Research Papers

Skateboarding Head Injuries - An analysis of Canadian Pediatric Data between 1993 and 2017

Filename 6A-Morris-FP.pdf
Filesize 746 KB
Version 1
Date added July 10, 2018
Downloaded 4 times/fois
Category 2018 CARSP XXVIII Victoria
Tags Research and Evaluation, Session 6A
Author/Auteur Morris
Stream/Volet Research and Evaluation

Slidedeck Presentation

6A - Morris

Abstract

Every year head injuries from skateboarding occur on driveways, sidewalks, urban structures and skateparks. Knowledge of the relative risk and odds for non-helmeted skateboarders sustaining a head injury is important for public safety and civil litigation perspectives. Develop a retrospective study to assess helmet usage trends, and the relative risk and odds, between non-helmeted and helmeted skateboarders, of sustaining a mild, moderate or severe head injury. The CHIRPP database (1993-2017), from 16 hospitals across Canada serving pediatric populations, were queried to identify injuries sustained through skateboard use in children ages 0-17 years, classified as either minor head injury, concussion, or intracranial, further subdivided by gender and helmet use. Odds ratios (OR), risk ratios (RR) and confidence intervals were calculated (non-helmeted:helmeted skateboarders) to investigate prevalence and risk of head injury type based on age, gender, and helmet use. Hospital recorded skateboard-injury ER visits was 26 in 1993 and rose to an initial peak of 1281 in 2002, and a second peak of 1043 visits in 2014. Helmet use amongst emergency room skateboard-injury visitors steadily increased from approximately 0% in 1993 and peaked at 32% in 2014. The percentage of emergency room skateboard-injury visitors with any head injury rose from 2.6% in 1993 and plateaued at 10.6% in 2011. Skateboarders had an OR of 1.6 and an RR of 1.6 for sustaining any head - male skateboarders had an OR of 2.1 and RR of 2.0 while female skateboarders had an OR of 2.3 and a RR of 2.2. Non-helmeted female skateboarders had a greater risk of sustaining any head injury, and twice the risk and odds of sustaining a minor head injury or concussion as that of non-helmeted male skateboarders. From 2011 on, a non-helmeted female skateboarder has an OR of 2.3 and RR of 2.2 for sustaining a concussion. There are nearly as many concussions as there are minor head injuries (ratio of 3.0:3.5). The age of greatest risk for injury for male skateboarders was between 10-14 years with an incidence of minor head injury and concussion was 4.5% and 4.0% respectively. Males equally (17-20%) sustained injuries across skateparks, roadways, and sidewalks, while female skateboarders equally (21-22%) sustained injuries between roadways and sidewalks. Helmet use grew steadily from 0% of ER visitors in 1993 and has appeared to plateau around 30%. The risks of head injury are greater for non-helmeted skateboarders than helmeted ones, and greater for females than males for reasons unknown. Female injuries have tended to happen less in skateparks for reasons unknown. Data from Canadian pediatric hospitals has indicated that 8-10% of skateboarders will sustain a head injury while skateboarding, and non-helmeted skateboarders have a 60% greater risk of sustaining an injury than helmeted skateboarders. Skateboarders have a 3.0% risk of sustaining a concussion, and nearly as many concussions are being recorded as minor head injuries. Young non-helmeted females have a greater risk than males of sustaining minor head injuries and concussions.