To investigate: (1) the injury epidemiology in an Australian academy; (2) how athletes transition through the high‐performance sport (HPS) pathway; and (3) why athletes leave this HPS program. This retrospective cohort study was conducted at an Australian HPS academy over a 4‐year period. Medical attention injuries were prospectively recorded. Injury incidence rates (IIR) and burden were calculated per 365 athlete‐days, according to sport, sex, and pathway level. Athlete pathway levels were mapped to the Foundations, Talent, Elite, and Mastery (FTEM) framework. Reasons for athletes transitioning out were reported. Four hundred and eighty‐one injuries were reported across 124 athletes at an IIR of 2.09 injuries per 365 athlete‐days (95% CI = 1.91–2.29). Most athletes (103, 83.1%) were injured at least once over the 4‐year period. IIRs increased (IRR = 1.17, 95% CI = 1.06–1.29, p = 0.001) as athletes progressed through the pathway. The most common reason for athlete attrition was deselection due to performance (n = 18), with 55.6% of these athletes sustaining an injury in the season prior to deselection. Injury burden was highest at E2 (119.5 days absence per 365 athlete‐days (95% CI = 62.18–229.67)) and lowest at T4 (30.47 days absence per 365 athlete‐days (95% CI = 21.98–42.24)). Injury occurrence is common across HPS, with IIRs increasing as athletes progressed to higher talent levels. Deselection due to poor performance was the main attrition factor, with more than half the deselected athletes impacted by injury prior to deselection. This study highlights an increased risk of deselection, following injury, and indicates the need for further development of prevention strategies targeting pathway athletes.

中文翻译：

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成功还是失败？超过一半的被淘汰的运动员因退出高性能途径系统而受到伤害。四年回顾性队列研究


调查：（1）澳大利亚某学院的伤害流行病学； (2) 运动员如何通过高性能运动（HPS）途径过渡； (3) 运动员为何退出 HPS 计划。这项回顾性队列研究是在澳大利亚 HPS 学院进行的，历时 4 年。前瞻性地记录医疗护理伤害。根据运动项目、性别和路径水平，计算每 365 个运动员日的损伤发生率 (IIR) 和负担。运动员途径级别被映射到基础、天赋、精英和精通 (FTEM) 框架。报道了运动员转出的原因。 124 名运动员报告了 481 起受伤事件，每 365 个运动员日的 IIR 为 2.09 起受伤事件（95% CI = 1.91-2.29）。大多数运动员（103 名，83.1%）在 4 年内至少受伤过一次。随着运动员在该路径中取得进展，IIR 增加（IRR = 1.17，95% CI = 1.06–1.29，p = 0.001）。运动员减员的最常见原因是由于表现而被取消选择（n = 18），其中 55.6% 的运动员在被取消选择之前的赛季中受伤。伤病负担在 E2 时最高（每 365 个运动员日缺席 119.5 天（95% CI = 62.18–229.67）），在 T4 时最低（每 365 个运动员日缺席 30.47 天（95% CI = 21.98–42.24））。损伤发生在 HPS 中很常见，随着运动员进步到更高的天赋水平，IIR 也会增加。因表现不佳而落选是主要的损耗因素，超过一半的落选运动员在落选前受到了伤病的影响。这项研究强调了受伤后取消选择的风险增加，并表明需要进一步制定针对路径运动员的预防策略。