NEISS 1997 Horse Related Injuries

Part of Body Injured
    79-82      %   87-91     %    92-96      %   TOTAL      %
Trunk 44819 26.7 85304 29.9 114390 33.8 244513 30.9
U Extrem 46128 27.5 69698 24.5 81151 24.0 196977 24.9
L Extrem 41951 24.9 65208 22.9 68224 20.2 175383 22.2
Head 31030 18.5 51146 18.0 60550 17.9 142727 18.0
Neck 3230 1.9 3823 1.3 8263 2.4 15316 1.9
25-50 % 454 0.3 8914 3.1 4281 1.3 13649 1.7
All Body 74 0.0 814 0.3 1852 0.5 2740 0.3
Unknown 276   111   751   1138  
Known 167686   284907   338711   791305  
Total 167962   285018   339462   792443  
                 

 
 

Type of Injury
  79-82 % 87-91 % 92-96 % Total %
Contusion/Abrasion 64225 38.3 93766 32.9 102576 30.2 260567 32.9
Fracture 42329 25.2 80348 28.7 99585 29.3 222262 28.1
Sprain/Strain 27031 16.1 48326 16.9 55460 16.3 130816 16.5
Laceration 16564 9.9 25683 9.0 28766 8.5 71013 9.0
Concussion 6154 3.7 10044 3.5 11612 3.4 27810 3.5
Internal Injury 1255 0.7 7990 2.8 12800 3.8 22045 2.8
Other 1810 1.1 4492 1.6 11442 3.4 17744 2.2
Dislocation 3624 2.2 6234 2.2 6501 1.9 16359 2.1
Hemotoma 1928 1.1 3260 1.1 4045 1.2 9233 1.2

All others had less than 1% incidence.
 
 
 

Head Injuries
Year 1990 1991 1992 1993 1994 1995 1996
Head Injuries 17.50% 17.82% 17.92% 16.88% 17.99% 18.69% 17.72%
Concussion 2.05% 4.30% 3.66% 3.49% 3.53% 4.31% 1.95%

 
 

Ages of Persons Injured
Year 78-82 % 87-91 % 92-96 % Total %
Unk 0 0.0 112 0.5 132 0.0 244 0.0
0-4 3318 2.0 5111 1.8 7301 2.2 15730 2.0
5-14 45504 27.1 59513 20.9 68421 20.2 173438 21.9
15-24 56185 33.5 70454 24.7 70851 20.9 197490 24.9
25-44 49570 29.6 116873 41.0 134389 39.65 300832 38.0
45-64 11422 6.8 27715 9.7 52561 15.5 91698 11.6
65+ 1685 1.0 5352 1.9 5808 1.7 12845 1.6
Total 167684   185018   339331   792033  

 
 
 

Place of Accident
Place/Year 79-82 % 97-91 % 92-96 % Total %
Home 40557 30.2 75492 42.3 73320 42.1 189369 38.9
Sports 47129 35.! 42508 23.8 54112 31.1 143749 29.5
Farm 28240 21.0 35681 20.0 20205 11.6 84126 17.3
Public 11274 8.4 19597 11.0 22604 13.0 53475 11.0
Street 5222 3.9% 4574 2.6 2721 1.6 12517 2.6
School 1774 1.3 675 0.4 1066 0.6 3515 0.7
Total 134196   178527   174028   486751  

 
 
 

Home/Sports Injuries by Year
Year 1990 1991 1992 1993 1994 1995 1996
% Home 29.8 26.6 21.9 23.0 20.3 22.7 20.7
% Sports 14.2 16.1 15.1 15.2 15.8 18.5 15.7

 
 

Injuries by Gender and Year
  79-82 % 87-91 % 92-96 Total %
Male 64964 38.8 123631 43.4 141021 41.5 329616 41.6
Female 102612 61.2 161500 56.6 198399 58.5 462511 58.4
Total 167576   285131   339420   792127  

 

NEISS has provided its figures on horse related injuries for 14 years divided into 1979- 1982. and the two five year periods 1987-1991 and 1992-1996. NEISS stopped recording horse related injuries in 1983 and did not resume until 1987.


 
 

Injuries by Year
YEAR INJURIES
1990 74349
1991 71490
1992 73685
1993 68517
1994 71248
1995 65696
1996 60316

 

Preliminary conclusions:

1. The total number of injuries have had an irregular decrease but show the greatest decrease in 1996.

2. The percent of head injuries have had very small changes.

3. Concussions have been essentially unchanged, but there has been a decrease in 1996.

4. The injured between the ages 5-14 and 15-24 years have decreased in the percent of total injuries in each time period while the ages 25-44 and 45-64 years have shown an increase in the percent of total injuries in the same time periods.

5. The gender difference in the percent of accidents show a decrease in the percent of female injuries from 1979-1982 with a corresponding increase in the male injuries. Females had 61.8% of the injuries in 1990 but this had decreased to 54.7% by 1996.

6. In the location involved the percent of injured at "home" have had an increase since 1979-82, but have not risen in the past five years. The percent of injuries in "sport" after a decline in 1987-1991 have increased in the last five years.

National Electronic Surveillance System
Consumer Product Safety Commission
National Information Clearing House
Washington, DC 20207
 

NEISS Horse Related Injuries Editorial Comment

Protective headgear does not appear to have reduced the percent of head injuries, but the decrease has been in the total number of injuries. If 1996 can be considered the beginning of a trend, concussion with head injury may have decreased. The ages of those injured has shown the greatest change with youth and young adults decreasing their percent of injuries. Persons in the ages 25-44 years after an initial increase in 1987-1992 did not continue the increase in 1992-1996 of their percent of horse related injuries. The ages over 45 years have shown the greatest percent increase in injuries. This may show that youth and young adults follow the rules of safety and accident prevention, while the older riders remain bound by tradition.

Sports which should provide role models by their use of protective headgear and concern for safety, have shown a percent increase in injuries. One cannot wonder if the mandatory use of protective headgear in organized events during part of the years of 1989-1992 might have resulted in the lower number of injuries. Females have reduced their percent of injuries from 1979-1982, but this decrease has not continued in the time spans 1987-91 to 1992-96. (See AMEA News, November 1996, November 1995, February 1994, November 1992.)

Doris Bixby Hammett, MD

 


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