ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1993.tb137858.x

出版商:Wiley    

年代:1993

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1993.tb137859.x

出版商:Wiley    

年代:1993

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1993.tb137860.x

出版商:Wiley    

年代:1993

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1993.tb137861.x

出版商:Wiley    

年代:1993

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1993.tb137862.x

出版商:Wiley    

年代:1993

数据来源: WILEY

摘要:

ObjectiveTo determine injury profiles for the élite level competitions of football played in Australia.DesignOver the 1992 seasons, all injuries were prospectively recorded from 26 clubs in football competitions which included the Australian Football League (AFL), New South Wales Rugby League (NSWRL) and New South Wales Rugby Union (NSWRU).ResultsSome 2398 injuries were reported. In Australian Rules football, the most common injury was the hamstring tear (13%); this also accounted for the most time missed due to injury (16%). In rugby league and union, the most common injuries were head and facial lacerations (11% and 20%) followed by concussion (8% and 5%). The injuries accounting for most time missed were fractures and knee ligament injuries in the rugby codes. In Australian Rules football there were more lower limb muscle strain injuries, a high proportion of which were recurrences, with a significant incidence during training sessions. In the rugby codes, minor injuries to the head and neck were more common, particularly in forwards. While rugby league players suffered the most injuries, AFL injuries were on average more severe and consequently the total time missed through injury by players in these two codes was very similar. Rugby union had a significantly lower injury prevalence at the élite club competition level than rugby league or Australian Rules football.ConclusionInjury rates in the élite football competitions are high, warranting ongoing analysis and further study in particular areas.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1993.tb137863.x

出版商:Wiley    

年代:1993

数据来源: WILEY

摘要:

ObjectivesTo ascertain the incidence, severity, risk factors, and outcomes of injuries in children and adolescents playing Australian Rules football.Design, setting and subjectsA prospective cohort study of football injuries in children and adolescents playing community football. We studied a stratified random sample of 54 teams and clinics (18 under‐15 teams, 18 under‐10 teams and 18 Vickick clinics for children under 10 years) from the Melbourne metropolitan area. Football exposure, injuries and associated risk factors were recorded for 1253 players during the 1992 football season.ResultsVickick, a modified form of the game, had the lowest rates of injury for all levels of injury severity, with an overall rate of 3.49 injuries per 1000 player‐hours. The rate in the under‐10 age group was 2.4 times higher (95% confidence interval [CI], 1.5‐3.8) than that in Vickick, and the under‐15 rate was 1.2 times (95% CI, 0.9‐1.6) that of the under‐10s. The under‐15 age group had significantly more injuries that led to use of health services than the under‐10 and Vickick groups, with rates of 3.93 (95% CI, 2.9‐4.9), 0.64 (95% CI, 0.2‐1.4), and 0.33 (95% CI, 0.1‐0.8) injuries per 1000 player‐hours respectively. Injuries were largely to soft tissues (sprains 26%, haematomas 25%) and to the lower limb (43%). Very few serious injuries occurred (19 fractures and three injuries with loss of consciousness); nearly all of these were in the under‐15s. Rule modifications in under‐10 teams and clinics were associated with an injury rate of 5.8 injuries per 1000 player‐hours (95% CI, 4.4‐7.3) compared with 7.5 injuries per 1000 player‐hours (95% CI, 5.2‐9.8) when no modification was used. Alterations to the ruck contest, decreased contact, field size and player numbers were significantly associated with lower injury rates, while body size was not. Of the 30% of injuries resulting in a health service consultation, the most common health provider was a medical practitioner. Very few required expensive investigation or treatment.ConclusionInjury rates were low in children under age 10, but higher in adolescents. Most injuries were minor, and did not result in a health professional consultation. Rule modifications were associated with substantially lower injury rates at the under‐10 level, and should be promoted as a safe way to learn football skills.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1993.tb137864.x

出版商:Wiley    

年代:1993

数据来源: WILEY

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1993.tb137865.x

出版商:Wiley    

年代:1993

数据来源: WILEY

摘要:

ObjectiveTo determine the prevalence and predictors of domestic violence victims among attenders at the emergency department at Royal Brisbane Hospital in 1991.DesignCross‐sectional study in which randomly selected nursing shifts were used to screen attenders.ResultsOf all attenders at the emergency department, 14.1% disclosed a history of domestic violence. Women were more likely than men to disclose domestic violence ("raw" relative risk, 2.31; 95% confidence interval [CI], 1.83‐2.91; relative risk adjusted for age and history of child abuse, 4.50; 95% CI, 3.02‐6.71). The greatest risks for being an adult victim of domestic violence were being female and having experienced abuse as a child. Most of those who had experienced domestic violence within the last 24 hours (1.1% of attenders) came to the department after‐hours when social work staff were unavailable for referral.ConclusionsThe prevalence and risk factors have implications for the training of doctors and nurses in domestic violence problems and for the provision of adequate resources to deal with the psychosocial aspects of domestic violence.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1993.tb137866.x

出版商:Wiley    

年代:1993

数据来源: WILEY

摘要:

ObjectiveTo compare the ratio of hospital admissions for asthma to total hospital admissions and to admissions for non‐asthma respiratory conditions, over an 11‐year period, to see if there has been a true increase in admissions for asthma or merely a change in diagnostic labelling. A similar comparison was made for presentations with asthma and non‐asthma respiratory conditions to the accident and emergency department.Design and settingA case review of all patients with a confirmed diagnosis of respiratory disease admitted to hospital or attending the accident and emergency department at the Camperdown Children's Hospital between 1979 and 1989.ResultsThere was a 98% increase in the number of patients admitted with a confirmed diagnosis of asthma. While the ratio of admissions for asthma to total admissions increased from 0.053 in 1979 to 0.09 in 1989, the ratio of admissions for non‐asthma respiratory conditions to total admissions remained relatively constant. The ratio of attendances for asthma to total accident and emergency attendances rose from 0.017 in 1979 to 0.072 in 1989, whereas the ratio of attendances for non‐asthma respiratory conditions to total accident and emergency attendances had a maximum variation of 0.065 to 0.09.ConclusionsThese results suggest that there has been a major increase in the number of cases of asthma being treated at this hospital and that this is a true increase, perhaps representing increased severity, rather than a change in diagnostic labelling.

ISSN:0025-729X    

DOI:10.5694/j.1326-5377.1993.tb137867.x

出版商:Wiley    

年代:1993

数据来源: WILEY