Sport-related major trauma incidence in young people and adults in England and Wales: a national registry-based study

M.A.M. Davies, Tom Lawrence, Antoinette Edwards, Carly McKay, Fiona Lecky , Keith Stokes, Sean Williams

Research output: Contribution to journalArticlepeer-review

1 Citation (SciVal)

Abstract

Objectives: Data on sport and physical activity (PA) injury risk can guide intervention and prevention efforts. However, there are limited national-level data, and no estimates for England or Wales. This study sought to estimate sport and PA-related major trauma incidence in England and Wales.

Methods: Nationwide, hospital registry-based cohort study between January 2012 and December 2017. Following Trauma Audit Research Network (TARN) Registry research committee approval, data were extracted in April 2018 for people ≥16 years of age, admitted following sport or PA-related injury in England and Wales. The population-based Active Lives Survey was used to estimate national sport and PA participation (i.e., running, cycling, fitness activities). The cumulative injury incidence rate was estimated for each activity. Injury severity was described by Injury Severity Score (ISS) ≥15.

Results: 11,702 trauma incidents occurred (mean age 41.2 ± 16.2 years, 59.0% male), with an ISS ≥15 for 28.0% of cases, and 1.3% were fatal. The overall annual injury incidence rate was 5.4 injuries per 100,000 participants. The incidence rate was higher in men (6.4 per 100,000) than women (3.3 per 100,000), and for sporting activities (9.8 per 100,000) than cycling (2.81 per 100,000), fitness (0.21 per 100,000) or walking (0.03 per 100,000). The highest annual incidence rate activities were motorsports (532 per 100,000), equestrian (235 per 100,000), and gliding (191 per 100,000).

Conclusion: Injury incidence was higher in motorsports, equestrian activity and gliding. Targeted prevention in high-risk activities may reduce admissions and their associated burden, facilitating safer sport and PA participation.
Original languageEnglish
Number of pages8
JournalInjury Prevention
Early online date24 Oct 2023
DOIs
Publication statusPublished - 31 Dec 2023

Bibliographical note

Funding This project was funded by the British Medical Association.

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