Incidence, costs, and temporal trends of sports injury-related hospitalisations in Australian children over a 10-year period: a nationwide population-based cohort study

Reidar P. Lystad, Kate Curtis, Gary J. Browne, Rebecca J. Mitchell

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Objectives: To quantify and describe the incidence, cost, and temporal trends of sports injury-related hospitalisations in Australian children over a 10-year period.

Design: Retrospective population-based cohort study.

Methods: This study used linked hospitalisation and mortality data of children aged ≤16 years who were hospitalised for sports-related injury in Australia from 1 July 2002 to 30 June 2012. Age-standardised incidence rates were calculated with 95% confidence intervals (CI). Negative binomial regression was used to examine change in temporal trends in incidence rates.

Results: There were 130,167 sports injury-related hospitalisations during the 10-year study period. The overall annual incidence rate was 281.0 (95%CI: 279.5, 282.6) per 100,000 population. Males and older children were more frequently hospitalised than their female and younger counterparts. The most common sports activities resulting in hospitalisation were team ball sports (43.1%) and wheeled non-motor sport (22.3%). There was no significant annual decline in the overall incidence rate during the 10-year study period (−1.05% [95%CI: −3.01%, 0.95%]). The estimated hospital treatment costs were $39.6 million per year, with an estimated mean cost per child of $3058.

Conclusions: There has been no significant decline in sports injury-related hospitalisation rates among Australian children during 2002–03 to 2011–12. This may suggest that sports injury prevention initiatives in Australia to date have been inadequate to produce population-level reduction in sports injury-related hospitalisations. It is recommended that a national injury prevention strategy to reduce the burden of sports injuries among Australian children is developed and implemented.
LanguageEnglish
Pages175-180
Number of pages6
JournalJournal of Science and Medicine in Sport
Volume22
Issue number2
Early online date4 Aug 2018
DOIs
Publication statusPublished - 1 Feb 2019

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Athletic Injuries
Hospitalization
Cohort Studies
Costs and Cost Analysis
Incidence
Population
Sports
Confidence Intervals
Child Mortality
Hospital Costs
Health Care Costs
Wounds and Injuries

Keywords

  • sports injury
  • epidemiology
  • injury prevention
  • data linkage

Cite this

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title = "Incidence, costs, and temporal trends of sports injury-related hospitalisations in Australian children over a 10-year period: a nationwide population-based cohort study",
abstract = "Objectives: To quantify and describe the incidence, cost, and temporal trends of sports injury-related hospitalisations in Australian children over a 10-year period.Design: Retrospective population-based cohort study.Methods: This study used linked hospitalisation and mortality data of children aged ≤16 years who were hospitalised for sports-related injury in Australia from 1 July 2002 to 30 June 2012. Age-standardised incidence rates were calculated with 95{\%} confidence intervals (CI). Negative binomial regression was used to examine change in temporal trends in incidence rates.Results: There were 130,167 sports injury-related hospitalisations during the 10-year study period. The overall annual incidence rate was 281.0 (95{\%}CI: 279.5, 282.6) per 100,000 population. Males and older children were more frequently hospitalised than their female and younger counterparts. The most common sports activities resulting in hospitalisation were team ball sports (43.1{\%}) and wheeled non-motor sport (22.3{\%}). There was no significant annual decline in the overall incidence rate during the 10-year study period (−1.05{\%} [95{\%}CI: −3.01{\%}, 0.95{\%}]). The estimated hospital treatment costs were $39.6 million per year, with an estimated mean cost per child of $3058.Conclusions: There has been no significant decline in sports injury-related hospitalisation rates among Australian children during 2002–03 to 2011–12. This may suggest that sports injury prevention initiatives in Australia to date have been inadequate to produce population-level reduction in sports injury-related hospitalisations. It is recommended that a national injury prevention strategy to reduce the burden of sports injuries among Australian children is developed and implemented.",
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N2 - Objectives: To quantify and describe the incidence, cost, and temporal trends of sports injury-related hospitalisations in Australian children over a 10-year period.Design: Retrospective population-based cohort study.Methods: This study used linked hospitalisation and mortality data of children aged ≤16 years who were hospitalised for sports-related injury in Australia from 1 July 2002 to 30 June 2012. Age-standardised incidence rates were calculated with 95% confidence intervals (CI). Negative binomial regression was used to examine change in temporal trends in incidence rates.Results: There were 130,167 sports injury-related hospitalisations during the 10-year study period. The overall annual incidence rate was 281.0 (95%CI: 279.5, 282.6) per 100,000 population. Males and older children were more frequently hospitalised than their female and younger counterparts. The most common sports activities resulting in hospitalisation were team ball sports (43.1%) and wheeled non-motor sport (22.3%). There was no significant annual decline in the overall incidence rate during the 10-year study period (−1.05% [95%CI: −3.01%, 0.95%]). The estimated hospital treatment costs were $39.6 million per year, with an estimated mean cost per child of $3058.Conclusions: There has been no significant decline in sports injury-related hospitalisation rates among Australian children during 2002–03 to 2011–12. This may suggest that sports injury prevention initiatives in Australia to date have been inadequate to produce population-level reduction in sports injury-related hospitalisations. It is recommended that a national injury prevention strategy to reduce the burden of sports injuries among Australian children is developed and implemented.

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