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

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European Journal of Trauma and Emergency Surgery Aims and scope Submit manuscript

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.

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Availability of data and material

The data that support the findings of this study are available from the JTDB, but the availability of these data is restricted.

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Acknowledgements

The authors gratefully acknowledge the emergency medical service personnel, nurses, emergency physicians, and healthcare workers who participated in the JTDB. This study was funded by The General Insurance Association of Japan. This article was supported by the Clinical Investigator’s Research Project at Osaka University Graduate School of Medicine.

Funding

This research was funded by a grant from The Descente And Ishimoto Memorial Foundation For The Promotion Of Sports Science, Osaka, Japan (no grant number applies).

Author information

Authors and Affiliations

  1. Department of Traumatology and Acute Critical Medicine, Osaka University Graduate School of Medicine, 2-15 Yamadaoka, Suita, Osaka, 565-0871, Japan

    Shunichiro Nakao, Yusuke Katayama, Tomoya Hirose, Jotaro Tachino & Jun Oda

  2. Division of Environmental Medicine and Population Sciences, Department of Social and Environmental Medicine, Osaka University Graduate School of Medicine, Suita, Japan

    Tetsuhisa Kitamura & Kenta Tanaka

  3. Traumatology and Critical Care Medical Center, National Hospital Organization Osaka National Hospital, Osaka, Japan

    Kenichiro Ishida & Masahiro Ojima

  4. Division of Trauma and Surgical Critical Care, Osaka General Medical Center, Osaka, Japan

    Takeyuki Kiguchi & Yutaka Umemura

  5. Department of Food Science, Faculty of Home Economics, Otsuma Women’s University, Tokyo, Japan

    Kosuke Kiyohara

Authors
  1. Shunichiro Nakao
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  2. Yusuke Katayama
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Contributions

SN conceived the study. SN, YK, and KT participated in the data curation. SN, YK, and TKit. structured the methods and the statistical analysis. SN prepared the manuscript. SN, YK, TKit, KT, TH, JT, KI, MO, TKig, YU, KK, and JO performed the data interpretation. All authors critically reviewed and approved the final version of the manuscript.

Corresponding author

Correspondence to Shunichiro Nakao.

Ethics declarations

Conflicts of interest

All the authors have no conflict of interest to declare.

Consent for publication

Patient consent was waived due to the anonymous nature of the data.

Ethics approval

The protocol was approved by the Ethics Committee of Osaka University as the corresponding institution. The requirement for informed consent of patients was waived.

Consent to participate

Since it is an analysis of anonymous data, according to the ethics committee dispositions, no informed consent was needed.

Consent for publication

Since it is an analysis of anonymous data, according to the ethics committee dispositions, no informed consent was needed.

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Nakao, S., Katayama, Y., Kitamura, T. et al. Characteristics and outcomes of severe sports-related injury in children and adults: a nationwide cohort study in Japan. Eur J Trauma Emerg Surg 49, 893–901 (2023). https://doi.org/10.1007/s00068-022-02144-1

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  • DOI: https://doi.org/10.1007/s00068-022-02144-1

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