@article{ref1,
title="Epidemiology of severe pediatric trauma following winter sport accidents",
journal="Acta paediatrica",
year="2020",
author="Maisonneuve, Emilien and Roumeliotis, Nadia and Basso, Amélie and Venchiarutti, Damien and Vallot, Cecile and Ricard, Cécile and Bouzat, Pierre and Mortamet, Guillaume",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="AIM: This study describes the epidemiology of severe injuries related to winter sports (skiing, snowboarding and sledding) in children, and assesses potential preventive actions. <br><br>METHODS: A single-center retrospective study performed at Pediatric or Adult Intensive Care Unit in the French Alps. All patients less than 15 years old, admitted to the Intensive Care Unit following a skiing, snowboarding or sledding accident from 2011 to 2018, were included. <br><br>RESULTS: We included 186 patients (mean age 10.6 years and 68% were male); of which 136 (73%), 21 (11%) and 29 (16%) had skiing, snowboarding and sledding accidents, respectively. The average ISS (injury severity score) was 16. The major lesions were head (n=94 patients, 51%) and intra-abdominal (n=56 patients, 30%) injuries. Compared to skiing/snowboarding, sledding accidents affected younger children (7 vs 11 y, p <0.001); most of whom did not wear a helmet (89% vs 8%, p <0.001). Severity scores were statistically different amongst winter sports (ISS = 16 (IQR 9-24) for skiing, 9 (IQR 4-16) for snowboarding and 16 (IQR 13-20) for sledding accident, p = 0.02). <br><br>CONCLUSION: Winter sports can cause severe trauma in children. Sledding accidents affect younger children that may benefit from wearing protective equipment.<br><br>© 2020 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.<p /> <p>Language: en</p>",
language="en",
issn="0803-5253",
doi="10.1111/apa.15196",
url="http://dx.doi.org/10.1111/apa.15196"
}