Severe injuries associated with skiing and snowboarding

Roulet, Amory de; Inaba, Kenji; Strumwasser, Aaron; Chouliaras, Konstantinos; Lam, Lydia; Benjamin, Elizabeth; Grabo, Daniel; Δημητριάδης, Δημήτριος

doi:10.1097/ta.0000000000001358

Cited by 44 publications

(57 citation statements)

References 33 publications

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“…Not unexpectantly, older boys are mostly involved in winter sport accidents . 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 .…”

Section: Discussionsupporting

confidence: 89%

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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: 89%

“…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: Discussionmentioning

confidence: 95%

Epidemiology of severe paediatric trauma following winter sport accidents

et al. 2020

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“…Except for cross-country skiing, trauma-related deaths are prevalent in all winter mountain sports activities that have been addressed. The main preventive measure to reduce traumatic deaths is the use of protective gear like helmets [61,62]. The helmet rate is already above 90% in alpine skiing [63], but still low in other winter sports (e.g., 50% and below in sledging [60]).…”

Section: Discussionmentioning

confidence: 99%

“…The helmet rate is already above 90% in alpine skiing [63], but still low in other winter sports (e.g., 50% and below in sledging [60]). In addition to sledging, helmet use should be especially promoted in snowboarders younger than 30 years and older than 60 years of age [62]. Further preventive measures include increased awareness of potential risk factors, e.g., fall and collision hazards, avalanche danger, and freezing and hypothermia risk, and the selection of a downhill skiing and sledging velocity appropriate to the individual skill level [5,23].…”

Section: Discussionmentioning

confidence: 99%

Mortality in Different Mountain Sports Activities Primarily Practiced in the Winter Season—A Narrative Review

Niedermeier

Gatterer

Pocecco

et al. 2019

IJERPH

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Annually, millions of people engage in mountain sports activities all over the world. These activities are associated with health benefits, but concurrently with a risk for injury and death. Knowledge on death rates is considered important for the categorization of high-risk sports in literature and for the development of effective preventive measures. The death risk has been reported to vary across different mountain sports primarily practiced in the summer season. To complete the spectrum, the aim of the present review is to compare mortality rates across different mountain sports activities primarily practiced in winter. A comprehensive literature search was performed on the death risk (mortality) during such activities, i.e., alpine (downhill) skiing, snowboarding, cross-country skiing, ski touring, and sledging. With the exception of ski touring (4.4 deaths per 1 million exposure days), the mortality risk was low across different winter sports, with small activity-specific variation (0.3–0.8 deaths per 1 million exposure days). Traumatic (e.g., falls) and non-traumatic (e.g., cardiac death) incidents and avalanche burial in ski tourers were the predominant causes of death. Preventive measures include the improvement of sport-specific skills and fitness, the use of protective gear, well-targeted and intensive training programs concerning avalanche hazards, and sports-medical counseling for elderly and those with pre-existing diseases.

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“…Epidemiologic studies have reported that the cases of skiing injuries have increased. Moreover, these studies have shown that skiing injuries have mostly occurred for recreational alpine skiing and snowboard among children, adolescents, and adults [4,5]. Many people who participate in recreational skiing and snowboard every year suffer severe sportsrelated injuries such as: sprains, fractures contusions, lacerations, dislocations, and concussion [6].…”

Section: Introductionmentioning

confidence: 99%

Retrospective analysis of injury trends in recreational skiers and snowboarders in Erciyes Ski Centre

Özen

Yılmaz

Koç

et al. 2018

PPS

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Purpose: The purpose of this study is to investigate the important differences in overall rates and frequency of injury cases and injury characteristics between the recreational alpine skiers and snowboarders in Erciyes Ski Centre. Methods: The data for this research was obtained from the Erciyes Ski Centre Injury Surveillance System. A total of 834 injury cases that ski patrols registered injury cases caused by recreational alpine skiing and snowboarding during the 2002 to 2017 winter seasons were respectively examined. The injury cases were grouped according to the skiing disciplines. All data were analysed using SPSS software. Results: Injury cases were 690 skiers (82.7%) and 144 snowboarders (17.3%). 397 (57.5%) male and 293 (42.5%) female were skiers and 91 (63.2%) male and 53 (36.8%) female were snowboarders. There was no statistically significant difference between the gender ratios in skiers and snowboarders (p > .05). Data analysis indicated that there were statistically significant differences in the ratios of lower and upper extremity injuries between skiers and snowboarders ( p < .05 ). Skiers suffered more lower extremity injuries while snowboarders suffered more upper extremity injuries ( p < .05 ). Contusion was the most common injuries type in both skiers and snowboarders ( p < .05) . Conclusions: The lower extremity injuries in skiers and the upper extremity injuries in snowboarders were more common with respect to body location of injuries. For both the recreational activities, contusion was the most common injury type.

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Severe injuries associated with skiing and snowboarding

Abstract: Prognostic/epidemiologic, level III.

Cited by 44 publications

References 33 publications

Epidemiology of severe paediatric trauma following winter sport accidents

Epidemiology of severe paediatric trauma following winter sport accidents

Mortality in Different Mountain Sports Activities Primarily Practiced in the Winter Season—A Narrative Review

Retrospective analysis of injury trends in recreational skiers and snowboarders in Erciyes Ski Centre

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