Burden of Sport Injuries in the European Union - Safety in Sports
Burden of Sport Injuries in the European Union - Safety in Sports
Burden of Sport Injuries in the European Union - Safety in Sports
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1 Executive summary<br />
5<br />
1 | February 2012<br />
As <strong>in</strong> all o<strong>the</strong>r spheres <strong>of</strong> life, also <strong>in</strong> sport <strong>the</strong> possible risks <strong>of</strong> accidents result<strong>in</strong>g<br />
<strong>in</strong>to <strong>in</strong>juries <strong>of</strong> even death should be well anticipated and controlled, which is to<br />
some extend also a responsibility <strong>of</strong> <strong>the</strong> <strong>European</strong> <strong>Union</strong>. In <strong>the</strong> Treaty <strong>of</strong> Lisbon,<br />
Member States agreed to coord<strong>in</strong>ate <strong>the</strong>ir policies and programmes <strong>in</strong> order to improve<br />
public health, prevent physical illness, and obviate sources <strong>of</strong> danger to physical<br />
health. The Treaty also provides that <strong>the</strong> <strong>Union</strong> shall streng<strong>the</strong>n <strong>the</strong> <strong>European</strong><br />
dimension <strong>of</strong> sport by amongst o<strong>the</strong>rs protect<strong>in</strong>g <strong>the</strong> physical and moral <strong>in</strong>tegrity <strong>of</strong><br />
sportsman and women.<br />
Any prevention action needs knowledge about frequency, severity and circumstances<br />
<strong>of</strong> sport related <strong>in</strong>juries. Mortality and hospitalisation statistics <strong>of</strong>ten lack <strong>in</strong>formation<br />
on <strong>the</strong> type <strong>of</strong> activity that caused <strong>the</strong> <strong>in</strong>jury (like sport<strong>in</strong>g) or on <strong>the</strong> place <strong>of</strong><br />
occurrence (like sport<strong>in</strong>g ground). Factually only rough <strong>in</strong>dications <strong>of</strong> <strong>the</strong> size and<br />
nature <strong>of</strong> fatal sport <strong>in</strong>juries can be derived from usual health statistics.<br />
Fortunately, <strong>the</strong> <strong>European</strong> hospital based <strong>in</strong>jury surveillance system IDB (<strong>European</strong><br />
Injury Database) provides more <strong>in</strong>formation, <strong>in</strong> particular on <strong>the</strong> circumstances <strong>of</strong><br />
<strong>the</strong> <strong>in</strong>jury event, <strong>the</strong> activity <strong>in</strong>volved, <strong>the</strong> place <strong>of</strong> occurrence and products <strong>in</strong>volved.<br />
The IDB register on treatments <strong>in</strong> hospital emergency departments has been<br />
<strong>in</strong>troduced <strong>in</strong> order to guide targeted prevention and it is <strong>in</strong>tended to have it be<strong>in</strong>g<br />
expanded to all member states by 2015. Although, <strong>in</strong> 2008, only 11 countries were<br />
collect<strong>in</strong>g IDB data, <strong>the</strong> sample is sufficiently large to extrapolate figures on sport<br />
<strong>in</strong>juries for <strong>the</strong> <strong>European</strong> Community as a whole. Regard<strong>in</strong>g o<strong>the</strong>r forms <strong>of</strong> medical<br />
treatment, e.g. <strong>in</strong> doctor’s <strong>of</strong>fices, rough estimates can be made through national<br />
health <strong>in</strong>terview surveys.<br />
Based on <strong>the</strong> Eurostat and WHO mortality databases, <strong>the</strong> number <strong>of</strong> fatal sport <strong>in</strong>juries<br />
can be estimated at 7.000 fatalities per year. Based on IDB it is estimated that annually<br />
almost 6 million persons need treatment <strong>in</strong> a hospital due to an accident related<br />
to sportive activity, <strong>of</strong> whom 10% require hospitalisation for one day or more.<br />
‘Team ball sport’ account for about 40% <strong>of</strong> all hospital treated sport <strong>in</strong>juries. By specific<br />
type <strong>of</strong> ball sport <strong>the</strong> rank<strong>in</strong>g order <strong>in</strong> team ball sport is: football (74%), basketball<br />
(8%), volleyball (7%), and handball (3%). Due to its typical one-on-one situations<br />
<strong>the</strong> <strong>in</strong>jury risk <strong>in</strong> team ball sports is relatively high, compared to o<strong>the</strong>r types <strong>of</strong> sport.<br />
Never<strong>the</strong>less, <strong>the</strong> majority <strong>of</strong> sport <strong>in</strong>juries result from participation <strong>in</strong> so called nonorganized,<br />
i.e. <strong>in</strong>dividually organized sport accord<strong>in</strong>g to <strong>the</strong> EU IDB records.