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Incidence of injury and illness at the Beijing 2022 Paralympic Winter Games held in a closed-loop environment : A prospective cohort study of 7332 athlete days

Derman, Wayne (author)
Stellenbosch University
Runciman, Phoebe (author)
Stellenbosch University
Eken, Maaike (author)
Stellenbosch University
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Boer, Pieter Henk (author)
Cape Peninsula University of Technology
Blauwet, Cheri (author)
Harvard Medical School
Bogdos, Emmanouil (author)
General Hospital of Athens "G. Gennimatas"
Hirschmueller, Anja (author)
Universitätsmedizin Mainz
Jordaan, Esme (author)
University of the Western Cape,South African Medical Research Council
Kissick, James (author)
Lexell, Jan (author)
Lund University,Lunds universitet,Rehabiliteringsmedicin,Forskargrupper vid Lunds universitet,Rehabilitation medicine,Lund University Research Groups
Mohammadi, Fariba (author)
Patricio, Marcelo (author)
Schwellnus, Martin (author)
Webborn, Nick (author)
Loughborough University
Zhou, Jian Xin (author)
Beijing Tiantan Hospital
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 (creator_code:org_t)
English.
In: British journal of sports medicine. - 0306-3674.
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Objective: To describe the epidemiology of injuries and illnesses sustained during the Beijing 2022 Paralympic Winter Games, organised in a closed-loop environment to adhere with COVID-19 restrictions. Methods: Injuries and illnesses from all teams were recorded on a daily basis by team medical staff on a web-based form and by local organising committee medical (polyclinic) facilities and venue medical support. Duplicates recorded on both systems were removed. Incidence of injuries and illnesses are reported per 1000 athlete days (95% CI). Results: 564 athletes (426 male and 138 female) representing 46 countries were monitored for the 13-day period of the Beijing 2022 Paralympic Winter Games (7332 athlete days). The overall incidences were 13.0 injuries (10.6-15.8) and 6.1 illnesses (4.5-8.4) per 1000 athlete days. The incidence of injury in alpine skiing (19.9; 15.2-26.1) was significantly higher compared with Nordic skiing, ice hockey and wheelchair curling (p<0.05), while the incidence of respiratory illness was significantly higher in Nordic skiing (1.6; 0.9-2.9) compared with alpine skiing, ice hockey and snowboarding (p<0.05). Conclusion: The incidence of both injury and illness at the Beijing 2022 Games were the lowest yet reported in the Paralympic Winter Games. The incidence of injury was highest in alpine skiing. These findings underscore the importance of ongoing vigilance and continued injury risk mitigation strategies to safeguard the well-being of athletes in these high-risk competitions. Respiratory illnesses were most commonly reported in Nordic skiing, which included the three cases of COVID-19 recorded at the games.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Idrottsvetenskap (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Sport and Fitness Sciences (hsv//eng)

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art (subject category)
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