TY  - JOUR
PY  - 2017//
TI  - Incidence of sport-related internal organ injuries due to direct contact mechanisms among high school and collegiate athletic participants across three national surveillance systems (Abstract 54)
JO  - Injury prevention
A1  - Kucera, Kristen
A1  - Currie, Dustin
A1  - Wasserman, Erin
A1  - Kerr, Zachary Y.
A1  - Thomas, Leah
A1  - Paul, Stephen
A1  - Comstock, Dawn
SP  - A20
EP  - A21
VL  - 23
IS  - Suppl 1
N2  - PURPOSE Describe the incidence and characteristics of sport-related internal organ injuries due to direct contact mechanisms among high school (HS) and collegiate athletic participants from 2005/06-2014/15.     Methods Data from three national sports injury surveillance systems were analysed: High School Reporting Information Online (RIO; HS), National Collegiate Athletic Association Injury Surveillance Program (ISP; college), and the National Centre for Catastrophic Sport Injury Research (NCCSIR; college and HS). Internal organ injuries were defined as: affecting the internal organs (e.g., kidney, lung); due to direct contact mechanism; resulting in medical care and time loss of 1 or more days (RIO and ISP) or temporary or permanent disability or death (NCCSIR). Descriptive statistics (stratified by surveillance system) included frequencies and incidence rates per 1,000,000 athlete-exposures and 95% confidence intervals (IR: 95% CI).     Results During the ten-year period, 174 internal organ injuries were captured across the three systems: 124 HS (RIO); 41 collegiate (ISP); and 9 catastrophic (NCCSIR). Most non-catastrophic internal organ injuries occurred among males (85% RIO; 89% ISP), in football (65% RIO; 58% ISP), during competition (67% RIO; 49% ISP) and due to player-player contact (78% RIO; 68% ISP). The highest rates of injury were in male contact sports: RIO: HS football (IR=11.7: 9.1-14.2), HS lacrosse (IR=10.0: 3.1-16.9); ISP: college football (IR=8.3: 5.0-11.6), college ice hockey (IR=7.9: 1.0-14.7). A quarter of internal organ injuries were season-ending (25% RIO; 23% ISP). Of the 9 catastrophic injuries (NCCSIR), most occurred in high school (7/9) and football (7/9) and were due to player-player contact (6/9). Four resulted in death and 5 resulted in disability.     Conclusions Direct contact internal organ injuries occur infrequently, yet when they do occur, may result in severe outcomes.     Significance These findings suggest early recognition and a better understanding of the activities associated with the event and use/non-use of protective equipment is needed.<p />  <p>Language: en</p>
LA  - en
SN  - 1353-8047
UR  - http://dx.doi.org/10.1136/injuryprev-2017-042560.54
ID  - ref1
ER  -