Clinical characteristics of patients with snow sports trauma transported to a trauma care center: A retrospective observational study
Clinical characteristics of patients with snow sports trauma transported to a trauma care center: A retrospective observational study
复制标题
送往创伤护理中心的雪上运动创伤患者的临床特征：一项回顾性观察研究
DOI：
10.1016/j.injury.2022.12.028
复制
发表时间：
2023
期刊：
影响因子：
2.5
通讯作者：
Nagaya Soichiro et al.
中科院分区：
文献类型：
--
作者：
Yoshimura Genki;Kamidani Ryo;Yasuda Ryu;Miura Tomotaka;Yamaji Fuminori;Mizuno Yosuke;Kitagawa Yuichiro;Fukuta Tetsuya;Ishihara Takuma;Suzuki Kodai;Miyake Takahito;Nagaya Soichiro et al.
背景雪上运动是一项很受欢迎的娱乐活动；然而，滑雪和滑雪板运动员在雪上运动中受伤的发生率可能很高。我们医院接收来自雪上度假村和整个地区医院的严重创伤病例。本研究旨在探讨雪上运动相关重大创伤需在全身麻醉下进行急诊手术的风险是否因设备和损伤机制而异。方法本研究采用回顾性队列研究方法，研究对象为2010年11月至2020年3月间在日本岐阜市大学医院就诊的雪上运动创伤患者。采用Fisher‘s精确检验分析全麻下24小时内急诊手术的必要性。其中滑雪组90例，滑雪组16例，跳跃组46例，碰撞障碍组27例，滑滑组33例。结果滑雪组全麻下急诊手术的概率是滑雪组的近两倍(44%比25%；P=0.236)。全身麻醉下的急诊手术与损伤机制无明显相关性，但跳跃组中有一半的患者需要急诊手术。结论滑雪板作为器械和跳跃后摔倒作为损伤机制与全身麻醉下的急诊手术有关联，无显著差异。为了为雪上运动创伤提供足够的资源，患者受伤的原因与病情的紧迫性密切相关，应积极考虑将其送往创伤中心。有必要就个人防护装备和技能水平的影响进行进一步研究。
BackgroundSnow sports are a popular recreational activity; however, the incidence of injury of snow sports can be high for skiers and snowboarders. Our hospital receives severe trauma cases from snow resorts and hospitals throughout the region. This study aimed to determine whether the risk of snow sports-related major trauma that requires emergency surgery under general anesthesia varies by the equipment and injury mechanism.MethodsThis retrospective cohort study included patients with snow sports trauma referred to Gifu University Hospital, Japan between November 2010 and March 2020. We analyzed the need for emergency operation under general anesthesia within 24 h using Fisher's exact test. We identified 106 patients: (1) 90 in the snowboarders’ group and 16 in the skiers’ group or (2) 46 in the fall after jumping group (jumping group), 27 in the collide with other people and obstacle group (collision group), and 33 in the fall during gliding group (gliding group).ResultsSnowboarders were nearly twice as likely as skiers to require emergency surgery under general anesthesia (44% vs. 25%;p= 0.236]. No significant associations were found between emergency surgery under general anesthesia and injury mechanism, but half of the patients in the jumping group required emergency surgery.ConclusionsSnowboard as equipment and falls after jumping as a mechanism of injury tended to be associated with emergency surgery under general anesthesia, with no significant differences. In order to provide adequate resources for snow sports trauma, the cause of the patient's injury is strongly related to the urgency of the condition, and transport to a trauma center should be actively considered. Further studies are warranted with respect to the effects of personal protective equipment and skill level.