To examine how injury definition inclusiveness affects the rank order of injury rates in 27 high school (HS) sports.
The National Athletic Treatment, Injury and Outcomes Network (NATION) used certified athletic trainers (ATs) to collect injury and athlete-exposure (AE) data in practices and competitions for 27 HS sports during the 2011/2012 to 2013/2014 academic years. Time loss (TL) injuries resulted in ≥24 hours of participation restriction. Nontime loss (NTL) injuries resulted in <24 hours of participation restriction.
Aggregate injury and exposure data collected from 27 HS sports.
High school student-athletes.
Sports injury data from the National Athletic Treatment, Injury and Outcomes Network.
Main Outcome Measures:
Time loss and TL + NTL injury rates were calculated. Sport-specific rates were placed in rank order, stratified by gender.
Most of the 47 014 injuries reported were NTL (82.8%). Among boys' sports, TL injury rates were greatest in football (3.27/1000AE) and wrestling (2.43/1000AE); TL + NTL injury rates were greatest also in football (15.29/1000AE) and wrestling (11.62/1000AE). Among girls' sports, TL injury rates were greatest in soccer (1.97/1000AE) and basketball (1.76/1000AE); TL + NTL injury rates were greatest in field hockey and lacrosse (both 11.32/1000AE).
The rank order of injury rates and the resulting injury prevention priorities may depend on injury definition inclusiveness, particularly in female HS sports.