Castellani Christoph, Singer Georg, Eibisberger Margarita, Petnehazy Thomas, Wernitznigg Daniela, Kaulfersch Christian, Fritsch Georg, Spitzer Peter, Till Holger
Department of Pediatric and Adolescent Surgery, Medical University of Graz, Graz, Austria.
Department of Pediatric and Adolescent Surgery, Medical University of Graz, Graz, Austria -
J Sports Med Phys Fitness. 2019 Apr;59(4):648-654. doi: 10.23736/S0022-4707.18.08665-6. Epub 2018 Jun 7.
The aim of this investigation was to provide a detailed analysis of accidents on ski slopes of Styrian resorts comparing two winter seasons.
Accident data requiring the presence of the ski patrol of the seasons 2007/08 (10 skiing resorts with 1029 injuries) and 2014/15 (8 resorts with 1844 injuries) were recorded. Accidents were normalized to 1000 skier days and 10000 lift transports. Patients were followed to hospitals to obtain information about injured body region, final diagnosis and type of treatment.
A slight increase of injuries from 0.5 to 0.7 per 1000 skier-days was found (P=0.046). Overall, the knee was most commonly affected followed by shoulder, lower leg, head and forearm. While the shoulder was most often affected in men the knee was most commonly affected in women. Patients <15 years had a higher prevalence of forearm injuries. Comparing the two seasons the use of helmets and spine protectors increased, associated with decreased injuries of these body regions. The hospitalization rate was 26% in both seasons; patients <15 years required less inpatient treatment than older ones.
Different injury patterns between gender and age-groups have to be taken into account for future preventive measures. The increased acceptance of safety equipment was associated with reduced injury rates of the respective body regions. Results of the present study can facilitate to develop future injury prevention strategies in order to further decrease the number of casualties on ski slopes.
本调查旨在对施蒂利亚州度假胜地滑雪场的事故进行详细分析,比较两个冬季季节的情况。
记录了2007/08赛季(10个滑雪胜地,1029人受伤)和2014/15赛季(8个胜地,1844人受伤)需要滑雪巡逻队在场的事故数据。事故按每1000个滑雪者日和每10000次缆车运输进行标准化。跟踪患者到医院获取有关受伤身体部位、最终诊断和治疗类型的信息。
发现每1000个滑雪者日的受伤人数略有增加,从0.5人增至0.7人(P = 0.046)。总体而言,膝盖最常受伤,其次是肩部、小腿、头部和前臂。男性中肩部受伤最常见,而女性中膝盖受伤最常见。15岁以下患者前臂受伤的患病率较高。比较两个季节,头盔和脊柱保护器的使用增加,这些身体部位的受伤人数减少。两个季节的住院率均为26%;15岁以下患者所需的住院治疗比年龄较大者少。
未来的预防措施必须考虑到性别和年龄组之间不同的损伤模式。安全设备接受度的提高与相应身体部位损伤率的降低相关。本研究结果有助于制定未来的伤害预防策略,以进一步减少滑雪场的伤亡人数。