Days until return-to-play differ for sub-categories of acute respiratory tract illness in Super Rugby players: A cross-sectional study over 5 seasons (102,738 player-days)
To document incidence rate and severity of specific sub-categories of respiratory tract illness (RTill) in rugby players during the Super Rugby tournament. Cross-sectional study. Team physicians completed daily illness logs in 537 professional male rugby players from South African teams participatin...
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| Veröffentlicht in: | Journal of science and medicine in sport 2021-12, Vol.24 (12), p.1218-1223 |
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| container_title | Journal of science and medicine in sport |
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| creator | Jansen van Rensburg, Audrey Janse van Rensburg, Dina C. (Christa) Schwellnus, Martin P. Janse van Rensburg, Charl Jordaan, Esme |
| description | To document incidence rate and severity of specific sub-categories of respiratory tract illness (RTill) in rugby players during the Super Rugby tournament.
Cross-sectional study.
Team physicians completed daily illness logs in 537 professional male rugby players from South African teams participating in the Super Rugby Union tournaments (2013–2017) (1141 player-seasons, 102,738 player-days). The incidence rate (IR: illness episodes/1000 player-days) and severity [%RTill resulting in time-loss, illness burden (IB: days lost to illness/1000 player-days) and days until return-to-play (DRTP)/single illness (mean: 95% Confidence Intervals)] are reported for the following specific sub-categories of RTill: non-infective respiratory tract illness (RTnon-inf), respiratory tract infections (RTinf), influenza-like illness, infective sinusitis, upper respiratory tract infections (URTinf), lower respiratory tract infections (LRTinf).
The overall IR of RTill was 2.9 (2.6–3.3). IR was higher for RTinf (2.5; 2.2–2.9) vs. RTnon-inf (0.4; 0.3–0.6) (p 57% of all illness during the Super Rugby tournament, and mostly URTinf. Influenza-like illness. LRTinf caused time-loss in >90% cases. URTinf, LRTinf and influenza-like illness resulted in the highest burden of illness and LRTinf caused the highest DRTP. Prevention strategies should focus on mitigating the risk of RTinf, specifically URTinf, LRTinf and influenza-like illness. |
| doi_str_mv | 10.1016/j.jsams.2021.06.010 |
| format | Article |
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Cross-sectional study.
Team physicians completed daily illness logs in 537 professional male rugby players from South African teams participating in the Super Rugby Union tournaments (2013–2017) (1141 player-seasons, 102,738 player-days). The incidence rate (IR: illness episodes/1000 player-days) and severity [%RTill resulting in time-loss, illness burden (IB: days lost to illness/1000 player-days) and days until return-to-play (DRTP)/single illness (mean: 95% Confidence Intervals)] are reported for the following specific sub-categories of RTill: non-infective respiratory tract illness (RTnon-inf), respiratory tract infections (RTinf), influenza-like illness, infective sinusitis, upper respiratory tract infections (URTinf), lower respiratory tract infections (LRTinf).
The overall IR of RTill was 2.9 (2.6–3.3). IR was higher for RTinf (2.5; 2.2–2.9) vs. RTnon-inf (0.4; 0.3–0.6) (p < 0.001). For sub-categories the highest IR was in URTinf (1.9; 1.7–2.2), while the % illness causing time-loss was influenza-like illness (100%), LRTinf (91.7%), infective sinusitis (55.6%), and URTinf (49.0%). IB was highest for URTinf (2.0; 1.6–2.5), and the DRTP/single illness was highest for LRTinf (3.2; 2.3–4.4), and influenza-like illness (2.1; 1.6–2.8).
RTinf accounted for >57% of all illness during the Super Rugby tournament, and mostly URTinf. Influenza-like illness. LRTinf caused time-loss in >90% cases. URTinf, LRTinf and influenza-like illness resulted in the highest burden of illness and LRTinf caused the highest DRTP. Prevention strategies should focus on mitigating the risk of RTinf, specifically URTinf, LRTinf and influenza-like illness.</description><identifier>ISSN: 1440-2440</identifier><identifier>EISSN: 1878-1861</identifier><identifier>DOI: 10.1016/j.jsams.2021.06.010</identifier><language>eng</language><publisher>Belconnen: Elsevier Ltd</publisher><subject>Athletes ; Cross-sectional studies ; Data collection ; Epidemiology ; Illness ; Infections ; Influenza ; Prevention ; Respiratory illness ; Return-to-play ; Rugby ; Sinusitis ; Tournaments & championships</subject><ispartof>Journal of science and medicine in sport, 2021-12, Vol.24 (12), p.1218-1223</ispartof><rights>2021 Elsevier Ltd</rights><rights>2021. Elsevier Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c409t-7b34a5c4c5ddb2ca575573c183c3f9c1cd39306be151cfa8610c568e8c02c7573</citedby><cites>FETCH-LOGICAL-c409t-7b34a5c4c5ddb2ca575573c183c3f9c1cd39306be151cfa8610c568e8c02c7573</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2583072781?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64385,64387,64389,72469</link.rule.ids></links><search><creatorcontrib>Jansen van Rensburg, Audrey</creatorcontrib><creatorcontrib>Janse van Rensburg, Dina C. (Christa)</creatorcontrib><creatorcontrib>Schwellnus, Martin P.</creatorcontrib><creatorcontrib>Janse van Rensburg, Charl</creatorcontrib><creatorcontrib>Jordaan, Esme</creatorcontrib><title>Days until return-to-play differ for sub-categories of acute respiratory tract illness in Super Rugby players: A cross-sectional study over 5 seasons (102,738 player-days)</title><title>Journal of science and medicine in sport</title><description>To document incidence rate and severity of specific sub-categories of respiratory tract illness (RTill) in rugby players during the Super Rugby tournament.
Cross-sectional study.
Team physicians completed daily illness logs in 537 professional male rugby players from South African teams participating in the Super Rugby Union tournaments (2013–2017) (1141 player-seasons, 102,738 player-days). The incidence rate (IR: illness episodes/1000 player-days) and severity [%RTill resulting in time-loss, illness burden (IB: days lost to illness/1000 player-days) and days until return-to-play (DRTP)/single illness (mean: 95% Confidence Intervals)] are reported for the following specific sub-categories of RTill: non-infective respiratory tract illness (RTnon-inf), respiratory tract infections (RTinf), influenza-like illness, infective sinusitis, upper respiratory tract infections (URTinf), lower respiratory tract infections (LRTinf).
The overall IR of RTill was 2.9 (2.6–3.3). IR was higher for RTinf (2.5; 2.2–2.9) vs. RTnon-inf (0.4; 0.3–0.6) (p < 0.001). For sub-categories the highest IR was in URTinf (1.9; 1.7–2.2), while the % illness causing time-loss was influenza-like illness (100%), LRTinf (91.7%), infective sinusitis (55.6%), and URTinf (49.0%). IB was highest for URTinf (2.0; 1.6–2.5), and the DRTP/single illness was highest for LRTinf (3.2; 2.3–4.4), and influenza-like illness (2.1; 1.6–2.8).
RTinf accounted for >57% of all illness during the Super Rugby tournament, and mostly URTinf. Influenza-like illness. LRTinf caused time-loss in >90% cases. URTinf, LRTinf and influenza-like illness resulted in the highest burden of illness and LRTinf caused the highest DRTP. Prevention strategies should focus on mitigating the risk of RTinf, specifically URTinf, LRTinf and influenza-like illness.</description><subject>Athletes</subject><subject>Cross-sectional studies</subject><subject>Data collection</subject><subject>Epidemiology</subject><subject>Illness</subject><subject>Infections</subject><subject>Influenza</subject><subject>Prevention</subject><subject>Respiratory illness</subject><subject>Return-to-play</subject><subject>Rugby</subject><subject>Sinusitis</subject><subject>Tournaments & championships</subject><issn>1440-2440</issn><issn>1878-1861</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kc1q3TAQhU1poGnSJ-hG0E0Klasfy_YtdBHSpi0EAv1ZC3k8DjK-lquRA36mvGR1c7PKohuNFt8Z5pxTFG-lKKWQ9cexHMntqVRCyVLUpZDiRXEq26blsq3ly_yvKsFVfl4Vr4lGIZRpdHNaPHxxG7F1Tn5iEdMaZ54CXya3sd4PA0Y2hMho7Ti4hHcheiQWBuZgTZgVtPjoUogbS9FBYn6aZiRifma_1iXLf6533cYOCzHSJ3bJIAYiTgjJh9lNjNLabyzcZ9YwQkdhJnYhhfrQ6PZJyPt85fvz4mRwE-Gbp3lW_Ln--vvqO7-5_fbj6vKGQyV2iTedrpyBCkzfdwqcaUz2CrLVoIcdSOj1Tou6Q2kkDC7nI8DULbYgFDQZPSsujnuXGP6uSMnuPQFOk5sxrGSVMaJWSgud0XfP0DHkDPN1mWq1aFTTykzpI_XoPeJgl-j3Lm5WCnso0I72sUB7KNCK2uYCs-rzUYXZ673HaAk8zoC9jzk92wf_X_0_0qOmXg</recordid><startdate>20211201</startdate><enddate>20211201</enddate><creator>Jansen van Rensburg, Audrey</creator><creator>Janse van Rensburg, Dina C. (Christa)</creator><creator>Schwellnus, Martin P.</creator><creator>Janse van Rensburg, Charl</creator><creator>Jordaan, Esme</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AYAGU</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20211201</creationdate><title>Days until return-to-play differ for sub-categories of acute respiratory tract illness in Super Rugby players: A cross-sectional study over 5 seasons (102,738 player-days)</title><author>Jansen van Rensburg, Audrey ; Janse van Rensburg, Dina C. 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(Christa)</creatorcontrib><creatorcontrib>Schwellnus, Martin P.</creatorcontrib><creatorcontrib>Janse van Rensburg, Charl</creatorcontrib><creatorcontrib>Jordaan, Esme</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Australia & New Zealand Database</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of science and medicine in sport</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jansen van Rensburg, Audrey</au><au>Janse van Rensburg, Dina C. (Christa)</au><au>Schwellnus, Martin P.</au><au>Janse van Rensburg, Charl</au><au>Jordaan, Esme</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Days until return-to-play differ for sub-categories of acute respiratory tract illness in Super Rugby players: A cross-sectional study over 5 seasons (102,738 player-days)</atitle><jtitle>Journal of science and medicine in sport</jtitle><date>2021-12-01</date><risdate>2021</risdate><volume>24</volume><issue>12</issue><spage>1218</spage><epage>1223</epage><pages>1218-1223</pages><issn>1440-2440</issn><eissn>1878-1861</eissn><abstract>To document incidence rate and severity of specific sub-categories of respiratory tract illness (RTill) in rugby players during the Super Rugby tournament.
Cross-sectional study.
Team physicians completed daily illness logs in 537 professional male rugby players from South African teams participating in the Super Rugby Union tournaments (2013–2017) (1141 player-seasons, 102,738 player-days). The incidence rate (IR: illness episodes/1000 player-days) and severity [%RTill resulting in time-loss, illness burden (IB: days lost to illness/1000 player-days) and days until return-to-play (DRTP)/single illness (mean: 95% Confidence Intervals)] are reported for the following specific sub-categories of RTill: non-infective respiratory tract illness (RTnon-inf), respiratory tract infections (RTinf), influenza-like illness, infective sinusitis, upper respiratory tract infections (URTinf), lower respiratory tract infections (LRTinf).
The overall IR of RTill was 2.9 (2.6–3.3). IR was higher for RTinf (2.5; 2.2–2.9) vs. RTnon-inf (0.4; 0.3–0.6) (p < 0.001). For sub-categories the highest IR was in URTinf (1.9; 1.7–2.2), while the % illness causing time-loss was influenza-like illness (100%), LRTinf (91.7%), infective sinusitis (55.6%), and URTinf (49.0%). IB was highest for URTinf (2.0; 1.6–2.5), and the DRTP/single illness was highest for LRTinf (3.2; 2.3–4.4), and influenza-like illness (2.1; 1.6–2.8).
RTinf accounted for >57% of all illness during the Super Rugby tournament, and mostly URTinf. Influenza-like illness. LRTinf caused time-loss in >90% cases. URTinf, LRTinf and influenza-like illness resulted in the highest burden of illness and LRTinf caused the highest DRTP. Prevention strategies should focus on mitigating the risk of RTinf, specifically URTinf, LRTinf and influenza-like illness.</abstract><cop>Belconnen</cop><pub>Elsevier Ltd</pub><doi>10.1016/j.jsams.2021.06.010</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1440-2440 |
| ispartof | Journal of science and medicine in sport, 2021-12, Vol.24 (12), p.1218-1223 |
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| source | Elsevier ScienceDirect Journals Complete; ProQuest Central UK/Ireland |
| subjects | Athletes Cross-sectional studies Data collection Epidemiology Illness Infections Influenza Prevention Respiratory illness Return-to-play Rugby Sinusitis Tournaments & championships |
| title | Days until return-to-play differ for sub-categories of acute respiratory tract illness in Super Rugby players: A cross-sectional study over 5 seasons (102,738 player-days) |
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