Department of Emergency Medicine, University of Bern, Inselspital, Bern, Switzerland.
Eur J Emerg Med. 2012 Apr;19(2):73-6. doi: 10.1097/MEJ.0b013e328348b460.
Climbing is a popular sport in Switzerland, with approximately 100 000 active participants. There is an inherent risk of falls, overuse and stress-related trauma, with a reported injury rate of 4.2 injuries per 1000 climbing hours.
Comparison of possible risk factors in patients and noninjured controls.
A case-control survey was conducted. Climbers admitted to three trauma units between June and October 2008 were surveyed using a questionnaire evaluating nine potential risk factors. The same questionnaire was distributed to noninjured climbers during the same time period. Logistic regression was performed.
Fifty patients and 63 controls were included in this survey. Variables significant for patients were: more than 10 years versus less than 1 year of climbing experience (odds ratio: 5.34; confidence interval: 1.16-17.76; P=0.006) and no previous experiences of the climbing route (odds ratio: 2.72; confidence interval: 1.15-6.39; P=0.022). No statistical significance was detected for age, sex, difficulty level of the climbing route, warm-up, readiness for risk and abstinence from alcohol and drugs.
Climbers with higher experience seem to be more prone to injuries. Larger studies on this subgroup are warranted, to identify typical risk profiles and to develop preventive strategies. Furthermore, climbers should be advised about the increased injury risk when trying new climbing routes and specific information should be given.
在瑞士，攀岩是一项受欢迎的运动，大约有 10 万名活跃参与者。攀岩存在固有风险，如坠落、过度使用和与压力相关的创伤，据报道，其受伤率为每 1000 小时攀岩 4.2 次。
比较患者和未受伤对照组中可能存在的危险因素。
采用病例对照研究。2008 年 6 月至 10 月期间，对三家创伤中心收治的攀岩者进行问卷调查，评估了 9 种潜在危险因素。在同一时期，向未受伤的攀岩者发放了相同的问卷。采用 logistic 回归分析。
本调查共纳入 50 名患者和 63 名对照者。对患者有意义的变量为：攀爬经验超过 10 年与少于 1 年（比值比：5.34；95%置信区间：1.16-17.76；P=0.006），以及没有该攀爬路线的以往经验（比值比：2.72；95%置信区间：1.15-6.39；P=0.022）。年龄、性别、攀爬路线难度级别、热身、风险准备和是否酗酒及吸毒对患者均无统计学意义。
经验丰富的攀岩者似乎更容易受伤。有必要对这一亚组进行更大规模的研究，以确定典型的风险特征并制定预防策略。此外，当尝试新的攀爬路线时，应告知攀岩者增加受伤风险，并提供具体信息。
