Krieger Chantal Selina, Vesa Doris-Viviana, Ziegenhorn Stephan, Exadaktylos Aristomenis Konstantinos, Klukowska-Rötzler Jolanta, Brodmann Maeder Monika
Department of Emergency Medicine University Hospital, Inselspital University Hospital Bern, Bern, Switzerland.
Institute for Mountain Emergency Medicine, EURAC Research, Bolzano, Italy.
BMJ Open Sport Exerc Med. 2022 Mar 29;8(1):e001281. doi: 10.1136/bmjsem-2021-001281. eCollection 2022.
Outdoor rock climbing has become popular in recent years. However, few data have been published on climbing accidents in Switzerland, even though the Swiss Alps are a major climbing resort.To analyse data on accidents related to outdoor climbing treated in the Emergency Department (ED) of University Hospital Bern, Switzerland.
A retrospective database search for accidents related to outdoor climbing was conducted in the clinical reporting system E.care of the ED of University Hospital Bern for the period April 2012-December 2018.
78 patients were treated after an accident related to outdoor climbing, which accounted for 1 per 3571 (0.028%) of all ED visits during this period. Mean age was 35.8±10.4 years. 76% of patients were male. Falls were the most common mechanism of injury (64%), followed by rock or ice falling on the climber (21%). Injuries affected multiple body regions (38%) or only the lower limbs (22%). Most injuries were fractures (68%). Mean ISS was 7.5 (1-38), and grade 3 UIAA MedCom injuries were most common (45%). 11 cases of polytrauma occurred and one fatality. 44 patients needed inpatient admission. Mean duration of inpatient stay was 7 days. Mean costs per patient were 12 283 CHF.
Accidents related to outdoor climbing accounted for a small number of patients seen in the University ED Bern. Further research should be on a nationwide basis, with collection of specific climbing data like use of a helmet and experience of climbing to inform injury prevention strategies. This should shed further light on this topic, as would a prospective study using the International Alpine Trauma Register.
近年来，户外攀岩运动日益流行。然而，尽管瑞士阿尔卑斯山是主要的攀岩胜地，但关于瑞士攀岩事故的 published 数据却很少。分析瑞士伯尔尼大学医院急诊科（ED）治疗的与户外攀岩相关的事故数据。
在伯尔尼大学医院急诊科的临床报告系统E.care中，对2012年4月至2018年12月期间与户外攀岩相关的事故进行回顾性数据库搜索。
78例患者在与户外攀岩相关的事故后接受治疗，占该期间所有急诊就诊人数的3571分之一（0.028%）。平均年龄为35.8±10.4岁。76%的患者为男性。跌倒为最常见的受伤机制（64%），其次是岩石或冰块砸向攀岩者（21%）。损伤累及多个身体部位（38%）或仅累及下肢（22%）。大多数损伤为骨折（68%）。平均损伤严重度评分（ISS）为7.5（1-38），国际登山联合会医学委员会3级损伤最为常见（45%）。发生11例多发伤，1例死亡。44例患者需要住院治疗。平均住院时间为7天。每位患者的平均费用为12283瑞士法郎。
与户外攀岩相关的事故在伯尔尼大学急诊科就诊患者中占少数。应在全国范围内开展进一步研究，收集诸如头盔使用情况和攀岩经验等特定攀岩数据，为伤害预防策略提供依据。这应能进一步阐明该主题，使用国际高山创伤登记处进行的前瞻性研究也能如此。
