Economic consequences of injury in female Australian footballers: A prospective observational study of emergency department presentations

Author:

Gill Stephen D12ORCID,Stella Julian2,Chatterton Mary Lou34ORCID,Lowry Nicole2,Kloot Kate5ORCID,Reade Tom2,Baker Tim6ORCID,Hayden Georgina7,Ryan Matthew8,Seward Hugh9,Page Richard S1ORCID

Affiliation:

1. Barwon Centre for Orthopaedic Research and Education, School of Medicine Deakin University and St John of God Geelong Hospital Geelong Victoria Australia

2. Emergency Department University Hospital Geelong Geelong Victoria Australia

3. Deakin Health Economics, Institute for Health Transformation, School of Health and Social Development Deakin University Geelong Victoria Australia

4. School of Public Health and Preventive Medicine Monash University Melbourne Victoria Australia

5. School of Medicine Deakin University Warrnambool Victoria Australia

6. Centre for Rural Emergency Medicine, School of Medicine Deakin University Warrnambool Victoria Australia

7. Emergency Department, St John of God Geelong Hospital Geelong Victoria Australia

8. Emergency Department, Epworth Hospital Geelong Geelong Victoria Australia

9. Newtown Medical Centre Geelong Victoria Australia

Abstract

AbstractObjectiveInvestigate the economic consequences of injuries to female Australian footballers from a health sector and societal perspective.MethodsThis prospective observational study invited 242 females to complete an online questionnaire 3–6 months following an Australian football injury which involved presentation to an ED in Victoria, Australia. The questionnaire inquired regarding healthcare use, time off work, return to playing football and extent of recovery following injury. Relevant information was also extracted from respondents' medical records regarding injury‐type, body part injured, investigations and treatments. Healthcare costs were determined for each respondent's ED presentation, hospital admission/s (when relevant), and subsequent healthcare use. Societal costs were determined as lost income to the respondent and/or carer.ResultsA total of 108 people responded to the questionnaire. Sprains/strains and fractures accounted for 84.2% of respondents' injuries. Sixteen respondents (14.8%) required admission to hospital at the time of injury and 81 (75.0%) required subsequent healthcare appointments following discharge from the ED or hospital. Time off work or school following the injury was common (64.8% of respondents) and 27.8% of respondents had a carer take time off work. More than 80% of respondents missed training and matches following the injury. The median healthcare cost per respondent was AUD$753 and the median cost due to work absence was AUD$1393. One‐quarter of respondents reported a full recovery.ConclusionsInjuries to female Australian footballers can produce substantial healthcare and societal costs, which has important implications for healthcare provision and prioritising and implementing injury prevention programmes and post‐injury rehabilitation.

Publisher

Wiley

Subject

Emergency Medicine

Reference32 articles.

1. Australian Fooball League.2019 Annual Report. [Cited 3 Feb 2021.] Available from URL:https://www.aflcomau/annual-reports

2. Medical-Attention Injuries in Community Australian Football

3. Australian Football League.2019 AFLW Injury Report. [Cited 8 Dec 2020.] Available from URL:https://resources.afl.com.au/afl/document/2019/12/04/125d0f05‐e879‐4fdd‐8851‐539abd27310e/2019‐AFLW‐Injury‐Report.pdf

4. Anterior Cruciate Ligament Injury Risk in Sport: A Systematic Review and Meta-Analysis of Injury Incidence by Sex and Sport Classification

5. Epidemiology of Head Injuries Focusing on Concussions in Team Contact Sports: A Systematic Review

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