Health Care Resource Utilization after Acute Ankle Sprains

Iwona A. Bielska,

William Pickett,

Robert Brison,

Brenda Brouwer,

Ana P. Johnson


Ankle sprains are common soft-tissue injuries that are often treated in emergency departments. These injuries can have significant consequences for the patient, including long-term morbidity and loss of productivity. The objective of this study was to examine the direct and indirect health resource utilization associated with ankle sprains. 296 adult patients with acute ankle sprains participated in the study in Kingston, Ontario, Canada. Data were collected using a one-month productivity questionnaire. Overall, 11% (95% CI, 8-15%) of the participants visited a physician following the initial emergency department visit. Almost all (95%; 95% CI, 92-97%) of the participants used medications or supportive treatments and 55% (95% CI, 50-61%) reported taking time off from work, school, or housework. The use of unpaid assistance was indicated by 56% (95% CI, 50-62%). Findings from this analysis highlight the significant patient-related and health care system burden of acute ankle sprains.

Słowa kluczowe: Kanada, urazy stawu skokowego, utrata zdolności do pracy, zasoby ochrony zdrowia

Micheo W., Buschbacher R., Musculoskeletal, Sports and Occupational Medicine, 1st ed. Demos Medical Publishing, New York 2010.

Waterman B.R., Owens B.D., Davey S., Zacchilli M.A., Belmont P.J., The epidemiology of ankle sprains in the United States. “The Journal of Bone and Joint Surgery (American)” 2010; 92(13): 2279–2284.

Lambers K., Ootes D., Ring D., Incidence of participants with lower extremity injuries presenting to US emergency departments by anatomic region, disease category, and age. „Clinical Orthopaedics and Related Research” 2012; 470(1): 284–290.

Cooke M.W., Marsh J.L., Clark M., Nakash R., Jarvis R.M., Hutton J.L., Szczepura A., Wilson S., Lamb S.E., Treatment of severe ankle sprain: A pragmatic randomised controlled trial comparing the clinical effectiveness and cost-effectiveness of three types of mechanical ankle support with tubular bandage. The CAST trial. „Health Technoly Assessment” 2009; 13(13): 1–144.

Brostroem L., Sprained ankles. V. treatment and prognosis in recent ligament ruptures. „Acta Chirurgica Scandinavica” 1966; 132(5): 537–550.

Motta-Valencia K., Dance-related injury. „Physical Medicine & Rehabilitation Clinics of North America” 2006; 17(3): 697–723.

Wolfe M.W., Uhl T.L., Mattacola C.G., McCluskey L.C., Management of ankle sprains. „American Family Physician” 2001; 63(1): 93–104.

Anandacoomarasamy A., Barnsley L., Long term outcomes of inversion ankle injuries. „British Journal of Sports Medicine” 2005; 39(3): e14–17.

Hubbard T.J., Hicks-Little C.A., Ankle ligament healing after an acute ankle sprain: An evidence-based approach. „Journal of Athletic Training” 2008; 43(5): 523–529.

Martin R.B., Burr D.B., Sharkey N.A., Skeletal Tissue Mechanics. Springer-Verlag, New York 1998.

Anderson S.J., Acute ankle sprains: Keys to diagnosis and return to play. „Physician and Sportsmedicine” 2002; 30(12): 29–35.

Boyce S.H., Quigley M.A., Review of sports injuries presenting to an accident and emergency department. „Emergency Medicine Journal” 2004; 21(6): 704–706.

Soboroff S.H., Pappius E.M., Komaroff A.L., Benefits, risks, and costs of alternative approaches to the evaluation and treatment of severe ankle sprain. „Clinical Orthopaedics and Related Research” 1984; 183: 160–168.

Osborne M.D., Rizzo T.D., Prevention and treatment of ankle sprain in athletes. „Sports Medicine” 2003; 33(15): 1145–1150.

Audenaert A., Prims J., Reniers G.L.L., Weyns D., Mahieu P., Audenaert E., Evaluation and economic impact analysis of different treatment options for ankle distortions in occupational accidents. „Journal of Evaluation in Clinical Practice” 2010; 16(5): 933–939.

Nussbaum E.D., Hosea T.M., Sieler S.D., Incremona B.R., Kessler D.E., Prospective evaluation of syndesmotic ankle sprains without diastasis. „American Journal of Sports Medicine” 2001; 29(1): 31–35.

Grimm D.J., Fallat L., Injuries of the foot and ankle in occupational medicine: A 1-year study. „The Journal of Foot and Ankle Surgery” 1999; 38(2): 102–108.

Adirim T.A., Cheng T.L., Overview of injuries in the young athlete. „Sports Medicine” 2003; 33(1): 75–81.

Ivins D., Acute ankle sprain: An update. „American Family Physician” 2006; 74(10): 1714–1720.

Nyska M., Mann G., The Unstable Ankle. 1st ed. Human Kinetics, Champaign 2002.

Harris P.A., Taylor R., Thielke R., Payne J., Gonzalez N., Corde J.G., Research electronic data capture (REDCap) – A metadata-driven methodology and workflow process for providing translational research informaties support. „Journal of Biomedical Informatics” 2009; 42(2): 377–381.

Verhagen E.A.L.M., van Tulder M., van der Beek A.J., Bouter L.M., van Mechelen W., An economic evaluation of a proprioceptive balance board training programme for the prevention of ankle sprains in volleyball. „British Journal of Sports Medicine” 2005; 39: 111–115.

Dawson H., Zinck G., CIHI Survey: ED Spending in Canada: A Focus on the Cost of Patients Waiting for Access to an In-Patient Bed in Ontario. „Healthcare Quarterly” 2009; 12(1): 25–28.