Evidence map›Paper›PMID 23603654›Full record

ArticlePediatric emergency care2013

A substantial proportion of life-threatening injuries are sport-related.

William P Meehan, Rebekah Mannix

Abstract read
In one paragraph

Article in Pediatric emergency care, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
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  16. Pancreatic and Duodenal Trauma in Children.Journal of pediatric intensive care · 2015
    Review
  17. Risk of athletes with Chiari malformations suffering catastrophic injuries during sports participation is low.Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine · 2015
    Article
  18. Evaluation and treatment of trauma related collapse in athletes.Current reviews in musculoskeletal medicine · 2014
    Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

William P MeehanThe Micheli Center for Sports Injury Prevention, Waltham, MA, USA. william.meehan@childrens.harvard.edu
Rebekah Mannix
The Micheli Center for Sports Injury Prevention · US

Funding

The Child Heath Research CenterK12HD052896 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI Wendy K Chung · 2007 to 2026
$7.9M
RESEARCH TRAINING IN PEDIATRIC EMERGENCY MEDICINET32HD040128 · NICHD · CHILDREN'S HOSPITAL BOSTON · PI Kenneth D. Mandl · 2001 to 2026
$5.0M
NICHD NIH HHS K12 HD052896NICHD NIH HHS K12 HD052896-01A1NICHD NIH HHS T32 HD040128NICHD NIH HHS T32 HD040128-06A1NINDS NIH HHS L40 NS071604
6 · The paper itself

Abstract

objectiveThis study aimed to assess the proportion of all life-threatening injuries that are sport-related.

methodsWe conducted a cross-sectional study of patients included in the National Hospital Ambulatory Medical Care Survey during the years 1999 to 2008. Life-threatening injuries were defined according to the International Classification of Diseases, Ninth Revision codes: skull fracture (800.x-802.xx, 803.x-804.xx), cervical spine fractures (805.xx-806.10), intracranial hemorrhage (852.xx-853.xx), traumatic pneumothorax/hemothorax (860.00-860.05), liver lacerations (864.xx), spleen lacerations (865.xx), aortic rupture (901.0; 902.0), gastric/duodenal rupture (537.89), heat stroke (992.0), and commotio cordis/heart contusion (861.01). Sport-related was defined by the external cause of injury codes, confirmed by text search.

resultsThere were 300,394 observed emergency department visits during the study period. An estimated 0.5% (95% confidence interval [CI], 0.5%-0.6%) of all emergency department visits nationally were for life-threatening injuries. Of the life-threatening injuries, 14% (95% CI, 12%-17) were sport-related, representing 926,805 sport-related, life-threatening injuries nationally. A higher percentage (32%; 95% CI, 27%-38%) of life-threatening injuries sustained by children was sport-related when compared with adults (9%; 95% CI, 7%-11%). For adults aged 19 to 44 years, 12% (95% CI, 9%-15%) of life-threatening injuries were sport-related. For children aged 6 to 18 years, 39% (95% CI, 33%-46%) of life-threatening injuries were sport-related. Nearly a quarter (23%; 95% CI, 7%-55%) of pediatric cervical spine fractures was sport-related. The percentage of cervical spine fractures that were sport-related was lower for adults (7%; 95% CI, 4%-11%).

conclusionsEfforts should be made to prevent the number of sport-related, life-threatening injuries.

Indexed as

AdolescentAdultAthletic InjuriesCervical VertebraeChildChild, PreschoolCross-Sectional StudiesEmergency Service, HospitalFemaleHeart InjuriesHumansInfantInternational Classification of DiseasesIntracranial HemorrhagesMaleRetrospective Studies

Identifiers

PMID23603654
PMCPMC3644356
OpenAlexW2054289525

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.