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Journal of Peking University (Health Sciences) ›› 2021, Vol. 53 ›› Issue (3): 580-585. doi: 10.19723/j.issn.1671-167X.2021.03.023

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Role of ski injury treatment system between the ski resort medical station of Winter Olympics and the nearby medical care hospital

YANG Yu-ping1,2,MA Xiao1,CHEN Na-yun1,JIANG Yan-fang1,ZHANG Xiao-wei2,DING Zhong-wei2,LIU Tao2,AO Ying-fang1,Δ()   

  1. 1. Department of Sports Medicine, Peking University Third Hospital; Institute of Sports Medicine of Peking University; Beijing Key Laboratory of Sports Injuries; Beijing 100191, China
    2. Department of Sports Medicine, Chongli Hospital, Peking University Third Hospital, Zhangjiakou 076350, Hebei, China
  • Received:2020-04-28 Online:2021-06-18 Published:2021-06-16
  • Contact: Ying-fang AO E-mail:yingfang.ao@vip.sina.com
  • Supported by:
    2018 and 2019 Nation Key Research and Development Program for “Science and Technology Winter Olympics” of China(2018YFF0301100);2018 and 2019 Nation Key Research and Development Program for “Science and Technology Winter Olympics” of China(2019YFF0302305);Integrated Application of Technology and Comprehensive Demonstration Project of Scientific and Technological Winter Olympics of Zhangjiakou in 2020(20110004D)

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Abstract:

Objective: To make a retrospective analysis of the situation and process of treating skiers’ injuries in the medical station of the Wanlong ski resort in Chongli and the nearest treatment hospital, and to provide a basis for the establishment and optimization of the treatment process between the medical station of the Winter Olympics ski resort and the nearest treatment hospital, and to gain experience for medical security of mass skiing. Methods: The data of all ski injuries in Chongli District were collected from the medical station of the Wanlong ski resort during the 2018-2019 snow season (November 2018 to April 2019) and the nearest treatment hospital during two periods (March 2019, and November 2019 to January 2020). The differences of injury causes, injury types, injury sites, and treatment effects of the injured skiers were analyzed. Results: A total of 755 cases of ski injuries were recorded in the medical station of Wanlong ski resort, the estimated incidence of injury was 2.02‰ per day. The nearest treatment hospital treated a total of 838 injured skiers from different ski resorts in Chongli District in the two periods. In the records of the ski resort medical station, the main causes of injury were technical defects and turnovers (53.6%). Knee joint injury rate was the highest (18.7%), followed by head and neck (12.9%) and lower limb (11.9%). The number of injuries on intermediate roads was the highest (40.0%), the greatest number of injuries (81.2%) occurred when the age of skiing was less than 5 years. In the records of the nearest treatment hospital, the injury types were fracture or fissure fracture, contusion and trauma, and muscle and soft tissue injury, accounting for 30.5%, 27.4%, and 21.2% respectively. 9.6% of the injured took the snow field ambulance to the hospital, and 50% of them suffered from fractures or fissure fractures. Conclusion: The injury rate of skiing in the 2018-2019 snow season of the Wanlong ski resort in Chongli was higher than that reported by foreign literature. Severe trauma (including severe fractures and concussions) could occur and patients needed to be transferred to the nearest hospital for treatment. The ski resort medical station and the nearest treatment hospital should be strengthened with adequate medical staff and equipment, and promote cooperation in the timely referral of seriously injured patients, the organization and construction of ski patrols and the medical security of large-scale competitions, thus playing an important role in forming a grassroots network of medical security and treatment system for skiing.

Key words: Skiing, Athletic injuries, Emergency medical services, Hospital rapid response team

CLC Number: 

  • R873

Table 1

Comparison of age distribution of the injured in the ski resort medical station and the nearby medical care hospital"

Age group/years Ski resort medical station
(n=735)*, n (%)		 Chongli Hospital
(n=838), n (%)
2-12 52 (7.1) 49 (5.8)
13-20 57 (7.8) 97 (11.6)
21-30 254 (34.5) 332 (39.6)
31-45 250 (34.0) 268 (32.0)
46-60 105 (14.3) 77 (9.2)
>60 17 (2.3) 15 (1.8)

Table 2

Comparison of the cause of injury of the injured in the ski resort medical station and the nearby medical care hospital"

Cause of injury Ski resort medical station
(n=726)*, n(%)		 Chongli Hospital
(n=133)#, n(%)
Technical flaws and errors 389 (53.6) 96 (72.2)
Accidental collision 238 (32.8) 5 (3.8)
Inappropriate environment 35 (4.8) 11 (8.3)
Substandard appliances 11 (1.5) 1 (0.7)
Others 53 (7.3) 20 (15.0)

Table 3

Comparison of the injured parts of the injured in the ski resort medical station and the nearby medical care hospital"

Injured parts Ski resort medical station
(n=722)*, n (%)		 Chongli Hospital
(n=832)#, n (%)
Head or neck 93 (12.9) 118 (14.2)
Knee 135 (18.7) 91 (10.9)
Wrist or fingers 77 (10.7) 89 (10.7)
Ankle or toes 52 (7.2) 35 (4.2)
Waist or hip 54 (7.5) 117 (14.1)
Lower limb 86 (11.9) 54 (6.5)
Upper limb 67 (9.2) 129 (15.5)
Shoulder or back 77 (10.7) 97 (11.7)
Chest, ribs or abdomen 81 (11.2) 102 (12.2)

Figure 1

Years of skiing of the injured in the ski resort medical station"

Figure 2

Injury rates of the ski resort medical station from November 2018 to April 2019"

[1] Davidson TM, Laliotis AT. Alpine skiing injuries. A nine-year study[J]. West J Med, 1996,164(4):310-314.
[2] Made C, Elmqvist LG. A 10-year study of snowboard injuries in Lapland Sweden[J]. Scand J Med Sci Sports, 2004,14(2):128-133.
doi: 10.1111/sms.2004.14.issue-2
[3] Carús L, Escorihuela M. Epidemiology of feature-specific injuries sustained by skiers in a snow park[J]. Wilderness Environ Med, 2016,27(3):415-420.
doi: 10.1016/j.wem.2016.05.001 pmid: 27396925
[4] Pons-Villanueva J, Seguí-Gómez M, Martínez-González MA. Risk of injury according to participation in specific physical activities: a 6-year follow-up of 14 356 participants of the SUN cohort[J]. Int J Epidemiol, 2010,39(2):580-587.
doi: 10.1093/ije/dyp319 pmid: 19897466
[5] Derman W, Schwellnus MP, Jordaan E, et al. High incidence of injury at the Sochi 2014 Winter Paralympic Games: a prospective cohort study of 6 564 athlete days[J]. Br J Sports Med, 2016,50(17):1069-1074.
doi: 10.1136/bjsports-2016-096214 pmid: 27307272
[6] 李宏, 王诚民. “三亿人上冰雪”引领冰雪文化发展研究[J]. 边疆经济与文化, 2019(3):105-106.
[7] 刘南琦. 2019 全球滑雪市场报告:中国引领增长[J]. 区域治理, 2019(18):31-34.
[8] 王艳兵, 王文霞, 樊晓兵, 等. 高山滑雪场游客安全救护模式研究: 以张家口崇礼区为例[J]. 河北北方学院学报(社会科学版), 2017,33(2):109-112.
[9] Sagalyn EB, McDevitt MC, Ernst R. Utah ski patrol: assessing training types and resources[J]. Wilderness Environ Med, 2014,25(4):450-456.
doi: 10.1016/j.wem.2014.06.004 pmid: 25281589
[10] 刘仁辉, 李玉超, 李玉新. 中美大众滑雪安全比较研究[J]. 体育文化导刊, 2013(1):36-40.
[11] 高一, 邓立平. 黑龙江省滑雪场安全运营的思考[J]. 冰雪运动, 2016,38(2):86-89.
[12] 曹国林. 高山滑雪初学者运动损伤原因调查分析[J]. 辽宁体育科技, 2014,36(2):32-33, 37.
[13] 陈兆飞, 景涛. 冬季滑雪意外事故损伤及其安全防护研究[J]. 冰雪运动, 2019,41(3):33-37, 80.
[14] Burtscher M, Federolf PA, Nachbauer W, et al. Potential health benefits from downhill skiing[J]. Front Physiol, 2019,9:1924.
doi: 10.3389/fphys.2018.01924
[15] Castellani C, Singer G, Eibisberger M, et al. An epidemiologic analysis of winter sport accidents on ski slopes comparing two seasons[J]. J Sports Med Phys Fitness, 2019,59(4):648-654.
doi: 10.23736/S0022-4707.18.08665-6 pmid: 29877678
[16] 唐佳梁. 2015年日本滑雪场滑雪者受伤情况调查分析[J]. 冰雪运动, 2016,38(4):52-55.
[17] Provance AJ, Daoud AK, Tagawa A, et al. Pediatric and adolescent injury in skiing[J]. Res Sports Med, 2018,26(sup 1):150-165.
doi: 10.1080/15438627.2018.1438282
[18] Girardi P, Braggion M, Sacco G, et al. Factors affecting injury severity among recreational skiers and snowboarders: an epide-miology study[J]. Knee Surg Sports Traumatol Arthrosc, 2010,18(12):1804-1809.
doi: 10.1007/s00167-010-1133-1 pmid: 20390247
[19] Siesmaa EJ, Clapperton AJ, Twomey D. Hospital-treated snow sport injury in Victoria, Australia: A Summary of 2003—2012[J]. Wilderness Environ Med, 2018,29(2):194-202.
doi: S1080-6032(18)30043-7 pmid: 29602608
[20] Hume PA, Lorimer AV, Griffiths PC, et al. Recreational snow-sports injury risk factors and countermeasures: A meta-analysis review and haddon matrix evaluation[J]. Sports Med, 2015,45(8):1175-1190.
doi: 10.1007/s40279-015-0334-7
[21] Patrick E, Cooper JG, Daniels J. Changes in skiing and snowboarding injury epidemiology and attitudes to safety in Big Sky, Montana, USA: A comparison of 2 cross-sectional studies in 1996 and 2013[J]. Orthop J Sports Med, 2015,3(6):2325967115588280.
[22] Stenroos A, Handolin L. Incidence of recreational alpine skiing and snowboarding injuries: Six years experience in the largest ski resort in Finland[J]. Scand J Surg, 2015,104(2):127-131.
doi: 10.1177/1457496914532249 pmid: 24786173
[23] 段少楼, 孙志佳, 孟令峰. 冬奥筹备期崇礼区雪场现状调查与分析[J]. 体育科技文献通报, 2017,25(10):70-73.
[24] Hunter RE. Skiing injuries[J]. Am J Sports Med, 1999,27(3):381-389.
doi: 10.1177/03635465990270032101
[25] Laver L, Pengas IP, Mei-Dan O. Injuries in extreme sports[J]. J Orthop Surg Res, 2017,12(1):59.
doi: 10.1186/s13018-017-0560-9 pmid: 28420431
[1] Yu-ping YANG,Si-min KONG,Jia-liang DENG,Yan-fang JIANG,Ying-fang AO. Comparison of acute sports injury between recreational skiers and skiers [J]. Journal of Peking University (Health Sciences), 2021, 53(5): 838-842.
[2] YANG Yu-ping,MA Xiao,CHEN Na-yun,JIANG Yan-fang,ZHANG Xiao-wei,DING Zhong-wei,AO Ying-fang. Analysis of the mass skiers’ injury in a large ski resort in Chongli, China [J]. Journal of Peking University (Health Sciences), 2021, 53(2): 273-278.
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[5] . [J]. Journal of Peking University(Health Sciences), 2009, 41(1): 52 -55 .
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