TY  - JOUR
PY  - 2022//
TI  - Characteristics and outcomes of severe sports-related injury in children and adults: a nationwide cohort study in Japan
JO  - European journal of trauma and emergency surgery
A1  - Nakao, Shunichiro
A1  - Katayama, Yusuke
A1  - Kitamura, Tetsuhisa
A1  - Tanaka, Kenta
A1  - Hirose, Tomoya
A1  - Tachino, Jotaro
A1  - Ishida, Kenichiro
A1  - Ojima, Masahiro
A1  - Kiguchi, Takeyuki
A1  - Umemura, Yutaka
A1  - Kiyohara, Kosuke
A1  - Oda, Jun
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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. <br><br>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. <br><br>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. <br><br>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.<p />  <p>Language: en</p>
LA  - en
SN  - 1863-9933
UR  - http://dx.doi.org/10.1007/s00068-022-02144-1
ID  - ref1
ER  -