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논문 기본 정보

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학술저널
저자정보
최동현 (서울대학교) 송경준 (서울특별시보라매병원) 신상도 (서울대학교) 노영선 (서울대학교병원) 홍기정 (서울대학교병원) 박정호 (서울대학교병원 응급의학과)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.34 No.44
발행연도
2019.1
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1 - 14 (14page)

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Background: Traumatic brain injury (TBI) is one of the leading causes of pediatric disability that results in many emergency department visits. The risk of TBI is high while playing sports. The aim of this study was to examine the demographics and clinical characteristics of sports-related TBI. Methods: We performed a multicenter observational study using the Emergency Department–Based Injury In-Depth Surveillance database in Korea. Patients aged 5 to 18 years old, who sustained unintentional, sports-related head injuries between January 2011 and December 2016 were included. The type of sports was the main variable of interest, and it was classified into 6 categories. The primary outcome was TBI, and the secondary outcome was intracranial injury and hospital admission. A multivariable logistic regression analysis was performed to calculate the adjusted odds ratios (aORs) with 95% confidence intervals for the outcomes by sports type. Results: Of the 1,537,617 injured patients, 10,717 (0.7%) patients were included in the study. Most of the patients were male (87.5%), and the most prevalent sports type was field sports (51.2%). The proportion of TBI, intracranial injury, and admission were 15.7%, 1.2%, and 3.5%, respectively. The aORs of TBI, intracranial injury, and admission in bicycle and street sports compared to field sports were 1.77 (1.37–2.28), 4.99 (2.62–9.50), and 2.27 (1.42–3.61) respectively. Conclusion: This is the first nationwide epidemiologic study of pediatric sports-related TBI in Korea. The ratios of TBI, intracranial injury and admission were highest in bicycle and street sports. Prevention strategies for pediatric sports-related TBI can be developed according to sports types.
#Traumatic Brain Injury #Sports #Children

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참고문헌 (26)

참고문헌 신청
Yue JK / 2016 / Pediatric sports-related traumatic brain injury in United States trauma centers / Neurosurg Focus 40(4):E3 google schola Sheu Y / 2014 / Sports- and Recreation-related Injury Episodes in the United States, 2011–2014 / Natl Health Stat Rep (99):1~12 google schola Haring RS / 2015 / Trends in incidence and severity of sports-related traumatic brain injury (TBI) in the emergency department, 2006–2011 / Brain Inj 29(7-8):989~992 google schola Sarmiento K / 2019 / Emergency department visits for sports-and recreation-related traumatic brain injuries among children-United States, 2010–2016 / MMWR Morb Mortal Wkly Rep 68(10):237~242 google schola 김한범 / 2012 / Epidemiology of Traumatic Head Injury in Korean Children / Journal of Korean Medical Science 27(4):437~442 google schola

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