Scripps Memorial Hospital, Trauma Service, La Jolla, CA 92037, USA.
Injury. 2013 May;44(5):645-9. doi: 10.1016/j.injury.2012.01.022. Epub 2012 Apr 3.
Skateboard injuries have been described in the media and scientific journals as a problem prevalent among children and adolescents. Skateboarding popularity has continued to grow since the 1970s with ridership increasing to include all age groups. Recently, surgeons at one trauma centre at an urban hospital noted an increase in the number of older skateboarders with life-threatening injuries. We hypothesise that the clinical and epidemiological features of skateboard-related injuries from one trauma centre (TC) will be different from injured skateboarders identified in the U.S. National Trauma Data Bank (NTDB). We also sought to identify factors related to poor outcomes in the TC and NTDB patient groups.
Two injured skateboarder patient groups were identified and compared using proportional morbidity odds ratios (PMORs) and multivariable methods to estimate differences among factors common to both groups of patients. Clinical and demographic features were evaluated for hospital admitted patients injured whilst riding a skateboard. Chi-square tests, PMORs and logistic regression were used to determine outcome differences between patients in both groups.
Patients in the TC group were on average older, with higher Injury Severity Scores (ISS), more head injuries requiring neurosurgical intervention, longer ICU and hospital stays, and injured more frequently on local streets than patients in the NTDB series. Poor outcomes in the TC group were related to moderate or severe head injuries and presence of a head/face injury. For NTDB patients, a GCS of <13, a head/face injury and an ISS of 25+ were related to poor outcomes.
From our Trauma Centre we describe an older injured skateboarding population, clinically and epidemiologically different from injured patients identified in the NTDB as well as those described in the literature. The greater severity of injury, including traumatic brain injury, has direct implications for preventive and educational measures and the planning of emergency surgical response.
滑板受伤已在媒体和科学期刊中被描述为儿童和青少年中普遍存在的问题。自 20 世纪 70 年代以来，滑板运动的普及度不断提高，骑行者的年龄范围也扩大到了所有年龄段。最近，一家城市医院的创伤中心的外科医生注意到，因危及生命的伤害而就诊的老年滑板者数量有所增加。我们假设，一个创伤中心（TC）的滑板相关伤害的临床和流行病学特征将与美国国家创伤数据银行（NTDB）中识别出的受伤滑板者有所不同。我们还试图确定 TC 和 NTDB 患者群体中与不良结局相关的因素。
使用比例发病比（PMOR）和多变量方法确定了两组受伤滑板者患者，并进行了比较，以估计两组患者共有的因素之间的差异。评估了因骑滑板而受伤的住院患者的临床和人口统计学特征。使用卡方检验、PMOR 和逻辑回归来确定两组患者之间结局差异。
TC 组患者的平均年龄较大，损伤严重度评分（ISS）较高，需要神经外科干预的头部损伤较多，ICU 和住院时间较长，受伤频率也高于 NTDB 系列中的患者在当地街道上。TC 组患者的不良结局与中度或重度头部损伤以及头部/面部损伤有关。对于 NTDB 患者，GCS<13、头部/面部损伤和 ISS≥25 与不良结局有关。
从我们的创伤中心，我们描述了一个年龄较大的受伤滑板人群，他们在临床和流行病学方面与 NTDB 中确定的受伤患者以及文献中描述的患者不同。包括创伤性脑损伤在内的更严重的损伤对预防和教育措施以及紧急手术反应的规划具有直接影响。
