Description des conditions environnementales, météorologiques et de fréquentation, lors des traumatismes graves liés aux sports d’hiver, dans la population pédiatrique de moins de 16 ans

Abstract : Context- Number of winter sports injuries do not decrease despite of prevention measures. Among the risk factors responsible for these accidents, the implication of environmental factors, particularly meteorological, remains unclear. The aim of this study was to describe the weather and the attendance conditions, in a cohort of severe injuries, related to winter sports in pediatric’s population. Method - This is a single center and retrospective study (2010-2018). All patients under the age of 16 admitted to Pediatric or Adult Intensive Care Unit at the University Hospital of Grenoble, following a skiing, snowboarding and sledding injury, were included. Results - 180 patients were included (mean age 10.6 years). Skiing, snowboarding and sledding accidents accounted for 74% (n=133), 11% (n=20) and 15%(n=27) patients, respectively. During the day of the accident, cumulative fresh snowfalls in the 10-day period were low, with a median at 11 cm (IQR 3, 36) and less than 40 cm in 79 % of cases (n=143). Temperatures and average snow conditions were consistent with winter standards. Trauma occurred as much in periods of high or low attendance. There was no significant difference between environmental conditions and 1 / the mechanisms of accidents (falls, environmental collisions and human collisions), 2 / the occurrence of head trauma, and 3 / the severity of the trauma defined by an ISS>15. Conclusion - The lack of fresh snowfall seems to be associated with the occurrence of severe injuries in the pediatric population, which is not the case for the temperatures or attendance of the resort. Further studies would be needed to explore the correlation between the amount of fresh snowfall and the incidence and severity of injuries.
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Master Thesis
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Submitted on : Monday, July 8, 2019 - 2:55:44 PM
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Amélie Basso. Description des conditions environnementales, météorologiques et de fréquentation, lors des traumatismes graves liés aux sports d’hiver, dans la population pédiatrique de moins de 16 ans. Médecine humaine et pathologie. 2019. ⟨dumas-02176926⟩

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