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15922

Emergency Department Visits for Sports Injuries In Teenagers In the United States

Monday, October 22, 2012
Versailles Ballroom (Hilton Riverside)
Min Kyeong Lee, DMD1, Ingrid M. Anderson, MD2, Veerasathpurush Allareddy, BDS, MBA, PhD3 and Veerajalandhar Allareddy, MD, MBA2, (1)Department of Developmental Biology, Harvard School of Dental Medicine, Boston, MA, (2)Pediatric Critical Care and Pharmacology, University Hospitals, Rainbow Babies Children's Hospital., Cleveland, OH, (3)Dental Medicine, Harvard University, Boston, MA

Purpose The aim of this study is to provide nationally representative estimates of teenagers visiting hospital based emergency departments (ED) for sports injuries in the United States in 2008.

Methods The Nationwide Emergency Department Sample dataset for the year 2008 was used. All ED visits (among those aged 13 to 19 years) with external cause for injury ICD-9-CM diagnostic codes E886.0 (in sports), E917.0 (in sports without subsequent fall), and E917.5 (objects in sports with subsequent fall) were selected. Outcomes examined included discharge status following the ED visit and presence of concomitant injuries. Descriptive statistics was used to summarize the estimates.

Results A total of 432,609 ED visits between the ages 13 and 19 were attributed to sports injuries in the United States in 2008. Of the total, 2.6% were admitted into the same hospitals as inpatients. The mean age at admission was 15.5 years. The mean total charge for ED services was $1,205 and the total ED charges across the United States was $447.42 million. The mean hospitalization charge for inpatient services was $22,703 and total charges across the entire United States was $154.84 millions. Most of the injuries occurred among those aged 13-17 years old  (85.7%) and in boys (76.8%) on the weekend (71.7%). Most (79.0%) occurred without subsequent fall (ICD-9-CM E917.0). Thirty died in the emergency department, and another 31 died in the hospital following inpatient admissions. Hospital characteristics include the following: 66.6% of all visits occurred in non-trauma center hospitals and 67.3% occurred in metropolitan area hospitals.

Conclusion Sports injuries account for a substantial number of teenage ED visits in the United States in 2008. Sport injuries related visits were more common in males and occurred frequently during the weekend. Patient and hospital-level characteristics were analyzed and highlighted in this study.