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Thursday, Mar 21, 2013, 8:00 AM - 5:30 PM
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McCormick Place, Academy Hall B
The Trend of Pediatric Sports and Recreational Injuries in the U.S. in the Last Decade
Trauma / Fractures
, MD, Cincinnati, Ohio
INTRODUCTION: In 2000, the CDC reported the top eight sports and activities responsible for injuries in 5-14 year age group; their treatment cost over 33 billion U.S. dollars. There is an apparent increase in pediatric sports and recreational activity-related injuries in the U.S. in the last decade. The aim of the current study was to compare injuries in 2000 to injuries sustained in 2005 and 2010 to recognize the trend of pediatric sports injuries in the U.S. in the last decade.
METHODS: The National Electronic Injury Surveillance System was queried for injuries sustained in the 5-14 year age group for eight sports/activities for the year 2000, 2005 and 2010. These eight sports/activities included bicycle, basketball, football, roller sports (in-line skates, roller skates, skateboards and scooters), playground equipment (monkey bars, swings and slides), baseball/softball, soccer and trampolines. The U.S. census population estimates were used to calculate injury incidence rates for each sport for the corresponding year.
RESULTS: For 2005 and 2010, there was 14.1% and 11.3% DECREASE in the number of injuries from top eight sports/activities in the 5-14 year age group, respectively, when compared to injuries in 2000 (Fig 1). This corresponded with 12.7% (2005) and 8.2% (2010) DECREASE in all injuries in the 5-14 year age group (Fig 2). Controlling for total population of 5-14 year age group in the U.S., the total injury incidence rate for all eight sports/activities decreased from 32.2/1000 person-year in 2000 to 28.5/1000 person-year in 2010. Sports specific injuries decreased in five of eight sports/activities. The maximal decrease in injuries was seen in bicycle (38.1%), roller sports (20.8%) and trampolines (17.5%). Football, soccer and playground injuries increased by 22.8%, 10.8% and 4.8% respectively. For ‘ball’ sports (basketball, football, baseball, soccer) there was a 5.5% increase in injuries in 2010 and for recreational activities (bicycle, roller sports, playground activities, trampolines) there was a 24.9% decrease in injuries in 2010, compared to 2000.
DISCUSSION AND CONCLUSION: The perception that pediatric sports and recreational injuries in the U.S. have increased in the last decade is not true. The apparent increase in these injuries as reported by physicians, may be due to increased severity of injuries, increased overuse injuries or increased diagnosis, but is not due to increase in the number of acute injuries. The decrease in bicycle, roller sports and trampoline injuries may reflect the efficacy of preventive programs. Understanding the trend of pediatric sports and recreational injuries in the U.S. in the last decade can help future injury prevention efforts through patient education, research and regulatory programs to promote safe play in children.
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