Department of Anaesthesiology and Critical Care Medicine, Medical University of Innsbruck, Innsbruck, Austria.
Department of Anaesthesiology and Intensive Care Medicine, Paracelsus Medical University, Salzburg, Austria.
BMJ Open. 2021 Oct 19;11(10):e053413. doi: 10.1136/bmjopen-2021-053413.
To elucidate gender differences in snowboarding accidents.
Retrospective registry analysis within the Austrian National Registry of Mountain Accidents.
Snowboard-related emergencies between November 2005 and October 2018.
All injured snowboarders with documented injury severity and gender (3536 men; 2155 women).
Gender-specific analysis of emergency characteristics and injury patterns.
Over time, the number of mild, severe and fatal injuries per season decreased in men but not in women. Accidents most frequently were interindividual collisions (>80%) and occurred when heading downhill on a slope. Men more often suffered injuries to the shoulder (15.1% vs 9.2%) and chest (6.8% vs 4.4%), were involved in accidents caused by falling (12.9% vs 9.6%) or obstacle impact (4.3% vs 1.5%), while on slopes with higher difficulty levels (red: 42.6% vs 39.9%; black: 4.2% vs 2.5%), while snowboarding in a park (4.8% vs 2.1%) and under the influence of alcohol (1.6% vs 0.5%). Women more often sustained injuries to the back (10.2% vs 13.1%) and pelvis (2.9% vs 4.2%), on easier slopes (blue: 46.1% vs 52.4%) and while standing or sitting (11.0% vs 15.8%). Mild injuries were more frequent in women (48.6% vs 56.4%), severe and fatal injuries in men (36.0% vs 29.7% and 0.9% vs 0.4%). Male gender, age and the use of a helmet were risk factors for the combined outcome of severe or fatal injuries (OR (99% CI): 1.22 (1.00 to 1.48), 1.02 (1.02 to 1.03) and 1.31 (1.05 to 1.63)). When wearing a helmet, the relative risk (RR) for severe injuries increased while that for mild injuries decreased in male snowboarders only (RR (95% CI): 1.21 (1.09 to 1.34) and 0.88 (0.83 to 0.95)).
Snowboard injuries are proportionally increasing in women and the observed injury patterns and emergency characteristics differ substantially from those of men. Further gender-specific research in snowboard-related injuries should be encouraged.
NCT03755050.
阐明单板滑雪事故中的性别差异。
奥地利国家山地事故登记处的回顾性登记分析。
2005 年 11 月至 2018 年 10 月期间与单板滑雪相关的紧急情况。
所有记录有受伤严重程度和性别的受伤单板滑雪者（3536 名男性；2155 名女性）。
对紧急情况特征和伤害模式的性别特异性分析。
随着时间的推移，每个季节轻度、严重和致命伤害的数量在男性中减少，但在女性中没有减少。事故大多是个体间的碰撞（>80%），发生在下坡时。男性更常受伤于肩部（15.1%比 9.2%）和胸部（6.8%比 4.4%），因跌倒（12.9%比 9.6%）或障碍物撞击（4.3%比 1.5%）而受伤，而在难度级别较高的斜坡上（红色：42.6%比 39.9%；黑色：4.2%比 2.5%），在公园滑雪（4.8%比 2.1%）和醉酒（1.6%比 0.5%）。女性更常受伤于背部（10.2%比 13.1%）和骨盆（2.9%比 4.2%），在较容易的斜坡上（蓝色：46.1%比 52.4%），且处于站立或坐着的状态（11.0%比 15.8%）。女性的轻度伤害更为常见（48.6%比 56.4%），男性的严重和致命伤害更为常见（36.0%比 29.7%和 0.9%比 0.4%）。男性性别、年龄和戴头盔是严重或致命伤害综合结果的危险因素（OR（99%CI）：1.22（1.00 至 1.48），1.02（1.02 至 1.03）和 1.31（1.05 至 1.63））。当戴头盔时，男性单板滑雪者的严重伤害相对风险（RR）增加，而轻度伤害的 RR 降低（RR（95%CI）：1.21（1.09 至 1.34）和 0.88（0.83 至 0.95））。
女性单板滑雪受伤的比例正在增加，观察到的伤害模式和紧急情况特征与男性有很大不同。应鼓励进一步进行针对单板滑雪相关伤害的性别特异性研究。
NCT03755050。
