In gratitude of the loyal support of our members, the CNS is offering complimentary 2021 Annual Meeting registration to all members! Learn more.

  • Head Trauma Incidence, Severity and Outcome in Skiers and Snowboarders

    Final Number:
    725

    Authors:
    Dominik Baschera MD; Rebecca M Hasler; Aristomenis Exadaktylos MD Prof; Andreas Raabe MD

    Study Design:
    Other

    Subject Category:

    Meeting: Congress of Neurological Surgeons 2015 Annual Meeting

    Introduction: Our aim was to examine differences of head injury severity, patterns of head injury, helmet efficacy and outcomes in snowboarders and skiers.

    Methods: A retrospective review of all patient notes and CT-scans of patients admitted to our Level 1 Trauma centre 03/2000 - 03/2011 due to head trauma sustained from skiing and snowboard acidents. Head trauma severity was determined by the lowest documented GCS (severe <9, modest 9-12, minor 13-15). Patient outcomes were measured by the Glasgow Outcome Scale (GOS).

    Results: A total of 2053 patients were admitted for skiing (n=1362) and snowboarding (n=691) accidents, 362 of them for head trauma (n-snowboarders= 117 /n-skiers= 245). 52.7% of snowboarders and 51.7% of skiers wore helmets. 20% (50) of Skiers sustained moderate to severe head injuries compared to 8% (9) of snowboarders (p =0.003*). The mean injury severity scores (ISS) of head injured snowboarders was 5.6 ±6 and of skiers 10 ±11 (p=0.001*). Four (3.4%) snowboarders and 21 (8.5%) skiers sustained an open head injury (p=0.052). Traumatic subarachnoid hemorrhage was found in 5 (4.3%) snowboarders and 24 (10%) skiers (p=0.051). Calvarial fractures, contusion, intracerebral hemorrhage, subdural haematoma and epidural hematoma were equally prevalent in skiers and snowboarders. 28 (11.4%) skiers and 5 (4.3%) snowboarders needed neurosurgical interventions (p=0.018*). The mean GOS of snowboarders was 4.85±0.7 and of skiers 4.75±0.9 (p=0.497). Wearing a helmet had no association with less severe head injury and outcome of skiers/snowboarders. However of both skiers and snowboarders open head injuries were less frequent in helmet wearers ( 2.6% vs. 9.3.%; p=0.030*).

    Conclusions: Snowboarders had significantly less severe head injuries and were less likely to need neurosurgical interventions. Skiers with a head injury also had a higher overall injury severity (ISS). Helmets currently on the market proved to have some beneficial effect, however it was not detectable in the overall outcome.

    Patient Care: - Improvements in head trauma prevention are warranted - Helmet designs should be adapted to higher speeds in skiers - More research toward more effective helmet designs will improve patient outcomes

    Learning Objectives: - Skiers admitted for head injuries have more severe injuries than snowboarders. - Helmets provide very limited protection in skiers and snowboarders

    References:

We use cookies to improve the performance of our site, to analyze the traffic to our site, and to personalize your experience of the site. You can control cookies through your browser settings. Please find more information on the cookies used on our site. Privacy Policy