Abstract
This study describes the epidemiology of severe injuries related to winter sports (skiing, snowboarding and sledding) in children and assesses potential preventive actions. A single-centre retrospective study performed at Pediatric or Adult Intensive Care Unit in the French Alps. All patients less than 15years old, admitted to the Intensive Care Unit following a skiing, snowboarding or sledding accident from 2011 to 2018, were included. We included 186 patients (mean age 10.6years 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 11years, 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). Winter sports can cause severe trauma in children. Sledding accidents affect younger children that may benefit from wearing protective equipment.
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