Increase in older adults reporting mountaineering-related injury or illness in the United States, 1973-2010.

Increase in older adults reporting mountaineering-related injury or illness in the United States, 1973-2010.
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1973 年至 2010 年,美国报告登山相关伤害或疾病的老年人数量增加。

DOI:
10.1016/j.wem.2012.08.014
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发表时间:
2013
影响因子:
1.4
通讯作者:
Hunold,KatherineM
Hunold,KatherineM
中科院分区:
医学4区
文献类型:
--
作者:
Platts-Mills,TimothyF;Hunold,KatherineM

文献摘要

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在美国,老年人是一个不断增长的受伤人群。 1 我们分析了《北美登山事故 2》中记录的美国登山和登山相关伤害和疾病,包括死亡人数,作为对过去几十年参与登山事故的老年人比例变化的间接评估。该来源的统计表总结了 1951 年至 2010 年在美国发生的登山事故。从 1973 年起,案件被分为 7 个年龄组,其中年龄最大的年龄组是 50 岁以上的个人。1973 年之前,公认的最年长的年龄组是 35 岁以上的个人。来自加拿大的数据未包含在分析中,因为从 2006 年起没有数据。案件由《事故》编辑确定北美登山运动可能以多种方式纳入表格。最常见的病例识别方法是登山者和搜救组织成员提交的报告。在有大量攀岩活动的国家公园(例如优胜美地、迪纳利、大提顿),事故报告由攀岩护林员提交。在过去的十年中,编辑们还通过搜索在线资源来识别案例,包括一般攀岩网站,如 The Mountain Project (www.themountainproject.com) 和 Supertopo (www.supertopo.com) 以及特定地区的网站 (例如 www.redriverclimbing.org)。如果病例发生在美国并且涉及参加攀岩或攀冰、登山和滑雪登山等攀岩和登山活动的人员,则病例将包含在统计表中并用于分析。避免了案件的重复记录,因为每个案件的详细信息都由编辑审查。用于抱石、室内攀爬或攀爬建筑物期间发生的事故不包括在用于此分析的表格中。我们用 50 岁以上的人数除以已知年龄的总人数来计算涉及 50 岁以上个人的年度病例百分比;分母中不包括年龄未知的个人。对 50 岁以上个体中发生的病例百分比的时间变化进行了总结和预测
Older adults are a growing injury population in the United States. 1 We analyzed US climbing and mountaineering-related injuries and illness including fatalities recorded in Accidents in North American Mountaineering 2 as an indirect assessment of changes during the past several decades in the proportion of older adults involved in mountaineering accidents. Statistical tables from this source summarize mountaineering accidents occurring in the United States from 1951 to 2010. From 1973 onward, cases were grouped into 7 age categories, with the oldest age group being individuals older than 50. Before 1973, the oldest age group recognized was individuals older than 35. Data from Canada were not included in the analysis because data were not available from 2006 onward.Cases are identified by the editors of Accidents in North American Mountaineering for possible inclusion in the tables in a number of ways. The most common means of case identification are reports submitted by climbers and members of search and rescue organizations. In national parks with a large volume of climbing activity (eg, Yosemite, Denali, Grand Teton), accident reports are submitted by climbing rangers. During the past decade, cases have also been identified by editors using searches of online sources including general climbing websites such as The Mountain Project (www. themountainproject. com) and Supertopo (www. supertopo. com) as well as area-specific websites (eg, www. redriverclimbing. org). Cases are included in the statistical tables and used for this analysis if they occur in the United States and involved people participating in climbing and mountaineering activities including rock or ice climbing, mountain climbing, and ski mountaineering. Duplicate recording of cases is avoided because the details of each case are reviewed by the editor. Accidents occurring during bouldering, climbing indoors, or climbing buildings are not included in the tables used for this analysis. We calculated the annual percentage of cases involving individuals older than 50 by dividing the number of individuals older than 50 by the total number of individuals of known age; individuals of unknown age were not included in the denominator. Temporal changes in the percentage of cases occurring in individuals older than 50 are summarized and pre-