Head injuries in skiers : an analysis of injury severity and outcome

To examine the incidence, injury severity, and outcomes of persons hospitalized as a result of ski-related head trauma, a cross-sectional survey was carried out from the Colorado traumatic brain injury database. This database is an ongoing population-based statewise surveillance system, compiled by...

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Bibliographic Details
Published in:Brain injury 2001-05, Vol.15 (5), p.429-434
Main Authors: DIAMOND, Paul T, GALE, Shawn D, DENKHAUS, Heather K
Format: Article
Language:English
Subjects:
Adult
Amnesia - etiology
Biological and medical sciences
Craniocerebral Trauma - epidemiology
Craniocerebral Trauma - etiology
Craniocerebral Trauma - pathology
Cross-Sectional Studies
Data Collection
Female
Humans
Incidence
Injuries of the nervous system and the skull. Diseases due to physical agents
Male
Medical sciences
Prognosis
Sex Factors
Skiing - injuries
Skull Fractures - epidemiology
Skull Fractures - etiology
Skull Fractures - pathology
Traumas. Diseases due to physical agents
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Summary:To examine the incidence, injury severity, and outcomes of persons hospitalized as a result of ski-related head trauma, a cross-sectional survey was carried out from the Colorado traumatic brain injury database. This database is an ongoing population-based statewise surveillance system, compiled by the Department of Public Health and Environment. Participants were Colorado residents who sustained a head injury while skiing at Colorado ski resorts and hospitalized over three full ski seasons (1994--1997). Injury severity measures included GCS, ISS, AIS, and presence/absence of intracranial lesion, skull fracture and amnesia. Outcome measures included GOS and hospital length of stay. Mean injury severity scores were as follows: GCS 14.51 (SD=0.99), AIS 2.98 (0.99) and ISS 13.17 (6.71). Twenty-four per cent sustained skull fracture, 39% had intracranial lesions, and 79% demonstrated amnesia. Mean length of stay was 4.31 days (10.58). Head injury incidence was 0.77 per 100 000 ski visits (age-specific range=0.17--1.91). Males were more likely to have a skull fracture and evidence of intracranial lesion. Finally, children and older adults were at increased risk of ski-related head trauma, suggesting head injury prevention programmes geared toward these age groups should be emphasized.
ISSN:0269-9052
1362-301X
DOI:10.1080/02699050010005922