Abstract
BackgroundPhysical activity is an important component of healthy lifestyles, with a central role in morbidity prevention. However, sporting and physical activity also involve an inherent injury risk. Some sports and activities have a higher injury risk, and may involve more severe injuries. Furthermore, injuries of a severe nature have substantial individual and societal consequences, including the burden of assessment, treatment, and potential on-going care costs. There are limited data on severe sports injury risk in England and Wales, and no national data describing risk across sports. The aims of this study are to identify the cases and incidence of: i) paediatric and ii) adult severe sports injury from 2012 to 2017; and to describe injury incidence in individual sports.MethodsThis study is an analysis of prospectively collected sport-related injuries, treated from January 2012 to December 2017. Incidents involving a severe injury (in-patient trauma care) in England and Wales, will be identified from the Trauma Audit Research Network registry. Data for patients who were: transfers or direct hospital admissions, with inpatient stays of ≥3 days, admissions to High Dependency areas, or in-hospital mortality after admission; and whose injury mechanism was sport, or incident description included one of 62 sporting activities, will be extracted. Data will be categorised by sport, and sports participation data will be derived from Sport England participation surveys. Descriptive statistics will be estimated for all demographic, incident, treatment and sport fields, and crude serious annual injury incidence proportions estimated. Poisson confidence intervals will be estimated for each sport and used to describe injury risk (incidence) across sporting activities.DiscussionThis study will be the first to describe the number of, and trends in severe sport-related injuries in England and Wales. These data are useful to monitor the number and burden of severe sports injury, and inform injury prevention efforts. The monitoring and mitigation of sports injury risk is essential for individuals, health services and policy, and to encourage physically active lifestyles and safer participation for adults and children.
Highlights
Physical activity is an important component of healthy lifestyles, with a central role in morbidity prevention
Sport and physical activity are associated with many health benefits. (Eime et al, 2013; The Department of Health, 2011; Warburton et al, 2006) participation involves an inherent risk of injury
Crude cumulative serious injury incidence will be estimated by dividing the mean annual number of serious injuries per year over the 6 year period, by the number of people participating in overall sporting activity per year, for 2012, 2013, 2014, 2015, 2016 and 2017 These data will be reported as i) the rate of severe injury per 100,000 participants per year, and ii) the rate of severe injury per 100,000 participants for each sporting activity
Summary
Physical activity is an important component of healthy lifestyles, with a central role in morbidity prevention. Data recorded for TARN-eligible incidents includes: date of admission, date of incident, geographic location of incident, incident location type (such as farm, public area, home, institution etc), time of admission, patient sex, patient date of birth, injury detail such as length, depth or grade of lacerations, fracture detail, blood loss, Abbreviate Injury Score, Injury Severity Score, diagnostic and treatment information, such as the use of CT scans and radiographs, Emergency Department observations and interventions, Operation details, outcome at discharge (alive, discharged to, readmission, Glasgow Outcome Scale), and rehabilitation prescription if applicable. These TARN-recorded injuries are by definition severe, representing those that require medical intervention and inpatient treatment, specialist treatment or highdependency facilities
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