Table 1. Overview of consensus statement definitions as they relate to fatalities presented in nine consensus statements on the collection and reporting of injury/illness in sport

 

Sport

Incident definition

Injury definition

Illness definition

Severity

Diagnosis

Catastrophic events

Fatalities

Cricket

Orchard et al, 2005^1

Not specified

Significant injury - “any injury or other medical condition that either (a) prevents a player from being fully available for selection for a major match or (b) during a major match, causes a player to be unable to bat, bowl, or keep wicket when required by either the rules or the team’s captain.”

Not specified

Number of days to return to sport.

OSICS

Not specified

Not specified

Association football (soccer)

Fuller et al, 20062

Not specified

“Any physical complaint sustained by a player that results from a football match or football training, irrespective of the need for medical attention or time loss from football activities.”

Not specified

Number of days to return to sport including “severe (>28 days); career ending.” “If a player retires from play as a direct consequence of an injury sustained during a study before returning to full participation, the injury should be reported separately as a ‘‘career ending injury’’.”

 

OSICS

Not specified

Not specified

Rugby Union

Fuller et al, 20073

Not specified

 

“Any physical complaint, which was caused by a transfer of energy that exceeded the body’s ability to maintain its structural and/or functional integrity, that was sustained by a player during a rugby match or rugby training, irrespective of the need for medical attention or time-loss from rugby activities.”

Not specified

Number of days until return to sport including “severe (>28 days), ‘‘career-ending’’ and ‘‘non-fatal catastrophic injuries”.”

location, type, body-side and injury event

 

“Non-fatal catastrophic injuries (permanent severe functional disability) should not include injuries resulting in transient neurological deficits such as burners/ stingers, paraesthesias, transient quadriplegia and cases of concussion where there is full recovery.”

Not specified

Multi-sport events

Junge et al, 20084

Not specified

“Any musculoskeletal complaint newly incurred due to competition and/or training during the tournament that received medical attention regardless of the consequences with respect to absence from competition or training.”

Not specified

Number of days missed as an indicator of severity. Specifically, “a follow-up of athletes estimated to be out of competition for >7 days should be arranged with the responsible physician.” “The characteristics, circumstances and causes of severe and career ending injuries should be described in detail, together with information about the athlete (age, gender, type of sport).”

 

OSICS or SMDCS

Not specified

Not specified

Tennis

Pluim et al, 20095

"Any physical or psychological complaint or manifestation sustained by a player that results from a tennis match or tennis training, irrespective of the need for medical attention or time loss from tennis activities.”

Not separately specified

Not separately specified

Number of days to return to sport including “severe (>28 days–6 months) and long-term (>6 months).” “A ‘‘career-ending’’ medical condition is one that leads to a player’s retirement from tennis at the standard played at the time of sustaining the condition.“

 

OSICS or SMDCS

Not specified

Not specified

Rugby League

King et al, 20096

Not specified

“Any pain or disability that occurs during participation in rugby league match or training activities that is sustained by a player, irrespective of the need for match or training time loss or for first aid or medical attention.”

 

Not specified

Number of days until return to sport including “Major (5 or more missed matches/training weeks)’’

Not specified

 

Not specified

Not specified

Thoroughbred horse racing

Turner et al, 20117

Not specified

 

“Any physical complaint sustained by a person that results from competitive riding, training or other recognised activity that brings a person into contact, or in close vicinity and with the potential for contact with one or more thoroughbred racehorses, irrespective of the need for medical attention or time loss from horse racing activities.”

 

Not specified

 

“A ‘career-ending’ injury is one that leads to a person’s retirement from their normal equine-related activities.”

OSICS or SMDCS

“Catastrophic injuries, such as paraplegia and fatalities, and career-ending injuries should be reported separately.”

As per previous column

Athletics

Timpka et al, 20148

“Any physical or psychological complaint or manifestation experienced by an athlete, irrespective of the need for medical attention or time loss from Athletics activities.”

“A physical complaint or observable damage to body tissue produced by the transfer of energy experienced or sustained by an athlete during participation in Athletics training or competition, regardless of whether it received medical attention or its consequences with respect to impairments in connection with competition or training.”

 

“A physical or psychological complaint or manifestation by an athlete not related to injury, regardless of whether it received medical attention or its consequences with respect to impairments in connection with competition or training.”

Number of days to return to sport including “serious (8–28 days), serious (>28 days–6 months) or long-term (>6 months)”

OSICS, SMDCS, ICD or ICF

Not specified

Not specified

Aquatic sports

Mountjoy et al, 20169

Any physical or psychological complaint or disorder experienced by an athlete, irrespective of the need for medical attention or time loss from training or competing in an aquatic discipline.

“A physical complaint or observable damage to body

tissue produced by the transfer of energy experienced or sustained

by an athlete during participation in training or competing in an aquatic discipline, regardless of whether it received medical attention or its consequences with respect to impairments in competition or training.”

“A complaint or disorder experienced by an athlete not related to injury, regardless of whether it received medical

attention or its consequences with respect to impairments in training or competing in an aquatic discipline.”

“A time-loss injury or illness leads to the athlete

being unable to take full part in FINA activities”

See also Table 1 page 5: 

OSICS or SMDCS

Not specified

Not specified

Cricket (updated), 201610

Definition of “injury” refers to any injury or illness.

 

Match-time loss injury renamed (from ‘significant injuries’) but otherwise retained as above for 2005.

Also added specific details for new definitions of:

General time-loss injury

Medical attention injury

Player-reported injury

Imaging abnormality injury

Recovery definitions presented in line with injury definitions (e.g. medical injury = no longer needing active medical management)

Online supplementary data asks “Did this injury cause the player to leave cohort or retire from cricket?”

As per 2005 (OSICS)

Not specified

Not specified

 

OSICS – Orchard Sports Medicine Classification System; SMDCS – sports medicine diagnostic coding system; ICD - International Classification of Diseases and Injuries; ICF - International Classification of Functioning

^ superseded by 2016 version (also included)

Table references

1. Orchard J, Newman D, Stretch RA, et al. Methods for injury surveillance in international cricket. J Sci Med Sports 2005;8(1):1-14.

2. Fuller CW, Ekstrand J, Junge A, et al. Consensus statement on injury definitions and data collection procedures in studies of football (soccer) injuries. Br J Sports Med 2006;40(3):193-201. doi: 10.1136/bjsm.2005.025270

3. Fuller CW, Molloy MG, Bagate C, et al. Consensus statement on injury definitions and data collection procedures for studies of injuries in rugby union. Br J Sports Med 2007;41:328-31.

4. Junge A, Engebretsen L, Alonso JM, et al. Injury surveillance in multi-sport events: the International Olympic Committee approach. British Journal of Sports Medicine 2008;42(6):413-21. doi: bjsm.2008.046631

5. Pluim BM, Fuller CW, Batt ME, et al. Consensus statement on epidemiological studies of medical conditions in tennis, April 2009. British Journal of Sports Medicine 2009;43(12):893-7.

6. King DA, Gabbett TJ, Gissane C, et al. Epidemiological studies of injuries in rugby league: suggestions for definitions, data collection and reporting methods. J Sci Med Sport 2009;12(1):12-19.

7. Turner M, Fuller CW, Egan D, et al. European consensus on epidemiological studies of injuries in the thoroughbred horse racing industry. Br J Sports Med 2012;46:704-08. doi: 10.1136/bjsports-2011-090312

8. Timpka T, Alonso J-M, Jacobsson J, et al. Injury and illness definitions and data collection procedures for use in epidemiological studies in athletics (track and field): consensus statement. Br J Sports Med 2014;48(7):483-90. doi: 10.1136/bjsports-2013-093241

9. Mountjoy M, Junge A, Alonso JM, et al. Consensus statement on the methodology of injury and illness surveillance in FINA (aquatic sports). Br J Sports Med 2016;50:590-96. doi: 10.1136/bjsports-2015-095686

10. Orchard JW, Ranson C, Olivier B, et al. International consensus statement on injury surveillance in cricket: a 2016 update. British Journal of Sports Medicine 2016;50(20):1245-51. doi: 10.1136/bjsports-2016-096125