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. 2019 Mar 15;68(10):237–242. doi: 10.15585/mmwr.mm6810a2

TABLE 2. Average annual estimates of emergency department visits for all nonfatal traumatic brain injuries (TBIs) related to sports and recreation activities among persons aged <18 years, by type of activity — National Electronic Injury Surveillance System–All Injury Program, United States, 2010–2016.

Activity No* (95% CI)
Overall Males Females
Contact sports
126,964 (96,564–157,364)
99,784 (76,521–123,047)
27,180 (19,449–34,911)
Football
53,657 (42,998–64,316)
52,088 (41,640–62,536)
1,570 (1,197–1,943)
Basketball
29,675 (22,497–36,853)
19,057 (14,303–23,811)
10,617 (8,074–13,160)
Soccer
23,847 (15,107–32,587)
12,177 (7,972–16,382)
11,670 (7,011–16,329)
Hockey
8,110§ (2,210–14,010)§
6,697§ (1,271–12,123)§
1,412 (642–2,182)
Combative sports
6,798 (4,898–8,698)
6,372 (4,539–8,205)
426 (274–578)
Miscellaneous contact ball games**
4,877 (3,051–6,703)
3,392 (2,076–4,708)
1,485 (916–2,054)
Limited contact sports
56,423 (42,674–70,172)
29,080 (21,405–36,755)
27,343 (20,782–33,904)
Baseball
14,208 (10,501–17,915)
11,888 (8,671–15,105)
2,320 (1,749–2,891)
Gymnastics††
8,008 (5,609–10,407)
723 (482–964)
7,284 (5,049–9,519)
Skateboarding
6,857 (3,714–10,000)
5,618 (2,881–8,355)
1,239 (728–1,750)
Softball
5,675 (3,898–7,452)
521 (309–733)
5,155 (3,532–6,778)
Trampolining
4,906 (3,276–6,536)
2,976 (2,034–3,918)
1,930 (1,174–2,686)
Horseback riding
3,427 (2,222–4,632)
605§ (234–976)§
2,822 (1,897–3,747)
Volleyball
3,268 (2,549–3,987)
439 (262–616)
2,829 (2,217–3,441)
Ice skating
2,227 (1,297–3,157)
1,180 (696–1,664)
1,047 (546–1,548)
In-line/Roller skating
2,041 (1,328–2,754)
1,048 (630–1,466)
993 (616–1,370)
Other limited contact sports§§
5,806§ (2,280–9,332)§
4,081§ (1,566–6,596)§
1,725§ (674–2,776)§
Noncontact sports
68,684 (52,391–84,977)
44,848 (34,335–55,361)
23,836 (17,995–29,677)
Playground
27,350 (19,582–35,118)
16,095 (11,697–20,493)
11,255 (7,831–14,679)
Bicycling
25,955 (19,985–31,925)
19,880 (15,333–24,427)
6,075 (4,539–7,611)
Swimming
6,796 (5,131–8,461)
3,754 (2,685–4,823)
3,042 (2,303–3,781)
Exercise
5,030 (3,820–6,240)
3,054 (2,294–3,814)
1,976 (1,380–2,572)
Golf¶¶
1,748 (1,126–2,370)
1,084 (712–1,456)
665 (352–978)
Track and field
1,074 (683–1,465)
571 (313–829)
503 (300–706)
Racquet sports***
570 (342–798)
298 (151–445)
272 (147–397)
Bowling
160§ (71–249)§
113§ (40–186)§
47§ (3–91)§
Recreation
31,447 (24,905–37,989)
20,628 (16,543–24,713)
10,819 (8,256–13,382)
Scooter riding
5,711 (3,903–7,519)
3,811 (2,539–5,083)
1,900 (1,282–2,518)
All-terrain vehicle riding
4,702 (2,339–7,065)
3,046 (1,583–4,509)
1,656 (723–2,589)
Amusement attractions†††
2,989 (2,043–3,935)
1,633 (1,136–2,130)
1,356 (817–1,895)
Tobogganing/Sledding
2,988 (2,079–3,897)
1,793 (1,215–2,371)
1,194 (796–1,592)
Moped/Dirt bike riding§§§
2,921 (2,161–3,681)
2,536 (1,880–3,192)
386 (227–545)
Other recreation¶¶¶
1,323 (824–1,822)
800 (458–1,142)
523 (303–743)
Miscellaneous recreation ball games****
4,090 (3,017–5,163)
2,711 (2,045–3,377)
1,379 (876–1,882)
Other specified††††
6,723 (5,098–8,348)
4,298 (3,175–5,421)
2,425 (1,799–3,051)
Total 283,518 (218,675–348,361) 194,340 (150,416–238,264) 89,178 (68,133–110,223)

Abbreviation: CI = confidence interval.

* Estimates might not sum to totals because of rounding.

Includes ice hockey, field hockey, roller hockey, and street hockey.

§ Estimates were identified as unstable if the number of sample cases was <20, the weighted estimate was <1,200, or the coefficient of variation was >30.

Includes boxing, wrestling, martial arts, and fencing.

** Includes lacrosse, rugby, and handball.

†† Includes cheerleading and dancing.

§§ Includes snow skiing, snowboarding, water skiing, and surfing.

¶¶ Includes injuries related to golf carts.

*** Includes tennis, badminton, and squash.

††† Includes rides and water slides (not swimming pool slides).

§§§ Includes other two-wheeled, powered, off-road vehicles and dune buggies.

¶¶¶ Includes nonpowder/BB guns, go carts, personal watercraft, snowmobiling, camping, fishing, and billiards.

**** Includes tetherball, kick ball, and dodgeball.

†††† Includes gym/physical education class, archery, darts, curling, and mountain climbing.