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Journal of Peking University (Health Sciences) ›› 2021, Vol. 53 ›› Issue (2): 273-278. doi: 10.19723/j.issn.1671-167X.2021.02.007

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Analysis of the mass skiers’ injury in a large ski resort in Chongli, China

YANG Yu-ping1,2,MA Xiao1,CHEN Na-yun1,JIANG Yan-fang1,ZHANG Xiao-wei2,DING Zhong-wei2,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,Peking University Third Hospital-Chongli,Zhangjiakou 076350, Hebei, China
  • Received:2020-03-24 Online:2021-04-18 Published:2021-04-21
  • Contact: Ying-fang AO E-mail:yingfang.ao@vip.sina.com
  • Supported by:
    Nation Key Research and Development Program for “Science and Technology Winter Olympics” of China in 2018(2018YFF0301100);Nation Key Research and Development Program for “Science and Technology Winter Olympics” of China in 2019(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 injuries of skiing population in a large ski resort in Chongli, China and provide a basis for predicting the rapidly increasing medical needs for ski injuries in the context of the 2022 Winter Olympic Games. Methods: The basic data of all injured skiers who were treated in a medical station of a large ski resort in Chongli during the snow season from November 2017 to March 2018 and from November 2018 to March 2019 were collected. The number of skiers, the number of injuries, the causes of injuries, the types of injuries and the locations of injuries were compared. Results: A total of 753 skiers were injured in two snow seasons, and the estimated average incidence of injury was 4.53 and 4.46 per 1 000 skier days at the resort respectively. The average daily injury rate per 1 000 skiers in November of the two snow seasons was relatively low, with 2.20 and 1.38 cases respectively. The difference of injury rate in different months might have little to do with snowfall and more to do with passenger flow. In both the snow seasons, men accounted for more injuries than women, and injured skiers aged between 21 and 30 accounted for the largest proportion, reaching 36.8%. The main causes of injuries were falls (76.6%). The highest rate of injury was in the head and neck (17.9%), followed by the knee (17.4%) and wrist and fingers (13.3%). The most common types of injuries were contusion and trauma (29.5%) and joint and/or ligament injuries (22.2%). Children (2-12 years old) accounted for 12.7% of all the injured skiers. The rate of moderate to severe injuries (including fractures, concussions, etc.) was 34.8% among the injured patients over 50 years of age. Conclusion: The snow resort should focus on injuries to children and elderly skiers and carry out targeted guidance and rescue work. In order to better ensure the medical safety of skiers, the ski resort medical station and nearby treatment hospitals should be equipped with a corresponding number of medical personnel and equipment, and the ski resort should further improve its safety management and rescue system.

Key words: Ski resorts, Skiing, Sports injury, Winter Olympic Games

CLC Number: 

  • R648

Table 1

Age distribution of the injured"

Age/years 2017—2018 snow season 2018—2019 snow season Total
2-12, n(%) 38 (11.9) 58 (13.4) 96 (12.7)
13-20, n(%) 37 (11.5) 53 (12.3) 90 (12.0)
21-30, n(%) 122 (38.0) 155 (35.9) 277 (36.8)
31-45, n(%) 103 (32.1) 148 (34.2) 251 (33.3)
46-60, n(%) 19 (5.9) 16 (3.7) 35 (4.7)
No date, n(%) 2 (0.6) 2 (0.5) 4 (0.5)
Total 321 432 753

Table 2

Causes of injury"

Types 2017—2018 snow season 2018—2019 snow season Total
Fall, n(%) 233 (72.6) 344 (79.6) 577 (76.6)
Collision, n(%) 32 (10.0) 79 (18.3) 111 (14.8)
Sprain, n(%) 16 (5.0) 2 (0.5) 18 (2.4)
Bruise, n(%) 33 (10.3) 1 (0.2) 34 (4.5)
Others, n(%) 7 (2.1) 6 (1.4) 13 (1.7)
Total 321 432 753

Table 3

Injured parts of the body"

Injured parts 2017—2018 snow season 2018—2019 snow season Total
Head or neck, n(%) 60 (18.7) 75 (17.4) 135 (17.9)
Knee, n(%) 62 (19.3) 69 (16.0) 131 (17.4)
Wrist or fingers, n(%) 54 (16.8) 46 (10.6) 100 (13.3)
Ankle or toes, n(%) 13 (4.0) 15 (3.5) 28 (3.7)
Waist or hip, n(%) 24 (7.5) 32 (7.4) 56 (7.4)
Lower limb, n(%) 27 (8.4) 46 (10.6) 73 (9.7)
Upper limb, n(%) 23 (7.2) 44 (10.2) 67 (8.9)
Shoulder or back, n(%) 42 (13.1) 36 (8.3) 78 (10.4)
Chest, ribs or abdomen, n(%) 15 (4.7) 45 (10.4) 60 (8.0)
No date, n(%) 1(0.3) 24 (5.6) 25 (3.3)
Total 321 432 753

Table 4

Types of the injury and the counts"

Types 2017—2018 snow season 2018—2019 snow season Total
Contusion and trauma, n(%) 159 (49.5) 63 (14.6) 222 (29.5)
Joint and/or ligament injuries, n(%) 47 (14.6) 120 (27.7) 167 (22.2)
Muscle and soft tissue injury, n(%) 30 (9.3) 123 (28.5) 153 (20.3)
Fracture or fissure fracture, n(%) 57 (17.8) 90 (20.8) 147 (19.5)
Concussions or internal injuries, n(%) 22 (6.9) 31 (7.2) 53 (7.0)
Others, n(%) 6 (1.9) 5 (1.2) 11 (1.5)
Total 321 432 753

Table 5

Skiing and injured person times in different months of two snow seasons (injured person times / total skiing person times)"

Months 2017—2018 snow season 2018—2019 snow season Total
November, n 17/7 713 18/13 074 35/20 787
December, n 90/17 747 134/23 667 224/41 414
January, n 87/19 350 118/37 220 205/56 570
February, n 98/23 066 118/12 571 216/35 637
March, n 29/3 035 44/10 308 73/13 343
Total 321/70 911 432/96 840 753/167 751

Figure 1

Comparison of the injury rates in different months of the two snow seasons"

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