• Eur J Trauma Emerg Surg · Apr 2023

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

    • Shunichiro Nakao, Yusuke Katayama, Tetsuhisa Kitamura, Kenta Tanaka, Tomoya Hirose, Jotaro Tachino, Kenichiro Ishida, Masahiro Ojima, Takeyuki Kiguchi, Yutaka Umemura, Kosuke Kiyohara, and Jun Oda.
    • Department of Traumatology and Acute Critical Medicine, Osaka University Graduate School of Medicine, 2-15 Yamadaoka, Suita, Osaka, 565-0871, Japan. shunichironakao@hp-emerg.med.osaka-u.ac.jp.
    • Eur J Trauma Emerg Surg. 2023 Apr 1; 49 (2): 893901893-901.

    PurposeUnderstanding 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.MethodsWe 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.ResultsWe 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.ConclusionsWe 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.© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.

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