Cohort study2006

Injuries to high school football athletes in California

Ramirez M, Schaffer KB, Shen H, Kashani S, Kraus JF

The American journal of sports medicine · 51 citations

How it was studied

Design
Cohort study (indexed by PubMed)
Studied in
People
Main outcome
Clinical events such as disease or death

Who paid for it

Funding
Independent funding
Government
Centers for Disease Control and Prevention
University or hospital
Injury Prevention Research Center

Based on 2 listed funder(s).

Publication

Published
2006-02-21 · Am J Sports Med · vol. 34 · issue 7 · pp. 1147–1158
Publisher
SAGE Publishing
Cited
76 citations · more than 95% of similar papers · 4.8× the field average
Impact
Top 10% most cited in its field
References
37 works
Access
Paywalled
Research areas
Sports injuries and prevention · Traumatic Brain Injury Research · Cardiovascular Effects of Exercise
Keywords
Athletes, Football, American football, College football, Psychology, Medical education, Physical therapy, Medicine, History, Archaeology
MeSH
humans, athletic injuries, cohort studies, schools, students, football, adolescent, california, male

5 authors

From US

  • Marizen R Ramirez · correspondingUniversity of Southern California; Children's Hospital of Los Angeles; UCLA Health
  • Kathryn Brown SchafferUCLA Health
  • Haikang ShenUCLA Health
  • Saman KashaniPeace Corps
  • Jess F. KrausUCLA Health

Abstract

Background

Among all high school sports, football has the highest rate of injury. Prior research has been limited primarily because of challenges in surveillance, defining injuries, and measuring exposures.

Hypothesis

Football injury patterns differ across player and session characteristics.

Study design

Descriptive epidemiology study.

Methods

More than 5000 football players from 87 high schools in California were observed for 2 seasons (2001 and 2002). School representatives were trained to collect data on injuries, player characteristics, and daily exposures. Data were analyzed using descriptive statistics and clustered Poisson regression.

Results

Players sustained 25.5 injuries per 100 players, 9.3 injuries per 10,000 player-hours, and 8.4 injuries per 100 session-hours. Session rates were highest during games, on artificial turf (13.8 of 100), during foggy weather (25.1 of 100), and on clear evenings (21 of 100). Offensive and defensive backfielders had about a 20% increased rate of injury compared with linemen. The adjusted injury rate for starters was 60% higher than the rate for nonstarters (relative rate, 1.6; 95% confidence interval, 1.4-1.9).

Conclusion

Risk profiles differed by experience, playing position, and surface types. We recommend future sports injury research that measures time-dependent exposures at the individual level and for various types of environmental playing conditions.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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