Goulet Claude, Hagel Brent, Hamel Denis, Légaré Gilles
Department of Physical Education, Faculty of Education, Laval University, Québec, QC.
Can J Public Health. 2007 Sep-Oct;98(5):402-6. doi: 10.1007/BF03405428.
Over the past years, the rate of injuries sustained at the alpine ski hills in Québec significantly increased. This raises concern over a possible increase in risk of severe injuries associated with snow-park use. The main objective of this study was to examine the severity of injuries sustained by skiers and snowboarders in snow-parks compared with other slopes from 2001 to 2005.
A case-control study design was used. Subjects were injured skiers and snowboarders who reported to the ski patrol with an injury. Two sets of severely injured cases were defined based on the type of injury and ambulance evacuation. Injured controls were those who did not sustain severe injuries. 50,593 injury report forms were analyzed. A logistic regression analysis was performed to relate the severity of injury to the type of slope used when the injury occurred. All analyses were controlling for age, sex, skill level, helmet use, season, and type of activity.
There was evidence to suggest that, for skiers (adjusted OR = 1.36; 95% CI: 1.21-1.53) and snowboarders (adjusted OR = 1.14, 95% CI: 1.05-1.23), participation in a snow-park increased the risk of being evacuated by ambulance. Severe injuries in skiers were also more likely to occur in snow-parks, but snowboarders had similar risk of severe injury in snow-parks and on other slopes.
These results provide evidence that the type of activities performed in snow-parks may increase the risk of sustaining a severe injury compared with participation on other slopes.
在过去几年中,魁北克省高山滑雪胜地的受伤率显著上升。这引发了人们对与雪上公园使用相关的重伤风险可能增加的担忧。本研究的主要目的是调查2001年至2005年期间,与其他雪道相比,在雪上公园滑雪和单板滑雪者受伤的严重程度。
采用病例对照研究设计。研究对象为向滑雪巡逻队报告受伤情况的受伤滑雪者和单板滑雪者。根据损伤类型和救护车疏散情况定义了两组重伤病例。受伤对照组为未受重伤的人。分析了50593份损伤报告表。进行了逻辑回归分析,以确定受伤严重程度与受伤时所使用雪道类型之间的关系。所有分析均对年龄、性别、技能水平、头盔使用情况、季节和活动类型进行了控制。
有证据表明,对于滑雪者(调整后的比值比=1.36;95%置信区间:1.21-1.53)和单板滑雪者(调整后的比值比=1.14,95%置信区间:1.05-1.23),在雪上公园活动会增加被救护车疏散的风险。滑雪者的重伤也更有可能发生在雪上公园,但单板滑雪者在雪上公园和其他雪道上受重伤的风险相似。
这些结果表明,与在其他雪道上活动相比,在雪上公园进行的活动类型可能会增加受重伤的风险。