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First results from England’s NHS emergency care data set Oxfordshire pilot: an ecological study of sports related injuries in children

Lookup NU author(s): Graham Kirkwood, Professor Allyson Pollock

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This is the authors' accepted manuscript of an article that has been accepted and is due to be published in its final definitive form by Sage, 2018.

For re-use rights please refer to the publisher's terms and conditions.


Abstract

ObjectivesTo analyse and report on sport-related injuries using enhanced injury data collected by the testbed for the NHS emergency care injury data set and admissions data collected from inpatients.DesignEcological study design.SettingTwo Oxfordshire NHS England hospitals.ParticipantsEmergency department attendees and inpatients aged 0-19 years with sport injury.Main Outcome MeasuresData were analysed from 01 January 2012 to 30 March 2014 by age, sex, sport, injury location, injury mechanism and diagnosis including concussion / post-concussion, bone fractures and ligament damage. Admissions data were analysed from 01 Jan 2012 to 24 Jan 2015.ResultsChildren and adolescents aged 0-19 years accounted for almost half (47.4%) of sport injury related ED attendances and almost a quarter (23.5%) of sport injury related admissions for all ages. The highest rate of attendances occurred at 14 years for boys (68.22 per 1000 person-years) and 12 years for girls (33.72 per 1000 person-years).For male 0-19 year-olds the three main sports were (in order) football (soccer), rugby union and rugby league and for females, trampoline, netball and horse-riding. The largest sex differences were in netball where injuries were predominantly in females and in wheeled motor-sports where injuries were predominantly in males.Almost a quarter of ED sport-related injuries recorded were fractures, the highest percentage to the upper limbs.ConclusionsLocal authorities should consider targeting sport injury prevention at children in the first four years of secondary school. For younger age groups, trampolines in the home warrant improved safety. Rugby and horse-riding should also be a focus for interventions.


Publication metadata

Author(s): Kirkwood G, Hughes CH, Pollock AM

Publication type: Article

Publication status: In Press

Journal: Journal of the Royal Society of Medicine

Year: 2018

Acceptance date: 02/10/2018

Publisher: Sage


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