Article

Emergency department reported head injuries from skiing and snowboarding among children and adolescents, 1996-2010

Harborview Injury Prevention and Research Center (HIPRC), University of Washington, , Seattle, Washington, USA.
Injury Prevention (Impact Factor: 1.89). 03/2013; 19(6). DOI: 10.1136/injuryprev-2012-040727
Source: PubMed

ABSTRACT

Objectives:
To evaluate the incidence of snow-sports-related head injuries among children and adolescents reported to emergency departments (EDs), and to examine the trend from 1996 to 2010 in ED visits for snow-sports-related traumatic brain injury (TBI) among children and adolescents.

Methods:
A retrospective, population-based cohort study was conducted using data from the National Electronic Injury Surveillance System for patients (aged ≤17 years) treated in EDs in the USA from 1996 to 2010, for TBIs associated with snow sports (defined as skiing or snowboarding). National estimates of snow sports participation were obtained from the National Ski Area Association and utilised to calculate incidence rates. Analyses were conducted separately for children (aged 4-12 years) and adolescents (aged 13-17 years).

Results:
An estimated number of 78 538 (95% CI 66 350 to 90 727) snow sports-related head injuries among children and adolescents were treated in EDs during the 14-year study period. Among these, 77.2% were TBIs (intracranial injury, concussion or fracture). The annual average incidence rate of TBI was 2.24 per 10 000 resort visits for children compared with 3.13 per 10 000 visits for adolescents. The incidence of TBI increased from 1996 to 2010 among adolescents (p<0.003).

Conclusions:
Given the increasing incidence of TBI among adolescents and the increased recognition of the importance of concussions, greater awareness efforts may be needed to ensure safety, especially helmet use, as youth engage in snow sports.

0 Followers
 · 
14 Reads
  • [Show abstract] [Hide abstract]
    ABSTRACT: Although blunt traumatic injuries are common in athletes, life-threatening trauma is fortunately rare. Most current literature has focused on nontraumatic causes of athlete death though traumatic injuries may be more common. Although prevention of these injuries may be more difficult than nontraumatic causes, prompt recognition and treatment is paramount. Common traumatic causes of collapse athlete generally involve the head, neck, and trunk and are more frequent in collision sports. Other higher risk sports include track and field, cheerleading, snow sports, and those involving motorized vehicles. Health care providers who participate in sports coverage should be aware of the potential for these injuries as emergency treatment is required to maximize outcomes. Emergency action plans allow providers to expediently activate emergency management services while providing treatment and stabilization.
    No preview · Article · Oct 2014 · Current Reviews in Musculoskeletal Medicine
  • [Show abstract] [Hide abstract]
    ABSTRACT: This study aims to quantify and describe the risk of non-fatal pedestrian injury among persons who use wheelchairs in the US. Cases of pedestrian injury between 2002 and 2010 among persons using wheelchairs were identified in the National Electronic Injury Surveillance System to generate national injury estimates. Between 2002 and 2010, an estimated 9348 (95% CI 4912 to 13 784) people were treated in emergency departments for non-fatal pedestrian injuries sustained while using wheelchairs. Using wheelchair-use denominators calculated from the Survey of Income and Program Participation, this equates to an incidence rate of 31.3 (95% CI 16.4 to 46.1) per 100 000 person-years. Injury risk was 3.5 times higher for men than women (p<0.001). Contusions, abrasions, and lacerations (42.7%) and fractures (16.4%) were most common. The head and neck (24.7%) and lower extremities (28.4%) were most often injured. A fifth (21.4%) of injuries required hospitalisation, and 89.2% occurred in traffic on public roadways. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
    No preview · Article · Dec 2014 · Injury Prevention
  • [Show abstract] [Hide abstract]
    ABSTRACT: At a time when there is an increasing interest in the long-term impact of repeated concussive and sub-concussive impacts in sports such as football (i.e. grid-iron) and ice hockey (Hume, 2013; Taylor, 2013a), there has also been an increasing interest in head injuries in snowsports such as skiing and snowboarding (Bussewitz, 2010; Picard, 2010). This interest has been fanned, in the public sphere, by a wide-reaching media discussion of concussion related to sport injuries, and the publication of myriad poignant stories about individuals suffering the very real effects of concussion (Taylor, 2013b). Whether it is a call for the mandatory use of helmets by resort staff (Ellis, 2013), or the strong advice of friends and family to the minority who remain helmetless, it would seem that the helmet is the panacea for concussion and other head injuries. Indeed, helmet sales have soared during recent years (Lundy, 2013), with the majority of skiers and snowboarders now sporting head protection of some kind (e.g. Canadian Ski Council, 2011; Lids on Kids, 2010). Against that backdrop, the authors were curious as to what people think the risk level of snowsport is, what snowsport participants believe their helmets will do for them within that risk environment, and what decisions they make as a result. The authors hope that the information from the results of this study can help both the snowsport industry and snowsport participants to make informed decisions.
    No preview · Chapter · Jan 2015
Show more