Retrospective analysis of 616 air-rescue trauma cases related to the practice of extreme sports

Gosteli, Gaël; Yersin, Bertrand; Mabire, Cédric; Pasquier, Mathieu; Albrecht, Roland; Carron, Pierre‐Nicolas

doi:10.1016/j.injury.2016.03.025

Cited by 21 publications

(13 citation statements)

References 27 publications

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“…21 To date, no population-level reporting has been available regarding trends in serious sport and recreation injuries anywhere in Australia over such an extended period. Internationally, long-term population-level reporting of sports-related trauma has been restricted to specific sports, 23 specific injuries, 11 or specific populations. 25 The aim of this study was to describe the incidence of all sport and active recreation-related injuries resulting in major trauma or death for a 10-year period from July 2005 to June 2015 in Victoria, Australia.…”

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confidence: 99%

Ten-Year Incidence of Sport and Recreation Injuries Resulting in Major Trauma or Death in Victoria, Australia, 2005-2015

Ekegren

Beck

Simpson

et al. 2018

Orthopaedic Journal of Sports Medicine

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Background:Sports injuries that result in major trauma or death are associated with significant health care burden and societal costs. An understanding of changes in injury trends, and their drivers, is needed to implement policy aimed at risk reduction and injury prevention. To date, population-level reporting has not been available regarding trends in serious sport and recreation injuries anywhere in Australia over such an extended period, nor have any studies of this length captured comprehensive, long-term data on all sports-related major trauma internationally.Purpose:To describe the incidence of sport and active recreation injuries resulting in major trauma or death over a 10-year period (July 2005 to June 2015) in the state of Victoria, Australia.Study Design:Descriptive epidemiological study.Methods:All sport and active recreation–related major trauma cases and deaths in Victoria, Australia, over a 10-year period were extracted from the population-level Victorian State Trauma Registry and the National Coroners Information System. Poisson regression analysis was used to examine trends in the incidence of sport and active recreation–related major trauma and death.Results:The 10-year study period entailed 2847 nonfatal major trauma cases and 614 deaths (including 96 in-hospital deaths). The highest frequencies of major trauma cases and deaths were in cycling, motor sports, and equestrian activities. The participation-adjusted major trauma and death rate was 12.2 per 100,000 participants per year over the study period. An 8% increase was noted in the rate of nonfatal major trauma (incident rate ratio [IRR], 1.08; 95% CI, 1.06-1.10; P < .001) and a 7% decrease in the death rate (IRR, 0.93; 95% CI, 0.90-0.97; P < .001). Significant increases were found in the rates of major trauma (including deaths) in equestrian activities, motor sports, and cycling.Conclusion:The death rate from sport and active recreation decreased by more than half over the course of 10 years in Victoria, while the rate of nonfatal major trauma almost doubled. This increase is largely attributable to equestrian activities, motor sports, and cycling. Study findings highlight the need to prioritize investments in the prevention of trauma in these activities.

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confidence: 99%

Ten-Year Incidence of Sport and Recreation Injuries Resulting in Major Trauma or Death in Victoria, Australia, 2005-2015

Ekegren

Beck

Simpson

et al. 2018

Orthopaedic Journal of Sports Medicine

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“…(16) In parallel, the number of SAR missions in mountainous environments has increased (17) and the proportion of potentially life threatening injuries has notably risen. (8,9,18) Data on TBI in severely injured trauma patients in mountainous areas is scarce. We found an incidence of TBI of about 50% among mountain multi-trauma patients, which is comparable to the rate of TBI among severely injured patients in urban or suburban areas.…”

Section: Discussionmentioning

confidence: 99%

Severe traumatic brain injury and hypotension is a frequent and lethal combination in mountain trauma patients – an analysis of the International Alpine Trauma Registry

Rauch¹,

Marzolo²,

Cappello³

et al. 2020

Preprint

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Background: Hypotension is associated with worse outcome in patients with traumatic brain injury (TBI) and maintaining a systolic blood pressure (SBP) ≥110 mmHg is recommended. The aim of this study was to assess the incidence of TBI in patients suffering multi-trauma in remote and mountainous areas; to describe associated factors, treatment and outcome compared to non-hypotensive patients with TBI and patients without TBI; and to evaluate pre-hospital variables to predict admission hypotension.Methods: Data from the International Alpine Trauma Registry including mountain multi-trauma patients (ISS≥16) collected between 2010 and 2019 were analysed. Patients were divided into three groups: 1) TBI with hypotension, 2) TBI without hypotension and 3) no TBI. TBI was defined as Abbreviated Injury Scale (AIS) of the head/neck ≥3 and hypotension as SBP <110 mmHg on hospital arrival.Results: A total of 287 patients were included. Fifty (17%) had TBI and hypotension, 92 (32%) suffered TBI without hypotension and 145 (51%) patients did not have TBI. Patients in group 1 were more severely injured (mean ISS 43.1±17.4 vs 33.3±15.3 vs 26.2±18.1 for group 1 vs 2 vs 3, respectively, p<0.001). Mean SBP on hospital arrival was 83.1±12.9 vs 132.5±19.4 vs 119.4±25.8 mmHg (p<0.001) despite patients in group 1 received more fluids. Patients in group 1 had higher INR, lower haemoglobin and lower base excess (p<0.001). The rate of hypothermia on hospital arrival was different between the groups (p=0.029). Patients in group 1 had the highest mortality (24% vs 10% vs 1%, p<0.001).Conclusion: Multi-trauma in the mountains goes along with severe TBI in almost 50%. One third of patients with TBI is hypotensive on hospital arrival and this is associated with a worse outcome. No single variable or set of variables easily obtainable at scene was able to predict admission hypotension in TBI patients.

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“…Gosteli et al 20 investigaram a epidemiologia das lesões em esportes radicais, com base numa analise retrospectiva das missões de resgate realizadas em Lausanne, Suíça, de 1 de Janeiro de 1998 a 31 Dezembro de 2008, e observou que entre os esportes aéreos (asa delta, paraquedismo e parapente), o parapente foi responsável por 80% das lesões estudadas. Tais achados reforçam a importância de se identificar os fatores relacionados a essas lesões e a busca de ações práticas para minimizar esses números.…”

Section: Discussionunclassified

Perfil De Lesões Em Pilotos De Parapente No Brasil E Seus Fatores De Risco

Crivellaro

Almeida

Wenke

et al. 2017

Rev Bras Med Esporte

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Introdução: O parapente é uma atividade de voo livre que utiliza um planador ultraleve flexível para decolagem, evolução em voo e pouso. Apesar do crescente número de praticantes desse esporte no Brasil, não foram encontrados dados epidemiológicos de lesões na prática de parapente no país. Objetivo: Esta pesquisa teve como objetivo analisar a incidência, tipo, área anatômica acometida, gravidade, e também verificar se há algum padrão nas lesões em pilotos de parapente no Brasil. Métodos: Realizou-se um estudo quantitativo, descritivo, analítico, transversal e retrospectivo por meio de um questionário adaptado do Formulário de Notificação de Acidentes do órgão Alemão LBA -Federal Office of Civil Aeronautics -para obter informações pertinentes aos objetivos da pesquisa. A aplicação do questionário foi realizada on-line, pelo Google Formulários. Resultados: Foram contabilizadas 575 participações válidas, sendo 92,7% dos participantes do sexo masculino, sendo 30,4% com idades entre 41 e 50 anos. Entre eles, 68,6% relataram já ter sofrido uma lesão no esporte; a região anatômica de maior incidência foram os membros inferiores (44,09%), sendo o pouso, a fase do voo em que aconteceu a maioria das lesões (68,01%). Uma regressão logística identificou que "idade" e "tipo de homologação" eram os dois fatores associados à ocorrência de lesão na amostra estudada. Conclusão: Com base nesta pesquisa, é possível elaborar um programa de treinamento funcional para os praticantes desta modalidade, visando um melhor desempenho, medidas de prevenção de lesões associadas ao esporte, bem como propiciar a reabilitação adequada aos pilotos de parapente.Descritores: atletas; esportes; ferimentos e lesões; fatores de risco; aviação. . Além dos níveis de habilitação, existem normas de homologação de instrutores, e o parapente é classificado de acordo com sua aeronavegabilidade, sendo o comportamento do equipamento em voo testado e avaliado. A classificação da vela é realizada de acordo com a nota obtida nesse teste, fornecendo uma orientação ao piloto sobre o parapente 4,5 . Como em outros esportes, o parapente apresenta um potencial de risco de lesões, que podem ser predispostas por fatores intrínsecos ou extrínsecos ao equipamento 6 . Para compreender quais são estes possíveis fatores, bem como para elaborar diretrizes de prevenção para pilotos de parapente, há necessidade de conhecer a epidemiologia das lesões ocorridas nesta modalidade do voo livre. No entanto, não foram encontrados estudos epidemiológicos de lesões na prática de parapente no Brasil, impossibilitando o desenvolvimento de estratégias de prevenção. Assim, esta pesquisa tem como objetivo analisar a incidência, tipo, área anatômica acometida, gravidade e padrão nas lesões em pilotos de parapente no Brasil. ABSTRACT Introduction: Paragliding is a free-flight activity that uses a flexible ultralight glider for takeoff, flight and landing. Despite the increasing number of practitioners of this sport in PERFIL DE LESÕES EM PILOTOS DE PARAPENTE NO BRASIL E SEUS FATORES DE RISC...

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Retrospective analysis of 616 air-rescue trauma cases related to the practice of extreme sports

Cited by 21 publications

References 27 publications

Ten-Year Incidence of Sport and Recreation Injuries Resulting in Major Trauma or Death in Victoria, Australia, 2005-2015

Ten-Year Incidence of Sport and Recreation Injuries Resulting in Major Trauma or Death in Victoria, Australia, 2005-2015

Severe traumatic brain injury and hypotension is a frequent and lethal combination in mountain trauma patients – an analysis of the International Alpine Trauma Registry

Perfil De Lesões Em Pilotos De Parapente No Brasil E Seus Fatores De Risco

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