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Head injuries in snow sports and helmet use. evolution over 8 seasons
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Head injuries in snow sports and helmet use. evolution over 8 seasons

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  • 1. HEAD INJURIES IN SNOWHEAD INJURIES IN SNOW SPORTS AND HELMET USE.SPORTS AND HELMET USE. EVOLUTION OVER 8 SEASONS.EVOLUTION OVER 8 SEASONS. Dr Escoda Alegret B (1), Gonzalez Casallo J (2), EscodaDr Escoda Alegret B (1), Gonzalez Casallo J (2), Escoda Alegret A (1), Dr Escoda Sales JM (1)Alegret A (1), Dr Escoda Sales JM (1) (1)Centre Mèdic Pas de la Casa- Grau Roig, Andorra(1)Centre Mèdic Pas de la Casa- Grau Roig, Andorra (2)Hamilton Investigacio, Andorra(2)Hamilton Investigacio, Andorra
  • 2. HEAD INJURIES IN SNOW SPORTS AND HELMET USEHEAD INJURIES IN SNOW SPORTS AND HELMET USE - Snow sports (mainly skiing and- Snow sports (mainly skiing and snowboarding) are popular wintersnowboarding) are popular winter activities worldwide.activities worldwide. - Head injuries are relatively- Head injuries are relatively uncommon, but they can lead touncommon, but they can lead to potentially serious outcome.potentially serious outcome. - On the other part the use of helmet,- On the other part the use of helmet, despite the controversydespite the controversy over theover the need forneed for mandatory use, is knownmandatory use, is known to reduce the incidence and theto reduce the incidence and the severity of some of the head injuriesseverity of some of the head injuries found in snow sportsfound in snow sports BACKGROUNDBACKGROUND
  • 3. HEAD INJURIES IN SNOW SPORTS AND HELMET USEHEAD INJURIES IN SNOW SPORTS AND HELMET USE In the ski resort of Grandvalira,In the ski resort of Grandvalira, Andorra, and for 8 consecutiveAndorra, and for 8 consecutive seasons,seasons, - we examine both the evolution ofwe examine both the evolution of head injuries and use of safetyhead injuries and use of safety helmet while skiing orhelmet while skiing or snowboarding.snowboarding. - We observe whether the eventualWe observe whether the eventual evolution in the use of helmets isevolution in the use of helmets is accompanied by a change in theaccompanied by a change in the head injuries, in number or severity.head injuries, in number or severity. OBJECTIVESOBJECTIVES
  • 4. HEAD INJURIES IN SNOW SPORTS AND HELMET USEHEAD INJURIES IN SNOW SPORTS AND HELMET USE - We retrospectively examined dataWe retrospectively examined data collected by the ski patrols and thecollected by the ski patrols and the Pas de la Casa-Grau Roig medicalPas de la Casa-Grau Roig medical center for the eight consecutivecenter for the eight consecutive seasons from 2001-2002 until 2008-seasons from 2001-2002 until 2008- 2009.2009. - We also have the number of skier-We also have the number of skier- days for our sectors of the resortdays for our sectors of the resort METHODMETHOD
  • 5. HEAD INJURIES IN SNOW SPORTS AND HELMET USEHEAD INJURIES IN SNOW SPORTS AND HELMET USE - Control group would be the right toolControl group would be the right tool - But as known is really difficult to disposeBut as known is really difficult to dispose of this toolof this tool - We consider helmet use among injuriedWe consider helmet use among injuried as marker of the evolution on helmet useas marker of the evolution on helmet use EVOLUTION OF HELMET USE
  • 6. HEAD INJURIES IN SNOW SPORTS AND HELMET USEHEAD INJURIES IN SNOW SPORTS AND HELMET USE HELMET USE: % INJURIED USING HELMET 0 10 20 30 2001/20 02 2002/20 03 2003/20 04 2004/20 05 2005/20 06 2006/20 07 2007/20 08 2008/20 09 SEASON %OFUSE EVOLUTION OF HELMET USE
  • 7. HEAD INJURIES IN SNOW SPORTS AND HELMET USEHEAD INJURIES IN SNOW SPORTS AND HELMET USE Among children helmet use is largely majoritary:Among children helmet use is largely majoritary: - Children coming with their schools, ski clubs, and otherChildren coming with their schools, ski clubs, and other organized structures (either from Andorra or other countries),organized structures (either from Andorra or other countries), have as mandatory the use of safety helmet, so 100 % arehave as mandatory the use of safety helmet, so 100 % are normally wearing helmetnormally wearing helmet - For those who come individually with their parents lower ski passFor those who come individually with their parents lower ski pass prices are aplied when wearing helmetsprices are aplied when wearing helmets - Helmets are easily found in rental shopsHelmets are easily found in rental shops - UNHELMETED CHILD ARE EXTREMELY UNCOMONUNHELMETED CHILD ARE EXTREMELY UNCOMON EVOLUTION OF HELMET USE
  • 8. HEAD INJURIES IN SNOW SPORTS AND HELMET USEHEAD INJURIES IN SNOW SPORTS AND HELMET USE Seeing the increasing of helmet useSeeing the increasing of helmet use we could expect an inversewe could expect an inverse evolution of head injuries…evolution of head injuries… HEAD INJURIES EVOLUTION
  • 9. HEAD INJURIES IN SNOW SPORTS AND HELMET USEHEAD INJURIES IN SNOW SPORTS AND HELMET USE HEAD INJURIES EVOLUTION HEAD INJURIES 0 2 4 6 2001/20 02 2002/20 03 2003/20 04 2004/20 05 2005/20 06 2006/20 07 2007/20 08 2008/20 09 SEASON %OVERTOTAL INJURIES
  • 10. HEAD INJURIES IN SNOW SPORTS AND HELMET USEHEAD INJURIES IN SNOW SPORTS AND HELMET USE HEAD INJURIES EVOLUTION HEAD INJURIES IPTSD 0 0,1 0,2 0,3 2001/20 02 2002/20 03 2003/20 04 2004/20 05 2005/20 06 2006/20 07 2007/20 08 2008/20 09 SEASON HEADINJURIES PTSD
  • 11. HEAD INJURIES IN SNOW SPORTS AND HELMET USEHEAD INJURIES IN SNOW SPORTS AND HELMET USE SEVERITY EVOLUTIONSEVERITY EVOLUTION We have been using several, methods to quantify the severity of an injury: - AIS scale - Healing time scale - combination of both scales - none of this systems are easy to aply, we are trying to improve their aplication to our data collection
  • 12. HEAD INJURIES IN SNOW SPORTS AND HELMET USEHEAD INJURIES IN SNOW SPORTS AND HELMET USE SEVERITY EVOLUTIONSEVERITY EVOLUTION An easy way to quantify the severity of the injuries is the % of patients sent to the hospital
  • 13. HEAD INJURIES IN SNOW SPORTS AND HELMET USEHEAD INJURIES IN SNOW SPORTS AND HELMET USE SEVERITY EVOLUTIONSEVERITY EVOLUTION % INJ SENT TO HOSPITAL 0 1 2 3 4 2001/200 2 2002/200 3 2003/200 4 2004/200 5 2005/200 6 2006/200 7 2007/200 8 2008/200 9 SEASON %OFTOTAL INJURIESSENTTO HOSPITAL
  • 14. HEAD INJURIES IN SNOW SPORTS AND HELMET USEHEAD INJURIES IN SNOW SPORTS AND HELMET USE This retrospective study does notThis retrospective study does not find evidences on the benefits offind evidences on the benefits of helmet use in the overall population.helmet use in the overall population. Helmet use has increased, butHelmet use has increased, but there are not significative changesthere are not significative changes in the number or severity of headin the number or severity of head injuriesinjuries DISCUSSIONDISCUSSION
  • 15. HEAD INJURIES IN SNOW SPORTS AND HELMET USEHEAD INJURIES IN SNOW SPORTS AND HELMET USE Children are more exposed to headChildren are more exposed to head injuries than older skierinjuries than older skier /snowboarders, we have no precise/snowboarders, we have no precise data on this age group.data on this age group. More studies are needed to confirmMore studies are needed to confirm the massive use of helmets and itsthe massive use of helmets and its benefitsbenefits DISCUSSIONDISCUSSION
  • 16. HEAD INJURIES IN SNOW SPORTS AND HELMET USEHEAD INJURIES IN SNOW SPORTS AND HELMET USE We do not find decrease in the % of patientsWe do not find decrease in the % of patients needing hospitalary treatment, while helmet useneeding hospitalary treatment, while helmet use is expandingis expanding The most dangerous injuries usually associateThe most dangerous injuries usually associate several localizations, are usually caused by highseveral localizations, are usually caused by high speed collisions, and there is no evidence thatspeed collisions, and there is no evidence that they could be prevented by helmet use.they could be prevented by helmet use. DISCUSSIONDISCUSSION
  • 17. HEAD INJURIES IN SNOW SPORTS AND HELMET USEHEAD INJURIES IN SNOW SPORTS AND HELMET USE Previous studies from other authorsPrevious studies from other authors show that helmet use reducesshow that helmet use reduces severity and incidence of headseverity and incidence of head injuries.injuries. Extremely severe head injuries,Extremely severe head injuries, resulting from high speed collisions,resulting from high speed collisions, cannot be prevented by helmet use.cannot be prevented by helmet use. CONCLUSIONCONCLUSION
  • 18. HEAD INJURIES IN SNOW SPORTS AND HELMET USEHEAD INJURIES IN SNOW SPORTS AND HELMET USE Prospective, multicentre,Prospective, multicentre, coordinated studies are necessarycoordinated studies are necessary in order to improve ourin order to improve our understanding of snow sport'sunderstanding of snow sport's injuries and their possibleinjuries and their possible prevention policies.prevention policies. Making helmet use mandatory inMaking helmet use mandatory in children seems reasonable; helmetchildren seems reasonable; helmet use in adults should result of gooduse in adults should result of good information including talking aboutinformation including talking about risk taking behaviors.risk taking behaviors. CONCLUSIONCONCLUSION
  • 19. THANK YOU!!!!!THANK YOU!!!!! www.cmpas.comwww.cmpas.com dr.escoda@andornet.addr.escoda@andornet.ad