急诊科报告的滑雪者和单板滑雪者头部和颈部损伤的趋势。

Trends in emergency department reported head and neck injuries among skiers and snowboarders.

作者信息

Hagel Brent E, Pless Barry, Platt Robert W

机构信息

Joint Department of Epidemiology and Biostatistics, McGill University, Montreal, QC.

出版信息

Can J Public Health. 2003 Nov-Dec;94(6):458-62. doi: 10.1007/BF03405085.

DOI:10.1007/BF03405085

PMID:14700247

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6979607/

Abstract

BACKGROUND

Reports from the U.S. suggest increases in the proportion and rate of head and neck injuries in skiers and snowboarders. It is important to determine if the same is true in Canada.

METHODS

Skiers and snowboarders (< 18 years) presenting to 16 selected emergency departments from 1991 to 1999 were assigned one body region of injury in the following order: i) brain and spine-spinal cord, ii) head and neck, iii) face, iv) other body region (i.e., controls). Crude and adjusted (age, gender, helmet use and hospital admission) odds ratios indicating the proportion of head, brain, face, and neck injury relative to controls by calendar year were estimated. Injury rates were examined for 12 to 17 year olds over the last 4 years of the study.

RESULTS

Compared with 1997-1999, there was a lower proportion of skier head injuries from 1991-93 (adjusted odds ratio (AOR) = 0.16; 95% Confidence Interval (CI) = 0.09-0.30) and from 1995-97 (AOR = 0.71; 95% CI = 0.49-1.04). The proportion of skier brain injuries was lower from 1993-95 (AOR = 0.69; 95% CI = 0.44-1.07) and from 1995-97 (AOR = 0.56; 95% CI: 0.35-0.91). In snowboarders, however, compared with 1997-99, there was evidence that although the proportion of head injuries was lower from 1991-93 (AOR = 0.19; 95% CI = 0.05-0.80), the opposite was true for facial injuries. For 12 to 17 year olds, skier brain and snowboarder head and neck injury rates increased from 1995-99.

CONCLUSIONS

The results suggest that head and brain injuries in skiers and head and neck injuries in snowboarders may be increasing, particularly in adolescents.

摘要

背景

来自美国的报告表明，滑雪者和单板滑雪者头部和颈部受伤的比例及发生率有所上升。确定加拿大的情况是否如此很重要。

方法

1991年至1999年期间，前往16家选定急诊科就诊的18岁以下滑雪者和单板滑雪者，按照以下顺序被分配到一个身体受伤部位：i）脑和脊柱 - 脊髓，ii）头部和颈部，iii）面部，iv）其他身体部位（即对照组）。估计了按日历年计算的头部、脑部、面部和颈部受伤相对于对照组的比例的粗比值比和调整后（年龄、性别、头盔使用情况和住院情况）的比值比。对研究最后4年中12至17岁人群的受伤率进行了检查。

结果

与1997 - 1999年相比，1991 - 1993年滑雪者头部受伤比例较低（调整后比值比（AOR）= 0.16；95%置信区间（CI）= 0.09 - 0.30），1995 - 1997年也较低（AOR = 0.71；95% CI = 0.49 - 1.04）。1993 - 1995年和1995 - 1997年滑雪者脑部受伤比例较低（AOR = 0.69；95% CI = 0.44 - 1.07）以及（AOR = 0.56；95% CI：0.35 - 0.91）。然而，在单板滑雪者中，与1997 - 1999年相比，有证据表明，虽然1991 - 1993年头部受伤比例较低（AOR = 0.19；95% CI = 0.05 - 0.80），但面部受伤情况则相反。对于12至17岁人群，1995 - 1999年滑雪者脑部以及单板滑雪者头部和颈部受伤率有所上升。