TY  - JOUR
PY  - 2009//
TI  - Are there risk factors in alpine skiing? A controlled multicentre survey of 1278 skiers
JO  - British journal of sports medicine
A1  - Hasler, Rebecca Maria
A1  - Dubler, Simon
A1  - Benneker, Lorin
A1  - Berov, Simeon
A1  - Spycher, Jonathan
A1  - Heim, Dominik
A1  - Zimmermann, Heinz
A1  - Exadaktylos, Aristomenis K.
SP  - 1020
EP  - 1025
VL  - 43
IS  - 13
N2  - OBJECTIVES: Analyse risk factors in alpine skiing. DESIGN: A controlled multicentre survey of injured and non-injured alpine skiers. SETTING: One tertiary and two secondary trauma centres in Bern, Switzerland. Patients and METHODS: All injured skiers admitted from November 2007 - April 2008 were analysed with a completed questionnaire incorporating 15 parameters. The same questionnaire was distributed to non-injured controls. Multiple logistic regression was performed. Patterns of combined risk factors were calculated by inference trees. A total of 782 patients and 496 controls were interviewed. RESULTS: Parameters significant for the PATIENTS: High readiness for risk (p=0.0365,OR 1.84,CI 1.04-3.27), low readiness for speed (p=0.0008,OR 0.29,CI 0.14-0.60), no aggressive behaviour on slopes (p<0.0001,OR 0.19,CI 0.09-0.37), new skiing equipment (p=0.0228,OR 59,CI 0.37-0.93), warm-up performed (p=0.0015,OR 1.79,CI 1.25-2.57), old snow compared to fresh snow (p=0.0155,OR 0.31,CI 0.12-0.80), old snow compared to artificial snow (p=0.0037,OR 0.21,CI 0.07-0.60), powder snow compared to slush snow (p=0.0035,OR 0.25,CI 0.10-0.63), drug consumption (p=0.0044,OR 5.92,CI 1.74-20.11) and alcohol abstinence (p<0.0001,OR 0.14,CI 0.05-0.34). Three groups at risk were detected: (1) warm-up 3-12min., VASspeed >4 and bad weather/visibility, (2) VASspeed 4-7, icy slopes and not wearing a helmet, (3) warm-up >12min. and new skiing equipment. CONCLUSIONS: Low speed, high readiness for risk, new skiing equipment, old and powder snow as well as drug consumption are significant risk factors when skiing. Future work should aim at more precise identification of specific groups at risk and at developing recommendations, e.g. a snow-weather index at valley stations.<p />  <p>Language: en</p>
LA  - en
SN  - 0306-3674
UR  - http://dx.doi.org/10.1136/bjsm.2009.064741
ID  - ref1
ER  -