{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T00:39:49Z","timestamp":1775781589626,"version":"3.50.1"},"reference-count":35,"publisher":"National Athletic Trainers' Association","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014,6,1]]},"abstract":"<jats:sec>\n                  <jats:title>Context:<\/jats:title>\n                  <jats:p>Basketball is a popular US high school sport with more than 1 million participants annually.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective:<\/jats:title>\n                  <jats:p>To compare patterns of athletes with basketball-related injuries presenting to US emergency departments from 2005 through 2010 and the high school athletic training setting from the 2005\u20132011 seasons.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design:<\/jats:title>\n                  <jats:p>Descriptive epidemiology study.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Setting:<\/jats:title>\n                  <jats:p>Data from the National Electronic Injury Surveillance System of the US Consumer Product Safety Commission and the High School Reporting Information Online database.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Main Outcome Measure(s):<\/jats:title>\n                  <jats:p>Complex sample weights were used to calculate national estimates of basketball-related injuries for comparison.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Patients or Other Participants:<\/jats:title>\n                  <jats:p>Adolescents from 13 to 19 years of age treated in US emergency departments for basketball-related injuries and athletes from 13 to 19 years of age from schools participating in High School Reporting Information Online who were injured while playing basketball.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results:<\/jats:title>\n                  <jats:p>Nationally, an estimated 1\u200a514\u200a957 (95% confidence interval = 1\u200a337\u200a441, 1\u200a692\u200a474) athletes with basketball-related injuries reported to the emergency department and 1\u200a064\u200a551 (95% confidence interval = 1\u200a055\u200a482, 1\u200a073\u200a620) presented to the athletic training setting. Overall, the most frequent injuries seen in the emergency department were lacerations and fractures (injury proportion ratios [IPRs] = 3.45 and 1.72, respectively), whereas those seen in the athletic training setting were more commonly concussions and strains\/sprains (IPRs = 2.23 and 1.19, respectively; all P values &amp;lt; .0001). Comparisons of body site and diagnosis combinations revealed additional differences. For example, athletes with lower leg fractures more often presented to the emergency department (IPR = 6.53), whereas those with hand fractures more frequently presented to the athletic training setting (IPR = 1.18; all P values &amp;lt; .0001).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions:<\/jats:title>\n                  <jats:p>Patterns of injury differed among high school basketball players presenting for treatment in the emergency department and the athletic training setting. Understanding differences specific to clinical settings is crucial to grasping the full epidemiologic and clinical picture of sport-related injuries. Certified athletic trainers play an important role in identifying, assessing, and treating athletes with sport-related injuries who might otherwise present to clinical settings with higher costs, such as the emergency department.<\/jats:p>\n               <\/jats:sec>","DOI":"10.4085\/1062-6050-49.3.09","type":"journal-article","created":{"date-parts":[[2014,4,23]],"date-time":"2014-04-23T15:41:37Z","timestamp":1398267697000},"page":"381-388","source":"Crossref","is-referenced-by-count":26,"title":["Epidemiologic Comparison of Injured High School Basketball Athletes Reporting to Emergency Departments and the Athletic Training Setting"],"prefix":"10.4085","volume":"49","author":[{"given":"Erica N.","family":"Fletcher","sequence":"first","affiliation":[{"name":"Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, OH"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lara B.","family":"McKenzie","sequence":"first","affiliation":[{"name":"Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, OH"},{"name":"Department of Pediatrics, College of Medicine, The Ohio State University, Columbus"},{"name":"Division of Epidemiology, College of Public Health, The Ohio State University, Columbus"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. Dawn","family":"Comstock","sequence":"first","affiliation":[{"name":"Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, OH"},{"name":"Colorado School of Public Health, Department of Epidemiology and Pediatric Injury Prevention, Education, and Research (PIPER) Program, Aurora"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2557","reference":[{"key":"2020060411481488000_i1062-6050-49-3-381-b01","unstructured":"American Medical Association. Policy H-470.995: certified athletic trainers in secondary schools. http:\/\/www.ama-assn.org\/resources\/doc\/PolicyFinder\/policyfiles\/HnE\/H-470.995.HTM. Accessed December 18, 2013."},{"key":"2020060411481488000_i1062-6050-49-3-381-b02","unstructured":"National Athletic Trainers' Association. NATA study finds head impacts among high school football players greater than collegiate level. http:\/\/www.nata.org\/NR071509. Accessed May 28, 2012."},{"issue":"3","key":"2020060411481488000_i1062-6050-49-3-381-b03","first-page":"272","article-title":"Certified athletic trainers in secondary schools: report of the council on scientific affairs, american medical association","volume":"34","author":"Lyznicki","year":"1999","journal-title":"J Athl Train"},{"issue":"4","key":"2020060411481488000_i1062-6050-49-3-381-b04","first-page":"91","article-title":"Do certified athletic trainers make a difference in high school athletic healthcare?","volume":"104","author":"Wham","year":"2008","journal-title":"J S C Med Assoc"},{"issue":"1","key":"2020060411481488000_i1062-6050-49-3-381-b05","doi-asserted-by":"crossref","first-page":"75","DOI":"10.4085\/1062-6050-45.1.75","article-title":"Key factors for providing appropriate medical care in secondary school athletics: athletic training services and budget","volume":"45","author":"Wham","year":"2010","journal-title":"J Athl Train"},{"key":"2020060411481488000_i1062-6050-49-3-381-b06","unstructured":"National Federation of State High School Associations. Participation data. http:\/\/www.nfhs.org\/content.aspx?id=3282. Accessed May 28, 2012."},{"key":"2020060411481488000_i1062-6050-49-3-381-b07","unstructured":"National Federation of State High School Associations. Participation statistics: basketball. http:\/\/www.nfhs.org\/Participation\/SportSearch.aspx. Accessed June 4, 2012."},{"issue":"9","key":"2020060411481488000_i1062-6050-49-3-381-b08","doi-asserted-by":"crossref","first-page":"904","DOI":"10.1001\/archpedi.154.9.904","article-title":"Sports participation and health-related behaviors among US youth","volume":"154","author":"Pate","year":"2000","journal-title":"Arch Pediatr Adolesc Med"},{"issue":"3","key":"2020060411481488000_i1062-6050-49-3-381-b09","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1111\/j.1746-1561.2003.tb03585.x","article-title":"Differences in behavior, psychological factors, and environmental factors associated with participation in school sports and other activities in adolescence","volume":"73","author":"Harrison","year":"2003","journal-title":"J Sch Health"},{"key":"2020060411481488000_i1062-6050-49-3-381-b10","unstructured":"US Consumer Product Safety Commission. NEISS: National Electronic Injury Surveillance System, A Tool for Researchers. Washington, DC: US Consumer Product Safety Commission;2000."},{"issue":"12","key":"2020060411481488000_i1062-6050-49-3-381-b11","doi-asserted-by":"crossref","first-page":"2328","DOI":"10.1177\/0363546508322893","article-title":"The epidemiology of US high school basketball injuries, 2005\u20132007","volume":"36","author":"Borowski","year":"2008","journal-title":"Am J Sports Med"},{"issue":"4","key":"2020060411481488000_i1062-6050-49-3-381-b12","first-page":"495","article-title":"Concussions among United States high school and collegiate athletes","volume":"42","author":"Gessel","year":"2007","journal-title":"J Athl Train"},{"issue":"3","key":"2020060411481488000_i1062-6050-49-3-381-b13","first-page":"381","article-title":"Ankle injuries among United States high school sports athletes, 2005\u20132006","volume":"42","author":"Nelson","year":"2007","journal-title":"J Athl Train"},{"issue":"8","key":"2020060411481488000_i1062-6050-49-3-381-b14","doi-asserted-by":"crossref","first-page":"1295","DOI":"10.1177\/0363546507299745","article-title":"Epidemiology of high school and collegiate football injuries in the United States, 2005\u20132006","volume":"35","author":"Shankar","year":"2007","journal-title":"Am J Sports Med"},{"issue":"1","key":"2020060411481488000_i1062-6050-49-3-381-b15","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1177\/0363546507307507","article-title":"An epidemiologic comparison of high school and college wrestling injuries","volume":"36","author":"Yard","year":"2008","journal-title":"Am J Sports Med"},{"key":"2020060411481488000_i1062-6050-49-3-381-b16","unstructured":"United States Census Bureau. 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Accessed September 22, 2011."},{"key":"2020060411481488000_i1062-6050-49-3-381-b19","first-page":"1","article-title":"National Hospital Ambulatory Medical Care Survey: 2006 emergency department summary","volume":"7","author":"Pitts","year":"2008","journal-title":"Natl Health Stat Report"},{"issue":"7","key":"2020060411481488000_i1062-6050-49-3-381-b20","doi-asserted-by":"crossref","first-page":"672","DOI":"10.1097\/00001888-200107000-00005","article-title":"Emergency department overcrowding: a national crisis","volume":"76","author":"McCabe","year":"2001","journal-title":"Acad Med"},{"key":"2020060411481488000_i1062-6050-49-3-381-b21","first-page":"476","article-title":"Nonurgent care in the emergency department: bane or boon?","volume":"12","author":"Moskop","year":"2010","journal-title":"Virtual Mentor"},{"key":"2020060411481488000_i1062-6050-49-3-381-b22","article-title":"ER visits, costs in Mass. climb: questions raised about healthcare law's impact on overuse","author":"Kowalczyk","year":"2013","journal-title":"Boston Globe"},{"issue":"6","key":"2020060411481488000_i1062-6050-49-3-381-b23","doi-asserted-by":"crossref","first-page":"e1028","DOI":"10.1542\/peds.2007-3796","article-title":"Baseball-related injuries to children treated in hospital emergency departments in the United States, 1994\u20132006","volume":"123","author":"Lawson","year":"2009","journal-title":"Pediatrics"},{"issue":"3","key":"2020060411481488000_i1062-6050-49-3-381-b24","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1177\/0009922810388511","article-title":"Football-related injuries among 6- to 17-year-olds treated in US emergency departments, 1990\u20132007","volume":"50","author":"Nation","year":"2011","journal-title":"Clin Pediatr (Phila)"},{"issue":"4","key":"2020060411481488000_i1062-6050-49-3-381-b25","doi-asserted-by":"crossref","first-page":"727","DOI":"10.1542\/peds.2009-2497","article-title":"Basketball-related injuries in school-aged children and adolescents in 1997\u20132007","volume":"126","author":"Randazzo","year":"2010","journal-title":"Pediatrics"},{"issue":"11","key":"2020060411481488000_i1062-6050-49-3-381-b26","doi-asserted-by":"crossref","first-page":"2304","DOI":"10.1177\/0363546511423503","article-title":"Assessment and management of sport-related concussions in United States high schools","volume":"39","author":"Meehan","year":"2011","journal-title":"Am J Sports Med"},{"key":"2020060411481488000_i1062-6050-49-3-381-b27","unstructured":"Rickerson\n              J. \n          \n          Concussion laws: 2011. http:\/\/sportsconcussions.org\/laws.html. Published 2011. Accessed July 10, 2012."},{"issue":"9","key":"2020060411481488000_i1062-6050-49-3-381-b28","doi-asserted-by":"crossref","first-page":"1798","DOI":"10.1177\/0363546509333015","article-title":"Epidemiology of severe injuries among United States high school athletes: 2005\u20132007","volume":"37","author":"Darrow","year":"2009","journal-title":"Am J Sports Med"},{"issue":"2","key":"2020060411481488000_i1062-6050-49-3-381-b29","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1097\/BPO.0b013e3182093f8b","article-title":"Impact of fractures on school attendance","volume":"31","author":"Hyman","year":"2011","journal-title":"J Pediatr Orthop"},{"issue":"6","key":"2020060411481488000_i1062-6050-49-3-381-b30","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1136\/ip.2006.014720","article-title":"Cost of injuries from a prospective cohort study of North Carolina high school athletes","volume":"13","author":"Knowles","year":"2007","journal-title":"Inj Prev"},{"issue":"9","key":"2020060411481488000_i1062-6050-49-3-381-b31","doi-asserted-by":"crossref","first-page":"2078","DOI":"10.1177\/0363546512453304","article-title":"Epidemiology of United States high school sports-related fractures, 2008\u201309 to 2010\u201311","volume":"40","author":"Swenson","year":"2012","journal-title":"Am J Sports Med"},{"issue":"3","key":"2020060411481488000_i1062-6050-49-3-381-b32","first-page":"277","article-title":"Injury patterns in selected high school sports: a review of the 1995\u20131997 seasons","volume":"34","author":"Powell","year":"1999","journal-title":"J Athl Train"},{"issue":"4","key":"2020060411481488000_i1062-6050-49-3-381-b33","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1097\/JSM.0b013e3181e8fae8","article-title":"Epidemiology of US high school sports-related fractures, 2005\u20132009","volume":"20","author":"Swenson","year":"2010","journal-title":"Clin J Sport Med"},{"key":"2020060411481488000_i1062-6050-49-3-381-b34","unstructured":"National Athletic Trainers' Association. 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Accessed May 28, 2012."}],"container-title":["Journal of Athletic Training"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/meridian.allenpress.com\/jat\/article-pdf\/49\/3\/381\/1620035\/1062-6050-49_3_09.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/meridian.allenpress.com\/jat\/article-pdf\/49\/3\/381\/1620035\/1062-6050-49_3_09.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,11]],"date-time":"2025-06-11T18:56:39Z","timestamp":1749668199000},"score":1,"resource":{"primary":{"URL":"https:\/\/nata.kglmeridian.com\/view\/journals\/attr\/49\/3\/article-p381.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,6,1]]},"references-count":35,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2014,6,1]]}},"URL":"https:\/\/doi.org\/10.4085\/1062-6050-49.3.09","relation":{},"ISSN":["1062-6050"],"issn-type":[{"value":"1062-6050","type":"print"}],"subject":[],"published":{"date-parts":[[2014,6,1]]}}}