The impact of tackle football injuries on the American healthcare system with a neurological focus
Recent interest in the study of concussion and other neurological injuries has heightened awareness of the medical implications of American tackle football injuries amongst the public. Using the National Emergency Department Sample (NEDS) and the National Inpatient Sample (NIS), the largest publicly...
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| creator | McGinity, Michael J Grandhi, Ramesh Michalek, Joel E Rodriguez, Jesse S Trevino, Aron M McGinity, Ashley C Seifi, Ali |
| description | Recent interest in the study of concussion and other neurological injuries has heightened awareness of the medical implications of American tackle football injuries amongst the public.
Using the National Emergency Department Sample (NEDS) and the National Inpatient Sample (NIS), the largest publicly available all-payer emergency department and inpatient healthcare databases in the United States, we sought to describe the impact of tackle football injuries on the American healthcare system by delineating injuries, specifically neurological in nature, suffered as a consequence of tackle football between 2010 and 2013.
The NEDS and NIS databases were queried to collect data on all patients presented to the emergency department (ED) and/or were admitted to hospitals with an ICD code for injuries related to American tackle football between the years 2010 and 2013. Subsequently those with football-related neurological injuries were abstracted using ICD codes for concussion, skull/face injury, intracranial injury, spine injury, and spinal cord injury (SCI). Patient demographics, length of hospital stay (LOS), cost and charge data, neurosurgical interventions, hospital type, and disposition were collected and analyzed.
A total of 819,000 patients presented to EDs for evaluation of injuries secondary to American tackle football between 2010 and 2013, with 1.13% having injuries requiring inpatient admission (average length of stay 2.4 days). 80.4% of the ED visits were from the pediatric population. Of note, a statistically significant increase in the number of pediatric concussions over time was demonstrated (OR = 1.1, 95% CI 1.1 to 1.2). Patients were more likely to be admitted to trauma centers, teaching hospitals, the south or west regions, or with private insurance. There were 471 spinal cord injuries and 1,908 total spine injuries. Ten patients died during the study time period. The combined ED and inpatient charges were $1.35 billion.
Injuries related to tackle football are a frequent cause of emergency room visits, specifically in the pediatric population, but severe acute trauma requiring inpatient admission or operative interventions are rare. Continued investigation in the long-term health impact of football related concussion and other repetitive lower impact trauma is warranted. |
| doi_str_mv | 10.1371/journal.pone.0195827 |
| format | Article |
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Using the National Emergency Department Sample (NEDS) and the National Inpatient Sample (NIS), the largest publicly available all-payer emergency department and inpatient healthcare databases in the United States, we sought to describe the impact of tackle football injuries on the American healthcare system by delineating injuries, specifically neurological in nature, suffered as a consequence of tackle football between 2010 and 2013.
The NEDS and NIS databases were queried to collect data on all patients presented to the emergency department (ED) and/or were admitted to hospitals with an ICD code for injuries related to American tackle football between the years 2010 and 2013. Subsequently those with football-related neurological injuries were abstracted using ICD codes for concussion, skull/face injury, intracranial injury, spine injury, and spinal cord injury (SCI). Patient demographics, length of hospital stay (LOS), cost and charge data, neurosurgical interventions, hospital type, and disposition were collected and analyzed.
A total of 819,000 patients presented to EDs for evaluation of injuries secondary to American tackle football between 2010 and 2013, with 1.13% having injuries requiring inpatient admission (average length of stay 2.4 days). 80.4% of the ED visits were from the pediatric population. Of note, a statistically significant increase in the number of pediatric concussions over time was demonstrated (OR = 1.1, 95% CI 1.1 to 1.2). Patients were more likely to be admitted to trauma centers, teaching hospitals, the south or west regions, or with private insurance. There were 471 spinal cord injuries and 1,908 total spine injuries. Ten patients died during the study time period. The combined ED and inpatient charges were $1.35 billion.
Injuries related to tackle football are a frequent cause of emergency room visits, specifically in the pediatric population, but severe acute trauma requiring inpatient admission or operative interventions are rare. Continued investigation in the long-term health impact of football related concussion and other repetitive lower impact trauma is warranted.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0195827</identifier><identifier>PMID: 29734348</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Biology and Life Sciences ; Brain injuries ; College football ; Complications and side effects ; Concussion ; Data bases ; Demographics ; Demography ; Economic aspects ; Emergency medical care ; Emergency medical services ; Epidemiology ; Football ; Head injuries ; Health aspects ; Health care ; High school football ; Hospitals ; Injuries ; Medical diagnosis ; Medicine and Health Sciences ; Nervous system diseases ; Neurosurgery ; Patients ; Risk factors ; Spinal cord ; Spinal cord injuries ; Spinal cord injury ; Spine ; Sports injuries ; Statistical analysis ; Statistics ; Tackling (Football) ; Trauma</subject><ispartof>PloS one, 2018-05, Vol.13 (5), p.e0195827-e0195827</ispartof><rights>COPYRIGHT 2018 Public Library of Science</rights><rights>2018 McGinity et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2018 McGinity et al 2018 McGinity et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-6f7b791c0813be6658858bb73c69d48d6ab9e6df6ccf80c12d4d8b2874e844a3</citedby><cites>FETCH-LOGICAL-c692t-6f7b791c0813be6658858bb73c69d48d6ab9e6df6ccf80c12d4d8b2874e844a3</cites><orcidid>0000-0002-5010-5041</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5937786/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5937786/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79342,79343</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29734348$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>McGinity, Michael J</creatorcontrib><creatorcontrib>Grandhi, Ramesh</creatorcontrib><creatorcontrib>Michalek, Joel E</creatorcontrib><creatorcontrib>Rodriguez, Jesse S</creatorcontrib><creatorcontrib>Trevino, Aron M</creatorcontrib><creatorcontrib>McGinity, Ashley C</creatorcontrib><creatorcontrib>Seifi, Ali</creatorcontrib><title>The impact of tackle football injuries on the American healthcare system with a neurological focus</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Recent interest in the study of concussion and other neurological injuries has heightened awareness of the medical implications of American tackle football injuries amongst the public.
Using the National Emergency Department Sample (NEDS) and the National Inpatient Sample (NIS), the largest publicly available all-payer emergency department and inpatient healthcare databases in the United States, we sought to describe the impact of tackle football injuries on the American healthcare system by delineating injuries, specifically neurological in nature, suffered as a consequence of tackle football between 2010 and 2013.
The NEDS and NIS databases were queried to collect data on all patients presented to the emergency department (ED) and/or were admitted to hospitals with an ICD code for injuries related to American tackle football between the years 2010 and 2013. Subsequently those with football-related neurological injuries were abstracted using ICD codes for concussion, skull/face injury, intracranial injury, spine injury, and spinal cord injury (SCI). Patient demographics, length of hospital stay (LOS), cost and charge data, neurosurgical interventions, hospital type, and disposition were collected and analyzed.
A total of 819,000 patients presented to EDs for evaluation of injuries secondary to American tackle football between 2010 and 2013, with 1.13% having injuries requiring inpatient admission (average length of stay 2.4 days). 80.4% of the ED visits were from the pediatric population. Of note, a statistically significant increase in the number of pediatric concussions over time was demonstrated (OR = 1.1, 95% CI 1.1 to 1.2). Patients were more likely to be admitted to trauma centers, teaching hospitals, the south or west regions, or with private insurance. There were 471 spinal cord injuries and 1,908 total spine injuries. Ten patients died during the study time period. The combined ED and inpatient charges were $1.35 billion.
Injuries related to tackle football are a frequent cause of emergency room visits, specifically in the pediatric population, but severe acute trauma requiring inpatient admission or operative interventions are rare. Continued investigation in the long-term health impact of football related concussion and other repetitive lower impact trauma is warranted.</description><subject>Biology and Life Sciences</subject><subject>Brain injuries</subject><subject>College football</subject><subject>Complications and side effects</subject><subject>Concussion</subject><subject>Data bases</subject><subject>Demographics</subject><subject>Demography</subject><subject>Economic aspects</subject><subject>Emergency medical care</subject><subject>Emergency medical services</subject><subject>Epidemiology</subject><subject>Football</subject><subject>Head injuries</subject><subject>Health aspects</subject><subject>Health care</subject><subject>High school football</subject><subject>Hospitals</subject><subject>Injuries</subject><subject>Medical diagnosis</subject><subject>Medicine and Health Sciences</subject><subject>Nervous system diseases</subject><subject>Neurosurgery</subject><subject>Patients</subject><subject>Risk factors</subject><subject>Spinal cord</subject><subject>Spinal cord injuries</subject><subject>Spinal cord injury</subject><subject>Spine</subject><subject>Sports injuries</subject><subject>Statistical analysis</subject><subject>Statistics</subject><subject>Tackling 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impact of tackle football injuries on the American healthcare system with a neurological focus</title><author>McGinity, Michael J ; Grandhi, Ramesh ; Michalek, Joel E ; Rodriguez, Jesse S ; Trevino, Aron M ; McGinity, Ashley C ; Seifi, Ali</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-6f7b791c0813be6658858bb73c69d48d6ab9e6df6ccf80c12d4d8b2874e844a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Biology and Life Sciences</topic><topic>Brain injuries</topic><topic>College football</topic><topic>Complications and side effects</topic><topic>Concussion</topic><topic>Data bases</topic><topic>Demographics</topic><topic>Demography</topic><topic>Economic aspects</topic><topic>Emergency medical care</topic><topic>Emergency medical services</topic><topic>Epidemiology</topic><topic>Football</topic><topic>Head injuries</topic><topic>Health aspects</topic><topic>Health 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One</addtitle><date>2018-05-07</date><risdate>2018</risdate><volume>13</volume><issue>5</issue><spage>e0195827</spage><epage>e0195827</epage><pages>e0195827-e0195827</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Recent interest in the study of concussion and other neurological injuries has heightened awareness of the medical implications of American tackle football injuries amongst the public.
Using the National Emergency Department Sample (NEDS) and the National Inpatient Sample (NIS), the largest publicly available all-payer emergency department and inpatient healthcare databases in the United States, we sought to describe the impact of tackle football injuries on the American healthcare system by delineating injuries, specifically neurological in nature, suffered as a consequence of tackle football between 2010 and 2013.
The NEDS and NIS databases were queried to collect data on all patients presented to the emergency department (ED) and/or were admitted to hospitals with an ICD code for injuries related to American tackle football between the years 2010 and 2013. Subsequently those with football-related neurological injuries were abstracted using ICD codes for concussion, skull/face injury, intracranial injury, spine injury, and spinal cord injury (SCI). Patient demographics, length of hospital stay (LOS), cost and charge data, neurosurgical interventions, hospital type, and disposition were collected and analyzed.
A total of 819,000 patients presented to EDs for evaluation of injuries secondary to American tackle football between 2010 and 2013, with 1.13% having injuries requiring inpatient admission (average length of stay 2.4 days). 80.4% of the ED visits were from the pediatric population. Of note, a statistically significant increase in the number of pediatric concussions over time was demonstrated (OR = 1.1, 95% CI 1.1 to 1.2). Patients were more likely to be admitted to trauma centers, teaching hospitals, the south or west regions, or with private insurance. There were 471 spinal cord injuries and 1,908 total spine injuries. Ten patients died during the study time period. The combined ED and inpatient charges were $1.35 billion.
Injuries related to tackle football are a frequent cause of emergency room visits, specifically in the pediatric population, but severe acute trauma requiring inpatient admission or operative interventions are rare. Continued investigation in the long-term health impact of football related concussion and other repetitive lower impact trauma is warranted.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>29734348</pmid><doi>10.1371/journal.pone.0195827</doi><tpages>e0195827</tpages><orcidid>https://orcid.org/0000-0002-5010-5041</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Biology and Life Sciences Brain injuries College football Complications and side effects Concussion Data bases Demographics Demography Economic aspects Emergency medical care Emergency medical services Epidemiology Football Head injuries Health aspects Health care High school football Hospitals Injuries Medical diagnosis Medicine and Health Sciences Nervous system diseases Neurosurgery Patients Risk factors Spinal cord Spinal cord injuries Spinal cord injury Spine Sports injuries Statistical analysis Statistics Tackling (Football) Trauma |
| title | The impact of tackle football injuries on the American healthcare system with a neurological focus |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-11T03%3A08%3A42IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20impact%20of%20tackle%20football%20injuries%20on%20the%20American%20healthcare%20system%20with%20a%20neurological%20focus&rft.jtitle=PloS%20one&rft.au=McGinity,%20Michael%20J&rft.date=2018-05-07&rft.volume=13&rft.issue=5&rft.spage=e0195827&rft.epage=e0195827&rft.pages=e0195827-e0195827&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0195827&rft_dat=%3Cgale_plos_%3EA537668120%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2035688427&rft_id=info:pmid/29734348&rft_galeid=A537668120&rft_doaj_id=oai_doaj_org_article_7188e49177a34422b1b3e72001bc2754&rfr_iscdi=true |