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The First Decade of Web-Based Sports Injury Surveillance: Descriptive Epidemiology of Injuries in US High School Boys' Ice Hockey (2008-2009 Through 2013-2014) and National Collegiate Athletic Association Men's and Women's Ice Hockey (2004-2005 Through 2013-2014).
J Athl Train 2018; 53(12):1129-1142JA

Abstract

CONTEXT

Web-based sports injury surveillance via programs such as the High School Reporting Information Online system and the National Collegiate Athletic Association Injury Surveillance Program has aided efforts to collect data on ice hockey injuries.

OBJECTIVE

To describe the epidemiology of injuries sustained in high school boy's ice hockey in the 2008-2009 through 2013-2014 academic years and collegiate men's and women's ice hockey in the 2004-2005 through 2013-2014 academic years using Web-based surveillance.

DESIGN

Descriptive epidemiology study.

SETTING

Online injury surveillance of ice hockey teams of high school boys (annual average = 34), collegiate men (annual average = 20), and collegiate women (annual average = 11).

PATIENTS OR OTHER PARTICIPANTS

Boys', men's, and women's ice hockey players who participated in practices and competitions during the 2008-2009 through 2013-2014 high school academic years or the 2004-2005 through 2013-2014 collegiate academic years.

MAIN OUTCOME MEASURE(S)

Athletic trainers collected time-loss (≥24 hours) injury and exposure data. We calculated injury rates per 1000 athlete-exposures (AEs), injury rate ratios (IRRs) with 95% confidence intervals (CIs), and injury proportions by body site and diagnosis.

RESULTS

The High School Reporting Information Online system documented 831 boys' ice hockey time-loss injuries during 356 997 AEs; the National Collegiate Athletic Association Injury Surveillance Program documented 2611 men's ice hockey time-loss injuries during 552 642 AEs and 752 women's ice hockey injuries during 232 051 AEs. Injury rates were higher in collegiate men than in high school boys during 2008-2009 through 2013-2014 (4.38 versus 2.33/1000 AEs; IRR = 1.88; 95% CI = 1.73, 2.05) and collegiate women during 2004-2005 through 2013-2014 (IRR = 1.46; 95% CI = 1.34, 1.58). Most injuries occurred during competitions (boys = 80.0%, men = 66.9%, women = 55.3%); injury rates were higher in competitions than in practices for boys (IRR = 8.14; 95% CI = 6.87, 9.65), men (IRR = 6.58; 95% CI = 6.06, 7.13), and women (IRR = 3.63; 95% CI = 3.14, 4.19). At all levels, most injuries occurred to the head/face and shoulder/clavicle and resulted in concussions, contusions, or ligament sprains.

CONCLUSIONS

Injury rates varied across sports but were consistently higher in competitions than in practices. In competitions, concussions were common injuries, highlighting the need for continued development of injury-prevention strategies.

Authors+Show Affiliations

Department of Kinesiology, University of Georgia, Athens.Department of Exercise and Sport Science, University of North Carolina at Chapel Hill.Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz, Aurora.Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz, Aurora.Palo Alto Medical Foundation Research Institute, CA.Datalys Center for Sports Injury Research and Prevention, Inc, Indianapolis, IN.Department of Athletic Training, Lebanon Valley College, Annville, PA.Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz, Aurora. Department of Pediatrics, University of Colorado School of Medicine, Aurora.Department of Epidemiology, University of North Carolina at Chapel Hill. Injury Prevention Research Center, University of North Carolina at Chapel Hill.Department of Exercise and Sport Science, University of North Carolina at Chapel Hill. Injury Prevention Research Center, University of North Carolina at Chapel Hill.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30721630

Citation

Lynall, Robert C., et al. "The First Decade of Web-Based Sports Injury Surveillance: Descriptive Epidemiology of Injuries in US High School Boys' Ice Hockey (2008-2009 Through 2013-2014) and National Collegiate Athletic Association Men's and Women's Ice Hockey (2004-2005 Through 2013-2014)." Journal of Athletic Training, vol. 53, no. 12, 2018, pp. 1129-1142.
Lynall RC, Mihalik JP, Pierpoint LA, et al. The First Decade of Web-Based Sports Injury Surveillance: Descriptive Epidemiology of Injuries in US High School Boys' Ice Hockey (2008-2009 Through 2013-2014) and National Collegiate Athletic Association Men's and Women's Ice Hockey (2004-2005 Through 2013-2014). J Athl Train. 2018;53(12):1129-1142.
Lynall, R. C., Mihalik, J. P., Pierpoint, L. A., Currie, D. W., Knowles, S. B., Wasserman, E. B., ... Kerr, Z. Y. (2018). The First Decade of Web-Based Sports Injury Surveillance: Descriptive Epidemiology of Injuries in US High School Boys' Ice Hockey (2008-2009 Through 2013-2014) and National Collegiate Athletic Association Men's and Women's Ice Hockey (2004-2005 Through 2013-2014). Journal of Athletic Training, 53(12), pp. 1129-1142. doi:10.4085/1062-6050-176-17.
Lynall RC, et al. The First Decade of Web-Based Sports Injury Surveillance: Descriptive Epidemiology of Injuries in US High School Boys' Ice Hockey (2008-2009 Through 2013-2014) and National Collegiate Athletic Association Men's and Women's Ice Hockey (2004-2005 Through 2013-2014). J Athl Train. 2018;53(12):1129-1142. PubMed PMID: 30721630.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The First Decade of Web-Based Sports Injury Surveillance: Descriptive Epidemiology of Injuries in US High School Boys' Ice Hockey (2008-2009 Through 2013-2014) and National Collegiate Athletic Association Men's and Women's Ice Hockey (2004-2005 Through 2013-2014). AU - Lynall,Robert C, AU - Mihalik,Jason P, AU - Pierpoint,Lauren A, AU - Currie,Dustin W, AU - Knowles,Sarah B, AU - Wasserman,Erin B, AU - Dompier,Thomas P, AU - Comstock,R Dawn, AU - Marshall,Stephen W, AU - Kerr,Zachary Y, PY - 2019/12/01/pmc-release PY - 2019/2/6/entrez PY - 2019/2/6/pubmed PY - 2019/5/14/medline KW - concussions KW - injury rate KW - ligament sprains KW - musculoskeletal injuries SP - 1129 EP - 1142 JF - Journal of athletic training JO - J Athl Train VL - 53 IS - 12 N2 - CONTEXT: Web-based sports injury surveillance via programs such as the High School Reporting Information Online system and the National Collegiate Athletic Association Injury Surveillance Program has aided efforts to collect data on ice hockey injuries. OBJECTIVE: To describe the epidemiology of injuries sustained in high school boy's ice hockey in the 2008-2009 through 2013-2014 academic years and collegiate men's and women's ice hockey in the 2004-2005 through 2013-2014 academic years using Web-based surveillance. DESIGN: Descriptive epidemiology study. SETTING: Online injury surveillance of ice hockey teams of high school boys (annual average = 34), collegiate men (annual average = 20), and collegiate women (annual average = 11). PATIENTS OR OTHER PARTICIPANTS: Boys', men's, and women's ice hockey players who participated in practices and competitions during the 2008-2009 through 2013-2014 high school academic years or the 2004-2005 through 2013-2014 collegiate academic years. MAIN OUTCOME MEASURE(S): Athletic trainers collected time-loss (≥24 hours) injury and exposure data. We calculated injury rates per 1000 athlete-exposures (AEs), injury rate ratios (IRRs) with 95% confidence intervals (CIs), and injury proportions by body site and diagnosis. RESULTS: The High School Reporting Information Online system documented 831 boys' ice hockey time-loss injuries during 356 997 AEs; the National Collegiate Athletic Association Injury Surveillance Program documented 2611 men's ice hockey time-loss injuries during 552 642 AEs and 752 women's ice hockey injuries during 232 051 AEs. Injury rates were higher in collegiate men than in high school boys during 2008-2009 through 2013-2014 (4.38 versus 2.33/1000 AEs; IRR = 1.88; 95% CI = 1.73, 2.05) and collegiate women during 2004-2005 through 2013-2014 (IRR = 1.46; 95% CI = 1.34, 1.58). Most injuries occurred during competitions (boys = 80.0%, men = 66.9%, women = 55.3%); injury rates were higher in competitions than in practices for boys (IRR = 8.14; 95% CI = 6.87, 9.65), men (IRR = 6.58; 95% CI = 6.06, 7.13), and women (IRR = 3.63; 95% CI = 3.14, 4.19). At all levels, most injuries occurred to the head/face and shoulder/clavicle and resulted in concussions, contusions, or ligament sprains. CONCLUSIONS: Injury rates varied across sports but were consistently higher in competitions than in practices. In competitions, concussions were common injuries, highlighting the need for continued development of injury-prevention strategies. SN - 1938-162X UR - https://www.unboundmedicine.com/medline/citation/30721630/The_First_Decade_of_Web_Based_Sports_Injury_Surveillance:_Descriptive_Epidemiology_of_Injuries_in_US_High_School_Boys'_Ice_Hockey__2008_2009_Through_2013_2014__and_National_Collegiate_Athletic_Association_Men's_and_Women's_Ice_Hockey__2004_2005_Through_2013_2014__ L2 - https://medlineplus.gov/sportsinjuries.html DB - PRIME DP - Unbound Medicine ER -