non-operative management. Pediatr Surg Int. 2002;18:98–103.CrossRefPubMed

19.

Centers for Disease Control and Prevention. Child Development [Internet]. [cited 2022 May 30]. Available from: https://www.cdc.gov/ncbddd/childdevelopment/positiveparenting/index.html

20.

Yue JK, Winkler EA, Burke JF, Chan AK, Dhall SS, Berger MS, et al. Pediatric sports-related traumatic brain injury in United States trauma centers. Neurosurg Focus. 2016;40:1–12.CrossRef

21.

Winkler EA, Yue JK, Burke JF, Chan AK, Dhall SS, Berger MS, et al. Adult sports-related traumatic brain injury in United States trauma centers. Neurosurg Focus. 2016;40:1–12.CrossRef

22.

Tachino J, Katayama Y, Kitamura T, Kiyohara K, Nakao S, Umemura Y, et al. Assessment of the interaction effect between injury regions in multiple injuries: a nationwide cohort study in Japan. J Trauma Acute Care Surg. 2021;90:185–90.CrossRefPubMed

23.

Demetriades D, Charalambides K, Chahwan S, Hanpeter D, Alo K, Velmahos G, et al. Nonskeletal cervical spine injuries: epidemiology and diagnostic pitfalls. J Trauma. 2000;48:724–7.CrossRefPubMed

24.

Weber CD, Horst K, Lefering R, Hofman M, Dienstknecht T, Pape HC. Major trauma in winter sports: an international trauma database analysis. Eur J Trauma Emerg Surg. 2016;42:741–7.CrossRefPubMed

25.

Eun JC, Bronsert M, Hansen K, Moulton SL, Jazaeri O, Nehler MR, et al. Vascular injury is associated with increased mortality in winter sports trauma. Ann Vasc Surg. 2015;29:109–13.CrossRefPubMed

26.

de Roulet A, Inaba K, Strumwasser A, Chouliaras K, Lam L, Benjamin E, et al. Severe injuries associated with skiing and snowboarding: A national trauma data bank study. J Trauma Acute Care Surg. 2017;82:781–6.CrossRefPubMed

27.

Kelly WW. Kōshien Stadium: performing national virtues and regional rivalries in a “theatre of sport.” Sport Soc. 2011;14:482–94.CrossRef

28.

Nonoyama T, Shimazaki Y, Nakagaki H, Tsuge S. Descriptive study of dental injury incurred by junior high school and high school students during participation in school sports clubs. Int Dent J. 2016;66:356–65. https://doi.org/10.1111/idj.12250.CrossRefPubMed

29.

Kissoon N, Dreyer J, Walia M. Pediatric trauma: differences in pathophysiology, injury patterns and treatment compared with adult trauma. CMAJ. 1990;142:27–34.PubMedPubMedCentral

30.

Levy JL, Linder LH. Major abdominal trauma in children. Am J Surg. 1970;120:55–8.CrossRefPubMed

31.

Patel DP, Redshaw JD, Breyer BN, Smith TG, Erickson A, Majercik SD, et al. High-grade renal injuries are often isolated in sports-related trauma Darshan. Injury. 2016;46:1245–9.CrossRef

32.

Nakao S, Katayama Y, Hirayama A, Hirose T, Ishida K, Umemura Y, et al. Characteristics and outcomes of pediatric blunt renal trauma: a nationwide cohort study in Japan. Eur J Trauma Emerg Surg. 2021;2:2.

33.

Cross KM, Serenelli C. Training and equipment to prevent athletic head and neck injuries. Clin Sports Med. 2003;22:639–67.CrossRefPubMed

34.

Cantu RC, Mueller FO. The prevention of catastrophic head and spine injuries in high school and college sports. Br J Sports Med. 2009;43:981–6.CrossRefPubMed

Titel: Characteristics and outcomes of severe sports-related injury in children and adults: a nationwide cohort study in Japan
verfasst von: Shunichiro Nakao
Yusuke Katayama
Tetsuhisa Kitamura
Kenta Tanaka
Tomoya Hirose
Jotaro Tachino
Kenichiro Ishida
Masahiro Ojima
Takeyuki Kiguchi
Yutaka Umemura
Kosuke Kiyohara
Jun Oda
Publikationsdatum: 20.10.2022
Verlag: Springer Berlin Heidelberg
Erschienen in: European Journal of Trauma and Emergency Surgery / Ausgabe 2/2023
Print ISSN: 1863-9933
Elektronische ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-022-02144-1

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