The demographics of equestrian-related injuries in the United States: injury patterns, orthopedic specific injuries, and avenues for injury prevention.

Research output: Contribution to journalArticle

Abstract

BACKGROUND: It was the purpose of this study to review equestrian-related injuries using a large nation wide database and analyze predictors of significant injury. METHODS: The National Electronic Surveillance System database was queried for equestrian injuries from 2002 to 2004. The presence of a fracture, dislocation, traumatic brain injury, musculoskeletal injury, orthopedic injury, and spinal injury, as well as injury mechanism, geographical location, and emergency room disposition were noted. Bivariate, cosinor seasonal, and multiple logistic regression analyses were performed. p < 0.01 was considered significant. RESULTS: Emergency room visits because of equestrian-related injuries from 2002 to 2004 from the NEISS database were reviewed; there were 5,033 visits during this time span. The average age was 30.0 +/- 17.0 years; 66% were women. The injuries occurred at home (36%), recreation/sporting facility (30%), on a farm (19%), and other public property (12%). The injury was due to a fall (59%), thrown/bucked from the horse (22.0%), and while riding the horse (9%). The most common injuries were contusion/abrasions (31%), fractures (28%), sprain/strains (18%), traumatic brain injuries (12%), and lacerations (6%). The body area injured was the head and neck (24%), trunk (29%), upper extremity (30%), lower extremity (16%), and multiple locations (1%). Most injuries occurred in the summer. Predictors of hospital admission were age >18 years, traumatic brain injury, fracture, or occurrence on other public property (odds ratios 1.4, 6.25, 7.7, and 1.5, respectively). CONCLUSIONS: The largest number of equestrian injuries occur in white females in the 2nd, 4th, and 5th decades of life. Serious injuries are due to falling or being bucked off a horse and most commonly occur at home or at a recreational/sporting facility. Prevention strategies (educational and passive protection equipment) should be especially targeted to this high risk group.

Original languageEnglish
Pages (from-to)447-460
Number of pages14
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume65
Issue number2
StatePublished - Aug 2008

Fingerprint

Orthopedics
Demography
Wounds and Injuries
Databases
Spinal Injuries
Horses
Hospital Emergency Service
Logistic Models
Odds Ratio
Regression Analysis
Equipment and Supplies

ASJC Scopus subject areas

  • Medicine(all)

Cite this

@article{7dacaa73b52846ea9b6e87e2605cc282,
title = "The demographics of equestrian-related injuries in the United States: injury patterns, orthopedic specific injuries, and avenues for injury prevention.",
abstract = "BACKGROUND: It was the purpose of this study to review equestrian-related injuries using a large nation wide database and analyze predictors of significant injury. METHODS: The National Electronic Surveillance System database was queried for equestrian injuries from 2002 to 2004. The presence of a fracture, dislocation, traumatic brain injury, musculoskeletal injury, orthopedic injury, and spinal injury, as well as injury mechanism, geographical location, and emergency room disposition were noted. Bivariate, cosinor seasonal, and multiple logistic regression analyses were performed. p < 0.01 was considered significant. RESULTS: Emergency room visits because of equestrian-related injuries from 2002 to 2004 from the NEISS database were reviewed; there were 5,033 visits during this time span. The average age was 30.0 +/- 17.0 years; 66{\%} were women. The injuries occurred at home (36{\%}), recreation/sporting facility (30{\%}), on a farm (19{\%}), and other public property (12{\%}). The injury was due to a fall (59{\%}), thrown/bucked from the horse (22.0{\%}), and while riding the horse (9{\%}). The most common injuries were contusion/abrasions (31{\%}), fractures (28{\%}), sprain/strains (18{\%}), traumatic brain injuries (12{\%}), and lacerations (6{\%}). The body area injured was the head and neck (24{\%}), trunk (29{\%}), upper extremity (30{\%}), lower extremity (16{\%}), and multiple locations (1{\%}). Most injuries occurred in the summer. Predictors of hospital admission were age >18 years, traumatic brain injury, fracture, or occurrence on other public property (odds ratios 1.4, 6.25, 7.7, and 1.5, respectively). CONCLUSIONS: The largest number of equestrian injuries occur in white females in the 2nd, 4th, and 5th decades of life. Serious injuries are due to falling or being bucked off a horse and most commonly occur at home or at a recreational/sporting facility. Prevention strategies (educational and passive protection equipment) should be especially targeted to this high risk group.",
author = "Loder, {Randall T.}",
year = "2008",
month = "8",
language = "English",
volume = "65",
pages = "447--460",
journal = "Journal of Trauma and Acute Care Surgery",
issn = "2163-0755",
publisher = "Lippincott Williams and Wilkins",
number = "2",

}

TY - JOUR

T1 - The demographics of equestrian-related injuries in the United States

T2 - injury patterns, orthopedic specific injuries, and avenues for injury prevention.

AU - Loder, Randall T.

PY - 2008/8

Y1 - 2008/8

N2 - BACKGROUND: It was the purpose of this study to review equestrian-related injuries using a large nation wide database and analyze predictors of significant injury. METHODS: The National Electronic Surveillance System database was queried for equestrian injuries from 2002 to 2004. The presence of a fracture, dislocation, traumatic brain injury, musculoskeletal injury, orthopedic injury, and spinal injury, as well as injury mechanism, geographical location, and emergency room disposition were noted. Bivariate, cosinor seasonal, and multiple logistic regression analyses were performed. p < 0.01 was considered significant. RESULTS: Emergency room visits because of equestrian-related injuries from 2002 to 2004 from the NEISS database were reviewed; there were 5,033 visits during this time span. The average age was 30.0 +/- 17.0 years; 66% were women. The injuries occurred at home (36%), recreation/sporting facility (30%), on a farm (19%), and other public property (12%). The injury was due to a fall (59%), thrown/bucked from the horse (22.0%), and while riding the horse (9%). The most common injuries were contusion/abrasions (31%), fractures (28%), sprain/strains (18%), traumatic brain injuries (12%), and lacerations (6%). The body area injured was the head and neck (24%), trunk (29%), upper extremity (30%), lower extremity (16%), and multiple locations (1%). Most injuries occurred in the summer. Predictors of hospital admission were age >18 years, traumatic brain injury, fracture, or occurrence on other public property (odds ratios 1.4, 6.25, 7.7, and 1.5, respectively). CONCLUSIONS: The largest number of equestrian injuries occur in white females in the 2nd, 4th, and 5th decades of life. Serious injuries are due to falling or being bucked off a horse and most commonly occur at home or at a recreational/sporting facility. Prevention strategies (educational and passive protection equipment) should be especially targeted to this high risk group.

AB - BACKGROUND: It was the purpose of this study to review equestrian-related injuries using a large nation wide database and analyze predictors of significant injury. METHODS: The National Electronic Surveillance System database was queried for equestrian injuries from 2002 to 2004. The presence of a fracture, dislocation, traumatic brain injury, musculoskeletal injury, orthopedic injury, and spinal injury, as well as injury mechanism, geographical location, and emergency room disposition were noted. Bivariate, cosinor seasonal, and multiple logistic regression analyses were performed. p < 0.01 was considered significant. RESULTS: Emergency room visits because of equestrian-related injuries from 2002 to 2004 from the NEISS database were reviewed; there were 5,033 visits during this time span. The average age was 30.0 +/- 17.0 years; 66% were women. The injuries occurred at home (36%), recreation/sporting facility (30%), on a farm (19%), and other public property (12%). The injury was due to a fall (59%), thrown/bucked from the horse (22.0%), and while riding the horse (9%). The most common injuries were contusion/abrasions (31%), fractures (28%), sprain/strains (18%), traumatic brain injuries (12%), and lacerations (6%). The body area injured was the head and neck (24%), trunk (29%), upper extremity (30%), lower extremity (16%), and multiple locations (1%). Most injuries occurred in the summer. Predictors of hospital admission were age >18 years, traumatic brain injury, fracture, or occurrence on other public property (odds ratios 1.4, 6.25, 7.7, and 1.5, respectively). CONCLUSIONS: The largest number of equestrian injuries occur in white females in the 2nd, 4th, and 5th decades of life. Serious injuries are due to falling or being bucked off a horse and most commonly occur at home or at a recreational/sporting facility. Prevention strategies (educational and passive protection equipment) should be especially targeted to this high risk group.

UR - http://www.scopus.com/inward/record.url?scp=51649112733&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=51649112733&partnerID=8YFLogxK

M3 - Article

C2 - 18695484

VL - 65

SP - 447

EP - 460

JO - Journal of Trauma and Acute Care Surgery

JF - Journal of Trauma and Acute Care Surgery

SN - 2163-0755

IS - 2

ER -