Sports injuries: a 5-year review of admissions at a major trauma center in the United Kingdom

Purpose Sports offer several health benefits but are not free of injury risk. Activity dynamics vary across sports, impacting the injury profile and thereby influencing healthcare resource utilization and health outcomes. The purpose of this study was to investigate sports-related major trauma cases...

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Main Authors: Ahmad Hammad Hassan, Aref-Ali Gharooni, Harry Mee, James Geffner, Fahim Anwar
Format: Article
Language:English
Published: Korean Society of Traumatology 2023-03-01
Series:Journal of Trauma and Injury
Subjects:
Online Access:http://jtraumainj.org/upload/pdf/jti-2021-0084.pdf
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author Ahmad Hammad Hassan
Aref-Ali Gharooni
Harry Mee
James Geffner
Fahim Anwar
author_facet Ahmad Hammad Hassan
Aref-Ali Gharooni
Harry Mee
James Geffner
Fahim Anwar
author_sort Ahmad Hammad Hassan
collection DOAJ
description Purpose Sports offer several health benefits but are not free of injury risk. Activity dynamics vary across sports, impacting the injury profile and thereby influencing healthcare resource utilization and health outcomes. The purpose of this study was to investigate sports-related major trauma cases and compare differences across sports and activity groups. Methods A retrospective case notes review of sports-related major traumas over a 5-year period was conducted. Demographic, hospital episode-related, and health outcome-related data were analyzed, and differences were compared across sports and activity groups. The Glasgow Outcome Scale (GOS) at discharge was used as the primary outcome measure and the length of hospital stay as the secondary outcome measure. Results In total, 76% of cases had good recovery at discharge (GOS, 5), 19% had moderate disability (GOS, 4), and 5% had severe disability (GOS, 3). The mean length of hospital stay was 11.2 days (range, 1–121 days). The most severely injured body region was the limbs (29.1%) and vertebral/spinal injuries were most common (33%) in terms of location. A significant difference (P<0.05) existed in GOS across sports groups, with motor sports having the lowest GOS. However, no significant differences (P>0.05) were found in other health-outcome variables or injury patterns across sports or activity groups, although more competitive sports cases (67%) required admission than recreational sports cases (33%). Conclusions Spinal injuries are the most frequent sports injuries, bear the worst health outcomes, and warrant better preventive measures. Head injuries previously dominated the worst outcomes; this change is likely due to better preventive and management modalities. Competitive sports had a higher injury frequency than recreational sports, but no difference in health outcomes or injury patterns.
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spelling doaj-art-74bbb20aae7549ff83d861d4724aa2332025-01-16T05:39:35ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832023-03-01361394810.20408/jti.2021.00841195Sports injuries: a 5-year review of admissions at a major trauma center in the United KingdomAhmad Hammad Hassan0Aref-Ali Gharooni1Harry Mee2James Geffner3Fahim Anwar4 Department of Acute Medicine, Addenbrooke's Hospital, Cambridge, UK Department of Rehabilitation Medicine, Addenbrooke's Hospital, Cambridge, UK Department of Rehabilitation Medicine, Addenbrooke's Hospital, Cambridge, UK Department of Rehabilitation Medicine, Addenbrooke's Hospital, Cambridge, UK Department of Rehabilitation Medicine, Addenbrooke's Hospital, Cambridge, UKPurpose Sports offer several health benefits but are not free of injury risk. Activity dynamics vary across sports, impacting the injury profile and thereby influencing healthcare resource utilization and health outcomes. The purpose of this study was to investigate sports-related major trauma cases and compare differences across sports and activity groups. Methods A retrospective case notes review of sports-related major traumas over a 5-year period was conducted. Demographic, hospital episode-related, and health outcome-related data were analyzed, and differences were compared across sports and activity groups. The Glasgow Outcome Scale (GOS) at discharge was used as the primary outcome measure and the length of hospital stay as the secondary outcome measure. Results In total, 76% of cases had good recovery at discharge (GOS, 5), 19% had moderate disability (GOS, 4), and 5% had severe disability (GOS, 3). The mean length of hospital stay was 11.2 days (range, 1–121 days). The most severely injured body region was the limbs (29.1%) and vertebral/spinal injuries were most common (33%) in terms of location. A significant difference (P<0.05) existed in GOS across sports groups, with motor sports having the lowest GOS. However, no significant differences (P>0.05) were found in other health-outcome variables or injury patterns across sports or activity groups, although more competitive sports cases (67%) required admission than recreational sports cases (33%). Conclusions Spinal injuries are the most frequent sports injuries, bear the worst health outcomes, and warrant better preventive measures. Head injuries previously dominated the worst outcomes; this change is likely due to better preventive and management modalities. Competitive sports had a higher injury frequency than recreational sports, but no difference in health outcomes or injury patterns.http://jtraumainj.org/upload/pdf/jti-2021-0084.pdfathletic injuriessports medicinehealth care outcome assessmentdemographicsstatistics
spellingShingle Ahmad Hammad Hassan
Aref-Ali Gharooni
Harry Mee
James Geffner
Fahim Anwar
Sports injuries: a 5-year review of admissions at a major trauma center in the United Kingdom
Journal of Trauma and Injury
athletic injuries
sports medicine
health care outcome assessment
demographics
statistics
title Sports injuries: a 5-year review of admissions at a major trauma center in the United Kingdom
title_full Sports injuries: a 5-year review of admissions at a major trauma center in the United Kingdom
title_fullStr Sports injuries: a 5-year review of admissions at a major trauma center in the United Kingdom
title_full_unstemmed Sports injuries: a 5-year review of admissions at a major trauma center in the United Kingdom
title_short Sports injuries: a 5-year review of admissions at a major trauma center in the United Kingdom
title_sort sports injuries a 5 year review of admissions at a major trauma center in the united kingdom
topic athletic injuries
sports medicine
health care outcome assessment
demographics
statistics
url http://jtraumainj.org/upload/pdf/jti-2021-0084.pdf
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