Epidemiology of paediatric winter sports-related injuries in France: The WINTRAUMA-1 retrospective cohort study.

Autor: Mugniery Q; 'Médecins de Montagne' Non-Profit Organisation, Chambéry, France.; Department of General Practice, Grenoble Alpes University, Grenoble, France., Ricard C; Independent biostatistician, Annecy, France., Mirtain S; 'Médecins de Montagne' Non-Profit Organisation, Chambéry, France.; Val-Cenis Medical office, Val-Cenis, France., Navarre M; 'Médecins de Montagne' Non-Profit Organisation, Chambéry, France.; Department of General Practice, Grenoble Alpes University, Grenoble, France.; Megève Medical office, Megève, France., Tanné C; Paediatric Department, Centre Hospitalier Métropole Savoie, Chambéry, France.; Ifremmont-Institut de Recherche et de Formation en Médecine de Montagne, Chamonix, France.
Jazyk: angličtina
Zdroj: Acta paediatrica (Oslo, Norway : 1992) [Acta Paediatr] 2024 Nov 01. Date of Electronic Publication: 2024 Nov 01.
DOI: 10.1111/apa.17480
Abstrakt: Aim: To describe the epidemiology of injuries related to winter sports in patients younger than 15 years in France.
Methods: We conducted a retrospective observational multicentre cohort study of patients younger than 15 years who were seen by mountain-community general practitioners for winter-sports injuries in 1999-2022.
Results: Of the 108 619 patients (mean age, 11.4 ± 2.8 years), 76 724 (70.6%), 26 186 (24.1%) and 2132 (2.0%) were injured while skiing, snowboarding and sledding, respectively. Helmet use was noted in 50 164 (46.2%) patients and increased over time but remained low among sledders. A collision was the mechanism in 12.3% of patients overall and 32.1% of sledders. The most common injuries overall were wrist fractures (48.5%), head and trunk injuries (42.3%), and anterior cruciate ligament (ACL) tears (23.7%), with wrist fractures being more common in beginners (24.7%) and head/trunk injuries and ACL tears in advanced participants (18.3% and 2.6%, respectively). Only 3699 (3.4%) patients were admitted after the general-practitioner visit, notably for leg or ankle fractures (9.5%).
Conclusion: Winter sports-related injuries vary according to age, sex, skill level and sport. Admission rates are low but might be further decreased by better prevention. Protective measures should be tailored to each sport and individual.
(© 2024 The Author(s). Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.)
Databáze: MEDLINE
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