Glissmeyer Eric W, Metzger Ryan R, Bolte Robert
Pediatr Emerg Care. 2018 Feb;34(2):106-108. doi: 10.1097/PEC.0000000000001398.
The objective of this study was to compare demographic injury and treatment characteristics of hospitalized pediatric cases of falls from chair lifts to cases of other ski and snowboarding injuries and identify potential interventions for preventing falls from chair lifts.
Retrospective query of the trauma registry of Utah's only pediatric trauma center for children younger than 18 years requiring hospitalization for a ski or snowboarding injury from November 2004 to February 2014.
There were 443 cases of hospitalized ski and snowboarding injuries during the study period. Twenty-nine cases (7%) fell from height while riding a chair lift. Children falling from chair lifts were more likely to be younger (6.9 years vs 12.1, P < 0.0001), female (41% vs 20%, P < 0.01), and elicit trauma team activation (72% vs 34%, P = <0.0001) but were less frequently treated in the operating room (14 vs 24%, P = 0.02) than children with other ski and snowboarding injuries. There were no differences in mortality, injury severity score, length of hospital stay, or airway intubation outside the operating room. When stated (11/29 cases), mean estimated height of fall from lift was 26 feet. The most common body region in chair lift falls with a significant injury (abbreviated injury scale, ≥3) was lower extremity (4/29, all femur fractures). Patient age discriminated chair lift falls well (area under the receiver operating characteristic curve, 0.87) with age of 7 years and below predicting chair lift fall with a sensitivity of 76% and a specificity of 91%.
Injuries requiring hospitalization after falls from chair lifts occur at regulated facilities and are more common in younger female children when compared with other ski and snowboarding injuries. Interventions for reducing falls from chair lifts may be most effective applied to children 7 years and younger.
本研究的目的是比较乘坐升降椅摔倒的住院儿科病例与其他滑雪和单板滑雪受伤病例的人口统计学损伤及治疗特征，并确定预防乘坐升降椅摔倒的潜在干预措施。
对犹他州唯一一家儿科创伤中心2004年11月至2014年2月期间因滑雪或单板滑雪受伤需住院治疗的18岁以下儿童的创伤登记进行回顾性查询。
研究期间有443例因滑雪和单板滑雪受伤而住院的病例。29例（7%）在乘坐升降椅时从高处坠落。从升降椅上坠落的儿童更可能年龄较小（6.9岁对12.1岁，P<0.0001）、为女性（41%对20%，P<0.01），且引发创伤团队启动（72%对34%，P<0.0001），但与其他滑雪和单板滑雪受伤的儿童相比，在手术室接受治疗的频率较低（14%对24%，P=0.02）。在死亡率、损伤严重程度评分、住院时间或手术室以外的气道插管方面没有差异。当有记录时（29例中的11例），从升降椅坠落的平均估计高度为26英尺。乘坐升降椅摔倒且有严重损伤（简明损伤定级，≥3）时最常受伤的身体部位是下肢（29例中的4例，均为股骨骨折）。患者年龄对乘坐升降椅摔倒的区分度良好（受试者操作特征曲线下面积为0.87），7岁及以下年龄预测乘坐升降椅摔倒的敏感度为76%，特异度为91%。
与其他滑雪和单板滑雪受伤相比，乘坐升降椅摔倒后需要住院治疗的损伤发生在受监管的设施中，且在年龄较小的女性儿童中更为常见。减少乘坐升降椅摔倒的干预措施可能对7岁及以下儿童最为有效。
