title: Sport and recreation-related injuries and fracture occurrence among emergency department attendees: implications for exercise prescription and injury prevention.
abstract: OBJECTIVE
  To investigate the epidemiology of sports and recreation-related injury (SRI) among emergency department (ED) attendees.
  
  
  METHODS
  Descriptive epidemiology study.
  
  
  METHODS
  An Irish university hospital ED.
  
  
  METHODS
  All patients aged over 4 years attending a large regional ED, during a 6-month period, for the treatment of SRI were prospectively surveyed.
  
  
  METHODS
  In all cases identified as SRI the attending physician completed a specifically designed questionnaire. It was postulated that recreation-related injury is a significant proportion of reported SRI.
  
  
  RESULTS
  Fracture rate was highest in the 4-9-year age group (44%). On multivariate logistic regression the adjusted odds ratio (OR; 95% CI) of fracture was higher for children (vs adults) at 1.21 (1.0 to 1.45). The adjusted OR was higher for upper-limb 5.8 (4.5 to 7.6) and lower-limb injuries 1.87 (1.4 to 2.5) versus axial site of injury and for falls 2.2 (1.6 to 2.9) and external force 1.59 (1.2 to 2.1) versus an overextension mechanism of injury. In the same model, "play" was independently associated with fracture risk, adjusted OR 1.98 (1.2 to 3.0; p = 0.001) versus low-risk ball sports 1.0 (reference); an effect size similar to that seen for combat sports 1.96 (1.2 to 3.3; p = 0.01) and greater than that seen for presumed high-risk field sports 1.4 (0.9 to 2.0)
  
  
  CONCLUSIONS
  Fall and subsequent upper-limb injury was the commonest mechanism underlying SRI fracture. Domestic "play" in all age groups at the time of injury accorded a higher fracture risk than field sports. Patient education regarding the dangers of unsupervised play and recreation represents a means of reducing the burden of SRI.
authors.affiliation: Department of Rheumatology, Sports and Exercise Medicine, Cork University Hospital, Wilton, Cork, Ireland. e.falvey@ireland.com
authors.forename: E C
authors.initials: EC
authors.lastname: Falvey
authors.forename: J
authors.initials: J
authors.lastname: Eustace
authors.forename: B
authors.initials: B
authors.lastname: Whelan
authors.forename: M S
authors.initials: MS
authors.lastname: Molloy
authors.forename: S P
authors.initials: SP
authors.lastname: Cusack
authors.forename: F
authors.initials: F
authors.lastname: Shanahan
authors.forename: M G
authors.initials: MG
authors.lastname: Molloy
mesh_terms: D000293:Adolescent; D000328:Adult; D001265:Athletic Injuries / Q000453:epidemiology* / Q000517:prevention & control; D002648:Child; D002675:Child, Preschool; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005081:Exercise Therapy; D005260:Female; D050723:Fractures, Bone / Q000453:epidemiology* / Q000517:prevention & control; D006801:Humans; D007494:Ireland; D008297:Male; D011446:Prospective Studies; D011998:Recreation