■虽然已经实施了预防协议,在美国,与滑雪相关的肌肉骨骼损伤和脑震荡继续出现在急诊室。以前的文献表明,儿科人群可能占滑雪相关伤害的40%。
■评估在美国急诊室看到的儿科患者的损伤趋势和滑雪损伤的潜在机制。
■描述性流行病学研究。
■国家电子伤害监测系统(NEISS)在2012年1月1日至2022年12月31日期间被询问儿童(年龄≤18岁)滑雪伤害。损伤机制,location,处置,并记录诊断,并使用NEISS按医院分配的统计样本权重来计算国家估计值(NEs)。用线性回归分析评估损伤趋势。
■总的来说,纳入2951例小儿滑雪损伤(NE=123,386)。患者平均年龄为12.4±3.5岁,61.3%的损伤发生在男性患者身上。与地面的撞击是最常见的伤害机制(NE=87,407;70.8%)。骨折是最常见的诊断(NE=38,527,31.2%),其次是菌株/扭伤(NE=22,562,18.3%),挫伤/擦伤(NE=16,257,13.2%),和脑震荡(NE=12,449,10.1%)。小腿是最常见的骨折部位(NE=9509,24.7%),其次是肩部(NE=7131,18.5%)和下臂(NE=5876,15.3%)。对年度伤害的分析显示,2012年至2022年之间没有显著趋势(P=0.17),在整个研究期间波动明显。在应变/扭伤(P<0.01)和挫伤/擦伤(P<0.01)中观察到显着减少,但不是脑震荡(P=0.57)或骨折(P=0.70)。
■雪/地面的影响占所有伤害的70.8%。骨折是最常见的损伤诊断,其次是拉伤/扭伤,小腿最常骨折。虽然应变/扭伤和挫伤/擦伤显示显著下降,2012-2022年间,骨折和脑震荡没有显著趋势.
UNASSIGNED: While prevention protocols have been implemented, skiing-related musculoskeletal injuries and concussions continue to present to emergency departments in the United States. Previous literature has suggested the pediatric population may constitute up to 40% of skiing-related injuries.
UNASSIGNED: To assess injury trends and the underlying mechanisms of skiing injuries in pediatric patients seen at emergency departments in the United States.
UNASSIGNED: Descriptive epidemiology study.
UNASSIGNED: The National Electronic Injury Surveillance System (NEISS) was queried for pediatric (age ≤18 years) skiing injuries between January 1, 2012, and December 31, 2022. Injury mechanism, location, disposition, and diagnosis were recorded, and the statistical sample weight assigned by NEISS by hospital was used to calculate national estimates (NEs). Injury trends were evaluated with linear regression analysis.
UNASSIGNED: Overall, 2951 pediatric skiing injuries were included (NE = 123,386). The mean age of the patients was 12.4 ± 3.5 years, with 61.3% of the injuries occurring in male patients. Impact with the ground was the most common injury mechanism (NE = 87,407; 70.8%).
Fractures were the most common diagnosis (NE = 38,527, 31.2%), followed by strains/sprains (NE = 22,562, 18.3%), contusions/abrasions (NE = 16,257, 13.2%), and concussions (NE = 12,449, 10.1%). The lower leg was the most common fracture site (NE = 9509, 24.7%), followed by the shoulder (NE = 7131, 18.5%) and lower arm (NE = 5876, 15.3%). Analysis of annual injuries revealed no significant trend between 2012 and 2022 (P = .17), with fluctuations apparent throughout the study period. Significant decreases were seen in strains/sprains (P < .01) and contusions/abrasions (P < .01), but not in concussions (P = .57) or
fractures (P = .70).
UNASSIGNED: Impacts with the snow/ground made up 70.8% of all injuries.
Fractures were the most common injury diagnosis, followed by strains/sprains, with the lower leg being most frequently fractured. While strains/sprains and contusions/abrasions showed a significant decline, there were no significant trends in
fractures and concussions between 2012 and 2022.