Ski Versus Snowboard Accidents: Is The Injury Pattern Different In Pediatric Patients?
Fariha Sheikh1, Karissa S. Tauber2, Anrew O. Crockett1, *Reto M Baertschiger1
1Dartmouth Hitchcock, Lebanon, NH;2Geisel School of Medicine, Dartmouth, Hanover, NH
Background: Ski and snowboard crashes are frequent causes of injuries in children and teenagers. The aim of this study was to review children involved in ski and snowboard accidents in New England and describe the injuries observed and establish any recognizable pattern of injury. Material and Methods: We queried the trauma registry at our ACS Level 1 Adult and Level 2 Pediatric trauma center for all patients 0-18 years involved in a ski or snowboard accident between January 2005 and January 2016. Data was reviewed for demographics, type of injury identified, reported use of protective gear, ISS, and outcomes at discharge. A multivariate regression analysis was performed. Results: A total of 305 patients injured at 38 different ski areas were identified for review. Of these, 195 were SK and 116 were SB. Fifty-eight percent had a primary residence out of the New Hampshire/Vermont area. SB were older than SK. SK were more likely to use helmets, yet there was no difference in the rate of head injuries. Mean ISS, length of stay, and GCS upon arrival were similar in the two groups. SB were more likely to have abdominal injuries, specifically splenic and lacerations, whereas SK were more likely to have extremity injuries. When adjusting for age, gender, helmet use and out of state origin, splenic injuries were the sole factor that was predominant in SB. Conclusion: Compared to skiers, children injured while snowboarding were older and more likely at risk for abdominal solid organ injuries, especially splenic injuries, while skiers were more likely to sustain lower extremity injuries.
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