Helmet use and injury severity among pediatric skiers and snowboarders in Colorado

Milan, Melissa; Jhajj, Sandeep; Stewart, Camille L.; Pyle, Laura; Moulton, Steven L.

doi:10.1016/j.jpedsurg.2016.11.001

Cited by 21 publications

(18 citation statements)

References 13 publications

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“…We found that patterns of injury are consistent with data from other studies, with the predominance of head trauma in severe snow sport injuries . Thanks to strong prevention campaigns established in the last 10 years, the helmet is more widely used in our cohort compared to older studies . Interestingly, the proportion of people wearing helmets is lower in the adult population …”

Section: Discussionsupporting

confidence: 90%

“…The patients included in this study have similar demographics to those in the existing literature . Not unexpectantly, older boys are mostly involved in winter sport accidents .…”

Section: Discussionmentioning

confidence: 88%

“…Winter sports, however, have a significant risk of trauma, with 130,000 injuries reported in 2017‐2018 in French ski resorts (incidence from 2.6 injured per 1000 day‐visits) . Although skiing and snowboarding are usually practiced by older children and adolescents, younger children prefer recreational activities like sledding and both may lead to severe injuries …”

Section: Introductionmentioning

confidence: 99%

“…Severe trauma due to skiing and snowboarding can result from high‐kinetic energy collisions; and patient outcomes worsen with high transfer delay to a trauma centre, which is common in this setting . To our knowledge, very few studies have reported winter sport injuries in the paediatric population, much less on severe trauma . Young children, or teenagers, are at increased risk for trauma and severe injuries due to their anatomy; as evidence by their significantly higher incidences of concussion, compared to adults .…”

Section: Introductionmentioning

confidence: 99%

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Epidemiology of severe paediatric trauma following winter sport accidents

et al. 2020

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Aim This study describes the epidemiology of severe injuries related to winter sports (skiing, snowboarding and sledding) in children and assesses potential preventive actions. Methods A single‐centre retrospective study performed at Pediatric or Adult Intensive Care Unit in the French Alps. All patients less than 15 years old, admitted to the Intensive Care Unit following a skiing, snowboarding or sledding accident from 2011 to 2018, were included. Results We included 186 patients (mean age 10.6 years and 68% were male); of which 136 (73%), 21 (11%) and 29 (16%) had skiing, snowboarding and sledding accidents, respectively. The average ISS (injury severity score) was 16. The major lesions were head (n = 94 patients, 51%) and intra‐abdominal (n = 56 patients, 30%) injuries. Compared to skiing/snowboarding, sledding accidents affected younger children (7 vs 11 years, P < .001); most of whom did not wear a helmet (89% vs 8%, P < .001). Severity scores were statistically different amongst winter sports (ISS = 16 (IQR 9‐24) for skiing, 9 (IQR 4‐16) for snowboarding and 16 (IQR 13‐20) for sledding accident, P = .02). Conclusion Winter sports can cause severe trauma in children. Sledding accidents affect younger children that may benefit from wearing protective equipment.

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Section: Discussionsupporting

confidence: 90%

“…The patients included in this study have similar demographics to those in the existing literature . Not unexpectantly, older boys are mostly involved in winter sport accidents .…”

Section: Discussionmentioning

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Epidemiology of severe paediatric trauma following winter sport accidents

et al. 2020

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“…For example, Larson et al (2009) reported that 30% of motocross injuries seen at a regional trauma centre required surgery. In contrast, Milan, Jhajj, Stewart, Pyle and Moulton (2017) found only 6% of injuries sustained by 549 young skiers and snowboarders (mean age 11 ± 3 years) treated at a level 1 paediatric trauma centre during 1999-2014 had an ISS >15 and 87% of injuries were mild (ISS 1-9).…”

Section: Injury Severitymentioning

confidence: 89%