epidemiology of snow sports injuries amongst children, the importance of prevention
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7th EFSMA European Sports Medicine Congress 3rd Central European Congress of Physical Medicine and Rehabilitation
Annual Assembly of the Austrian and German Society of Physical Medicine and
Rehabilitation
http://www.sportsmedpmr2011.at/Salzburg, October 26th to October 29th. 2011
EPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDREN
THE IMPORTANCE OF PREVENTION
Dr Bernat ESCODA ALEGRETDr Bernat ESCODA ALEGRETSITEMSH National Secretary for AndorraSITEMSH National Secretary for Andorra
Centre Medic Pas de la Casa-Grau RoigCentre Medic Pas de la Casa-Grau Roig
GRANDVALIRA SKI AREA ANDORRAGRANDVALIRA SKI AREA ANDORRA
www.cmpas.comwww.cmpas.com
info@cmpas.cominfo@cmpas.com
INTRODUCTION
many studies have been published on injuries in snow sports, but few deal specifically on children
epidemiologic studies must rely on a rigorous data collecting system
understanding of injury epidemiology is the first step towards injury prevention
EPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENTHE IMPORTANCE OF PREVENTION
EPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENTHE IMPORTANCE OF PREVENTION
PUBLISHED STUDIES
snow sports injuries = snow sports injuries = 1746 publications1746 publications
snow sports injuries + children = snow sports injuries + children = 368368
snow sports injuries + prevention = 419snow sports injuries + prevention = 419
snow sports injuries + children +prevention = 132snow sports injuries + children +prevention = 132
EPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENTHE IMPORTANCE OF PREVENTION
PUBLISHED STUDIES
In a previous presentation we found that:
on 210 works published between 1998 and 2008:
1 work on 4 talks about general epidemiology
1 work on 10 talks about children
1 work on 10 talks about prevention
EPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENTHE IMPORTANCE OF PREVENTION
PUBLISHED STUDIES
Comparison between studies is difficult because of the lack of a common design.
EPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENTHE IMPORTANCE OF PREVENTION
SNOW SPORTS INJURIES EPIDEMIOLOGY IN ANDORRA
-462 square km-80000 inhabitants
- 2,000,000 skierdays/season
EPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENTHE IMPORTANCE OF PREVENTION
ANDORRA SNOW SPORTS INJURIES DATABASE
For the last 9 seasons, data collected by the ski patrols, the ski resorts medical centers, and the unique hospital in Andorra, wich where previously kept separate are integrated in a single national
database.
EPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENTHE IMPORTANCE OF PREVENTION
FIGURES ON SNOW SNOW SPORT INJURIES
EPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENEPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENTHE IMPORTANCE OF PREVENTIONTHE IMPORTANCE OF PREVENTION
SNOW SPORTS INJURIES IN CHILDREN
Andorra Snow Sports Injuries Database:
is consistent in number of recorded injuries (more than 120000)
for some of the seasons ski resorts have performed in site interviews to have a control
group
EPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENEPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENTHE IMPORTANCE OF PREVENTIONTHE IMPORTANCE OF PREVENTION
SNOW SPORTS INJURIES IN CHILDREN
BUT:
subjectivity in some of the recorded items
(ski or sport level, precise cause of the injury...)
the population at risk is not well kown
(Children are under represented in the interviews)
EPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENEPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENTHE IMPORTANCE OF PREVENTIONTHE IMPORTANCE OF PREVENTION
SNOW SPORTS INJURIES IN CHILDREN
9 seasons >120000 Injuries
Under 11 years old
12 - 17 year old
Over 18 year old
% total customers
6 14 80
% total injuried
7 18 75
EPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENTHE IMPORTANCE OF PREVENTION
SNOW SPORT INJURIES IN CHILDREN
Hand/wrist Arm/forearm Shoulder Head /Th/Abd /Spine
pelvis/Thigh Knee Leg Ankle/foot 0.0
5.0
10.0
15.0
20.0
25.0
30.0
35.0
Injured Region
Under 11 years old
12 - 17 year old
18 year old and over
EPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENEPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENTHE IMPORTANCE OF PREVENTIONTHE IMPORTANCE OF PREVENTION
SNOW SNOW SPORT INJURIES IN CHILDREN
Casual falling Collision Other0,0
10,0
20,0
30,0
40,0
50,0
60,0
70,0
80,0
90,0
100,0
Injury cause
Under 11 years old12 - 17 year old18 year old and over
EPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENEPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENTHE IMPORTANCE OF PREVENTIONTHE IMPORTANCE OF PREVENTION
SNOW SPORTS INJURIES IN CHILDREN
AIS I AIS II AIS III-IV-V0,0
10,0
20,0
30,0
40,0
50,0
60,0
70,0
80,0
90,0 Injury SeverityAIS code
Under 11 years old12 - 17 year old18 year old and over
EPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENEPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENTHE IMPORTANCE OF PREVENTIONTHE IMPORTANCE OF PREVENTION
SNOW SPORTS INJURIES IN CHILDREN
A - < 1 weekB – 1 to 4 weeks
C – 1 to 3 monthsD - > 3months
0,0
10,0
20,0
30,0
40,0
50,0
60,0
70,0
Under 11 years old12 - 17 year old18 year old and over
Injury Severity
healing estimated time
EPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENEPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENTHE IMPORTANCE OF PREVENTIONTHE IMPORTANCE OF PREVENTION
SNOW SPORTS INJURIES IN CHILDREN
Treated at the ski resort medical centerFirst assistance in Andorra Hospital
0
10
20
30
40
50
60
70
80
90
100
Under 11 years old12 - 17 year oldOver 18 year old
In resort treatment vs hospital
EPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENEPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENTHE IMPORTANCE OF PREVENTIONTHE IMPORTANCE OF PREVENTION
SNOW SPORTS INJURIES IN CHILDREN
Our epidemiological data show that:
children are more prone to head injuries
children suffer more collisions than adults
wrist injuries are common in the group aged 1217 (more snowboarders)
EPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENEPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENTHE IMPORTANCE OF PREVENTIONTHE IMPORTANCE OF PREVENTION
SNOW SPORTS INJURIES IN CHILDREN
Our epidemiological data show that:
Snow sports injuries in children are less severe than in adults
but the incidence is higher
EPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENEPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENTHE IMPORTANCE OF PREVENTIONTHE IMPORTANCE OF PREVENTION
SNOW SPORTS INJURIES PREVENTION IN CHILDREN
THERE ARE ACTUALLY SOME CONSISTENT EPIDEMIOLOGICAL EVIDENCES ABOUT SNOW SPORTS INJURIES WICH HAVE LEAD TO PREVENTION MEASURES
EPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENEPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENTHE IMPORTANCE OF PREVENTIONTHE IMPORTANCE OF PREVENTION
SNOW SPORTS INJURIES PREVENTION IN CHILDREN
HELMET USE
IT IS WELL ESTABLISHED THAT IT DECREASES INCIDENCE AND SEVERITY OF HEAD INJURIES
CHILDREN ARE MORE PRONE TO COLLISIONS AND HEAD INJURIES, HELMET USE IS SPECIALLY USEFULL IN THIS GROUP
EPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENEPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENTHE IMPORTANCE OF PREVENTIONTHE IMPORTANCE OF PREVENTION
SNOW SPORTS INJURIES PREVENTION IN CHILDREN
HELMET USECAN BE:
DEVELOPPED BY MAKING IT MANDATORY ENCOURAGED BY DISCOUNTS IN SKIPASS PRICES ENCOURAGED IN RENTAL PACKS ENCOURAGED BY MIMETIC EFFECT (USE BY
SNOWSPORTS PROFESSIONALS)
EPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENEPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENTHE IMPORTANCE OF PREVENTIONTHE IMPORTANCE OF PREVENTION
SNOW SPORTS INJURIES PREVENTION IN CHILDREN
WRIST PROTECTIONS
WRIST INJURIES ARE VERY COMMON IN BEGINNER SNOWBOARDERS
PROTECTIONS REDUCE THE NUMBER OF WRIST INJURIES
WRIST PROTECTIONS USE SHOULD BE DEVELOPED
EPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENEPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENTHE IMPORTANCE OF PREVENTIONTHE IMPORTANCE OF PREVENTION
SNOW SPORTS INJURIES PREVENTION IN CHILDREN
CHILDREN AND TEENAGERS
ARE ACCESSIBLE TO BEHAVIOURAL MEASURES:
EDUCATIONAL TALKS OR VIDEO PROJECTIONS ABOUT SNOWSPORTS SAFETY ARE BENEFICAL ON INJURY RATES
EPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENEPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENTHE IMPORTANCE OF PREVENTIONTHE IMPORTANCE OF PREVENTION
SNOW SPORTS INJURIES PREVENTION IN CHILDREN
School workshops
Dressing
Nutrition
Ski area signals
Lifts
EPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENEPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENTHE IMPORTANCE OF PREVENTIONTHE IMPORTANCE OF PREVENTION
SNOW SPORTS INJURIES PREVENTION IN CHILDREN
BOOTS, SKI BINDINGS
NEED FOR PERFECT FITTING AND PROPER ADJUSTMENT
POSES A PROBLEM WITH GROWTH THE BEST SOLUTION: RENTING WITH GOOD
PROFESSIONALS
EPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENEPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENTHE IMPORTANCE OF PREVENTIONTHE IMPORTANCE OF PREVENTION
SNOW SPORTS INJURIES PREVENTION IN CHILDREN
There are many oder measures of prevention that need to be validated...
EPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENEPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENTHE IMPORTANCE OF PREVENTIONTHE IMPORTANCE OF PREVENTION
SNOW SPORTS INJURIES PREVENTION IN CHILDREN
WE HAVE MANY EPIDEMIOLOGICAL EVIDENCES ABOUT SNOW SPORT INJURIES IN CHILDREN AND THE WAY THEY CAN BE PREVENTED.
CHILDREN ARE VERY ACCESSIBLE TO PREVENTION MEASURES MAY IT BE THRU MATERIAL IMPROVEMENTS, OR THRU BEHAVIOURAL MESSAGES
WE CAN GO FURTHER BY IMPROVING OUR KNOWLEDGE OF SNOW SPORTS INJURIES RISK FACTORS
EPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENEPIDEMIOLOGY OF SNOW SPORTS INJURIES AMONGST CHILDRENTHE IMPORTANCE OF PREVENTIONTHE IMPORTANCE OF PREVENTION
SNOW SPORTS INJURIES PREVENTION IN CHILDREN
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