Evidence map›Paper›PMID 29318177›Full record

ArticleOrthopaedic journal of sports medicine2018

Injury Recurrence Among High School Athletes in the United States: A Decade of Patterns and Trends, 2005-2006 Through 2015-2016.

K Linnea Welton, Matthew J Kraeutler, Lauren A Pierpoint, Justin H Bartley, Eric C McCarty, R Dawn Comstock

Open access · goldAbstract read
In one paragraph

Article in Orthopaedic journal of sports medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.6field-weighted citation impact, top 8% 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

14 citing papers in PubMed, 31 citations in OpenAlex.

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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

6 authors at 3 institutions in 1 country.

K Linnea WeltonDepartment of Orthopedics, University of Colorado School of Medicine, Aurora, Colorado, USA.
Matthew J KraeutlerDepartment of Orthopaedics, Seton Hall-Hackensack Meridian School of Medicine, South Orange, New Jersey, USA.
Lauren A PierpointDepartment of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz, Aurora, Colorado, USA.
Justin H BartleyDepartment of Orthopedics, University of Colorado School of Medicine, Aurora, Colorado, USA.
Eric C McCartyDepartment of Orthopedics, University of Colorado School of Medicine, Aurora, Colorado, USA.
R Dawn ComstockDepartment of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz, Aurora, Colorado, USA.
University of Colorado Denver · USColorado School of Public Health · USSeton Hall University · US

Funding

(CDC R49) Center for Injury Research and PolicyR49CE002106 · CE · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI SMITH, GARY A. · 2012 to 2018
$5.5M
Center for Injury Research and PolicyR49CE001172 · CE · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI SMITH, GARY A. · 2008 to 2011
$3.2M
High School Sports Injury Surveillance-Incidence/exposurR49CE000674 · CE · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI COMSTOCK, R DAWN · 2005 to 2005
–
NCIPC CDC HHS R49 CE000674NCIPC CDC HHS R49 CE001172NCIPC CDC HHS R49 CE002106
6 · The paper itself

Abstract

backgroundAs participation in high school athletics increases, so does the number of adolescents experiencing sports-related injury. Understanding injury patterns is an important component to developing and evaluating prevention and rehabilitation programs. PURPOSE: To analyze recurrent injury rates and patterns among high school athletes, to compare recurrent injuries with new injuries, and to evaluate injury trends over time. STUDY

designDescriptive epidemiology study.

methodsHigh school sports injury data on 24 sports were collected from 2005-2006 through 2015-2016 via the High School RIO (Reporting Information Online) surveillance system. Injury rates were calculated as number of injuries per 10,000 athletic exposures (AEs). Injury rate ratios and injury proportion ratios (IPRs) were calculated to compare differences among subgroups.

resultsOverall, 78,005 injuries were sustained during 40,195,806 AEs, for an injury rate of 19.41 per 10,000 AEs. Of these, 69,821 (89.5%) were new injuries, and 8184 (10.5%) were recurrent. The ankle was the most commonly injured body part among recurrent injuries, while the head/face was the most common body part that sustained new injuries. Ligament sprains were more often recurrent, while concussions were more commonly diagnosed as new, although concussions represented 16.7% of recurrent injuries. Trends for recurrent injuries over time were relatively stable. The proportion of athletes who had >3 weeks of time loss or medical disqualification (15.8% vs 13.3%; IPR, 1.19; 95% CI, 1.13-1.26) or who voluntarily withdrew from sport (2.5% vs 1.1%; IPR, 2.33; 95% CI, 2.00-2.73) was significantly greater for recurrent injuries than new injuries. Furthermore, a greater proportion of recurrent injuries resulted in surgery (8.1% vs 6.0%; IPR, 1.34; 95% CI, 1.24-1.46).

conclusionAlthough only 10.5% of all injuries were recurrent, they more frequently resulted in missing >3 weeks of playing time and were more often managed surgically when compared with new injuries. The rate of recurrent injuries has not increased over the past decade.

Indexed as

epidemiologyHigh School RIOinjuryrecurrent injuryreinjury

Identifiers

PMID29318177
PMCPMC5755801
OpenAlexW2781805261

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.