• Genki Yoshimura, Ryo Kamidani, Ryu Yasuda, Tomotaka Miura, Fuminori Yamaji, Yosuke Mizuno, Yuichiro Kitagawa, Tetsuya Fukuta, Takuma Ishihara, Kodai Suzuki, Takahito Miyake, Soichiro Nagaya, Norihide Kanda, Tomoaki Doi, Hideshi Okada, Takahiro Yoshida, Shozo Yoshida, and Shinji Ogura.
• Advanced Critical Care Center, Gifu University Hospital, Gifu, Japan.
• Injury. 2023 May 1; 54 (5): 137913851379-1385.

BackgroundSnow sports are a popular recreational activity; however, the incidence of injury of snow sports can be high for skiers and snowboarders. Our hospital receives severe trauma cases from snow resorts and hospitals throughout the region. This study aimed to determine whether the risk of snow sports-related major trauma that requires emergency surgery under general anesthesia varies by the equipment and injury mechanism.MethodsThis retrospective cohort study included patients with snow sports trauma referred to Gifu University Hospital, Japan between November 2010 and March 2020. We analyzed the need for emergency operation under general anesthesia within 24 h using Fisher's exact test. We identified 106 patients: (1) 90 in the snowboarders' group and 16 in the skiers' group or (2) 46 in the fall after jumping group (jumping group), 27 in the collide with other people and obstacle group (collision group), and 33 in the fall during gliding group (gliding group).ResultsSnowboarders were nearly twice as likely as skiers to require emergency surgery under general anesthesia (44% vs. 25%; p = 0.236]. No significant associations were found between emergency surgery under general anesthesia and injury mechanism, but half of the patients in the jumping group required emergency surgery.ConclusionsSnowboard as equipment and falls after jumping as a mechanism of injury tended to be associated with emergency surgery under general anesthesia, with no significant differences. In order to provide adequate resources for snow sports trauma, the cause of the patient's injury is strongly related to the urgency of the condition, and transport to a trauma center should be actively considered. Further studies are warranted with respect to the effects of personal protective equipment and skill level.Copyright © 2022. Published by Elsevier Ltd.

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