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Epidemiology of severe paediatric trauma following winter sport accidents
Author(s) -
Maisonneuve Emilien,
Roumeliotis Nadia,
Basso Amélie,
Venchiarutti Damien,
Vallot Cécile,
Ricard Cécile,
Bouzat Pierre,
Mortamet Guillaume
Publication year - 2020
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.15196
Subject(s) - medicine , epidemiology , poison control , injury prevention , intensive care unit , occupational safety and health , injury severity score , retrospective cohort study , emergency medicine , physical therapy , pediatrics , surgery , pathology
Aim This study describes the epidemiology of severe injuries related to winter sports (skiing, snowboarding and sledding) in children and assesses potential preventive actions. Methods A single‐centre retrospective study performed at Pediatric or Adult Intensive Care Unit in the French Alps. All patients less than 15 years old, admitted to the Intensive Care Unit following a skiing, snowboarding or sledding accident from 2011 to 2018, were included. Results We included 186 patients (mean age 10.6 years and 68% were male); of which 136 (73%), 21 (11%) and 29 (16%) had skiing, snowboarding and sledding accidents, respectively. The average ISS (injury severity score) was 16. The major lesions were head (n = 94 patients, 51%) and intra‐abdominal (n = 56 patients, 30%) injuries. Compared to skiing/snowboarding, sledding accidents affected younger children (7 vs 11 years, P < .001); most of whom did not wear a helmet (89% vs 8%, P < .001). Severity scores were statistically different amongst winter sports (ISS = 16 (IQR 9‐24) for skiing, 9 (IQR 4‐16) for snowboarding and 16 (IQR 13‐20) for sledding accident, P = .02). Conclusion Winter sports can cause severe trauma in children. Sledding accidents affect younger children that may benefit from wearing protective equipment.