{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T21:14:23Z","timestamp":1793049263382,"version":"4.5.0"},"reference-count":47,"publisher":"National Athletic Trainers' Association","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,2,1]]},"abstract":"<jats:sec>\n                  <jats:title>Context:<\/jats:title>\n                  <jats:p>Few researchers have described the incidence of the most severe injuries sustained by student-athletes at the collegiate level.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective:<\/jats:title>\n                  <jats:p>To describe the epidemiology of severe injuries within 25 National Collegiate Athletic Association (NCAA) sports in the 2009\u20132010 through 2014\u20132015 academic years.<\/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>Aggregate injury and exposure data from 25 NCAA sports.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Patients or Other Participants:<\/jats:title>\n                  <jats:p>Collegiate student-athletes in the 2009\u20132010 through 2014\u20132015 academic years.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Main Outcome Measure(s):<\/jats:title>\n                  <jats:p>Injury data from the NCAA Injury Surveillance Program were analyzed. A severe injury (1) occurred during a sanctioned competition or practice, (2) required medical attention by an athletic trainer or physician, and (3) resulted in at least 21 days lost from sport activity or a premature end to the sport season. Injury counts, proportions, rates per 1000 athlete-exposures (AEs), rate ratios (RRs), and injury proportion ratios were reported with 95% confidence intervals (CIs).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results:<\/jats:title>\n                  <jats:p>A total of 3183 severe injuries were reported, for an injury rate of 0.66\/1000 AEs. Wrestling had the highest severe injury rate (1.73\/1000 AEs), followed by women's gymnastics (1.40\/1000 AEs) and football (0.97\/1000 AEs). Overall, the severe injury rate was higher in competition than in practice (RR = 4.25, 95% CI = 3.97, 4.56). Most severe injuries were reported during the regular season (69.3%, n = 2206); however, severe injury rates did not differ between the preseason and regular season (RR = 0.98, 95% CI = 0.91, 1.06). Common severely injured body parts were the knee (32.9%, n = 1047), lower leg\/ankle\/foot (22.5%, n = 715), and head\/face\/neck (11.2%, n = 358). Common severe injury diagnoses were sprains (32.9%, n = 1048), strains (16.9%, n = 538), and fractures (14.4%, n = 458). Common severe injury mechanisms were player contact (39.3%, n = 1251), noncontact (25.1%, n = 800), and surface contact (12.0%, n = 383).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions:<\/jats:title>\n                  <jats:p>Severe injuries occurred across many sports and by numerous mechanisms. By identifying these sport-specific patterns, clinicians' efforts can be tailored toward improving injury-prevention strategies and health outcomes.<\/jats:p>\n               <\/jats:sec>","DOI":"10.4085\/1062-6050-52.1.01","type":"journal-article","created":{"date-parts":[[2017,1,24]],"date-time":"2017-01-24T19:00:37Z","timestamp":1485284437000},"page":"117-128","source":"Crossref","is-referenced-by-count":116,"title":["The Epidemiology of Severe Injuries Sustained by National Collegiate Athletic Association Student-Athletes, 2009\u20132010 Through 2014\u20132015"],"prefix":"10.4085","volume":"52","author":[{"given":"Melissa C.","family":"Kay","sequence":"first","affiliation":[{"name":"Department of Exercise and Sport Science, University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johna K.","family":"Register-Mihalik","sequence":"first","affiliation":[{"name":"Department of Exercise and Sport Science, University of North Carolina 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