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2018 ; 6
(3
): 2325967118757502
Nephropedia Template TP
gab.com Text
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English Wikipedia
Ten-Year Incidence of Sport and Recreation Injuries Resulting in Major Trauma or
Death in Victoria, Australia, 2005-2015
#MMPMID29531961
Ekegren CL
; Beck B
; Simpson PM
; Gabbe BJ
Orthop J Sports Med
2018[Mar]; 6
(3
): 2325967118757502
PMID29531961
show ga
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.