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    Sport and recreation-related injuries and fracture occurrence among emergency department attendees: implications for exercise prescription and injury prevention.

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    Authors
    Falvey, E C
    Eustace, J
    Whelan, B
    Molloy, M S
    Cusack, S P
    Shanahan, F
    Molloy, M G
    Affiliation
    Department of Rheumatology, Sports and Exercise Medicine, Cork University Hospital, Wilton, Cork, Ireland. e.falvey@ireland.com
    Issue Date
    2009-08
    MeSH
    Adolescent
    Adult
    Athletic Injuries
    Child
    Child, Preschool
    Emergency Service, Hospital
    Exercise Therapy
    Female
    Fractures, Bone
    Humans
    Ireland
    Male
    Prospective Studies
    Recreation
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    Citation
    Sport and recreation-related injuries and fracture occurrence among emergency department attendees: implications for exercise prescription and injury prevention. 2009, 26 (8):590-5 Emerg Med J
    Journal
    Emergency medicine journal : EMJ
    URI
    http://hdl.handle.net/10147/200966
    DOI
    10.1136/emj.2008.062315
    PubMed ID
    19625558
    Abstract
    To investigate the epidemiology of sports and recreation-related injury (SRI) among emergency department (ED) attendees.
    Descriptive epidemiology study.
    An Irish university hospital ED.
    All patients aged over 4 years attending a large regional ED, during a 6-month period, for the treatment of SRI were prospectively surveyed.
    In all cases identified as SRI the attending physician completed a specifically designed questionnaire. It was postulated that recreation-related injury is a significant proportion of reported SRI.
    Fracture rate was highest in the 4-9-year age group (44%). On multivariate logistic regression the adjusted odds ratio (OR; 95% CI) of fracture was higher for children (vs adults) at 1.21 (1.0 to 1.45). The adjusted OR was higher for upper-limb 5.8 (4.5 to 7.6) and lower-limb injuries 1.87 (1.4 to 2.5) versus axial site of injury and for falls 2.2 (1.6 to 2.9) and external force 1.59 (1.2 to 2.1) versus an overextension mechanism of injury. In the same model, "play" was independently associated with fracture risk, adjusted OR 1.98 (1.2 to 3.0; p = 0.001) versus low-risk ball sports 1.0 (reference); an effect size similar to that seen for combat sports 1.96 (1.2 to 3.3; p = 0.01) and greater than that seen for presumed high-risk field sports 1.4 (0.9 to 2.0)
    Fall and subsequent upper-limb injury was the commonest mechanism underlying SRI fracture. Domestic "play" in all age groups at the time of injury accorded a higher fracture risk than field sports. Patient education regarding the dangers of unsupervised play and recreation represents a means of reducing the burden of SRI.
    Item Type
    Article
    Language
    en
    ISSN
    1472-0213
    ae974a485f413a2113503eed53cd6c53
    10.1136/emj.2008.062315
    Scopus Count
    Collections
    Cork University Hospital

    entitlement

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