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Injuries from winter sports and activities Published: ()
Winter in Canada provides favourable weather conditions for outdoor sports and recreational activities, including skiing, snowboarding, ice skating and sledding. While there are numerous health benefits resulting from these sports and activities, there are also risks of serious injuries.reference1-3 These risks highlight the importance of personal safety, such as wearing appropriate clothing and safety equipment, and ensuring your gear is in good condition. For more information on winter safety tips, please visit the following sites:
This data blog presents injury statistics on popular winter sports and activities captured in the Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) between October 1, 2016 and January 11, 2024. CHIRPP is a sentinel surveillance system capturing injuries and poisonings presenting in 20 emergency departments across Canada. Every year, approximately 170,000 injury and poisoning records are entered in the database, from which information on the circumstances, types and emergency department outcomes of injuries can be examined. In this data blog, records with injuries related to sledding/tobogganing, ice skating, alpine skiing and snowboarding were examined.
Snowboarding:
Overall
Between October 1, 2016 and January 11, 2024 there were 4,214 snowboarding-related injuries reported in the CHIRPP database, representing 535.5 cases per 100,000 CHIRPP records. Of these injuries, the average age among patients was 16.6 years and males represented the largest percentage at 69.5%. Among children, those aged 10 to 14 years represented 49.7% of all cases (Table 1). Over two thirds of those injured (69.6%; n = 2,934) stated that they were wearing safety equipment when the injury occurred.reference1
Table 1. Demographic characteristics of snowboarding-related cases in CHIRPP, October 1, 2016 to January 11, 2024.
Characteristics | Count | Proportion (%) | |
---|---|---|---|
Sex | Male | 2,899 | 68.8 |
Female | 1,315 | 31.2 | |
Age group (years) | 2 to 4 | 20 | 0.5 |
5 to 9 | 262 | 6.2 | |
10 to 14 | 2,086 | 49.7 | |
15 to 19 | 1,035 | 24.7 | |
20 to 29 | 501 | 11.9 | |
30 to 39 | 186 | 4.4 | |
40 to 49 | 83 | 2.0 | |
50 + | 26 | 0.6 |
Note: 15 reported cases were missing information on age.
Type of injury
Shown below in Table 2 are the types of injuries resulting from the reported snowboarding-related injuries. Representing the majority of all injuries were fractures at 49.4%. Traumatic brain injuries (12.7%) followed this category, among which concussions had the largest number of counts (n = 420). Table 3 provides a breakdown of the body regions where the fractures occurred. Of the 2,161 reported fractures, the upper extremity region represented a sizable percentage at 79.1%. Among fractures in the upper extremity region, those concerning the wrists and forearms had the highest counts. The trunk was the second most common body region where fractures occurred, among which clavicle fractures had the largest counts.
Table 2. Type of injury from snowboarding-related cases in CHIRPP, October 1, 2016 to January 11, 2024.
Type of injury | Count | Proportion (%) | |
---|---|---|---|
Fractures | 2,161 | 49.4 | |
Traumatic brain injuries | All traumatic brain injuries | 554 | 12.7 |
Concussion | 420 | - | |
Minor head injury | 130 | - | |
Intracranial injury | 4 | - | |
Soft tissue injury | 551 | 12.6 | |
Dislocation/Sprain/Strain/Pulled elbow | 502 | 11.5 | |
Superficial/Open wound | 222 | 5.1 | |
Injury to nerve/vessel/tendon | 84 | 1.9 | |
Injury to internal organ | 27 | 0.6 | |
Other | 27 | 0.6 | |
Not specified | 81 | 1.9 |
Note: Five reported cases were missing information on the type of injury.
Table 3. Fractures by body regions among snowboarding-related cases in CHIRPP, October 1, 2016 to January 11, 2024.
Body region | Body part | Count | Proportion (%) |
---|---|---|---|
Upper extremities | All upper extemities fractures | 1,693 | 79.1 |
Wrist | 815 | - | |
Forearm | 611 | - | |
Upper arm | 115 | - | |
Elbow | 87 | - | |
Hand | 35 | - | |
Finger or thumb | 30 | - | |
Trunk | All trunk fractures | 317 | 14.8 |
Clavicle | 241 | - | |
Shoulder | 27 | - | |
Thorax | 13 | - | |
Thoracic spine | 11 | - | |
Lumbar spine | 11 | - | |
Sacrum and Coccyx | 10 | - | |
Pelvis | 2 | - | |
Spine | 1 | - | |
Back | 1 | - | |
Lower extremities | All lower extremities fractures | 140 | 6.5 |
Lower leg | 55 | - | |
Ankle | 33 | - | |
Thigh | 21 | - | |
Knee | 13 | - | |
Foot | 11 | - | |
Hip | 6 | - | |
Toe | 1 | - | |
Head and Neck | All head and neck fractures | 11 | 0.5 |
Face | 8 | - | |
Cervical spine | 3 | - |
Event circumstances associated with fractures
Table 4 shows the event circumstances associated with the reported fractures. A 30% random sample of all fractures (n = 649) showed that falls represented the highest percentage of cases at 77.5%. The second and third most common circumstances were fractures involving jumps (12.9%) and individuals falling off or hitting a rail (3.7%).
Table 4. Event circumstances associated with fractures among snowboarding-related cases in CHIRPP (30% sample), October 1, 2016 to January 11, 2024.
Mechanism | Count | Proportion (%) |
---|---|---|
Fell while snowboarding | 503 | 77.5 |
Fracture occurred as a result of a jump | 84 | 12.9 |
Fracture occurred as a result of falling off or hitting a rail | 24 | 3.7 |
Hit stationary object/structure while skiing | 20 | 3.1 |
Came into contact with person | 10 | 1.5 |
Not specified | 8 | 1.2 |
Emergency department outcomes
Table 5 presents a breakdown of the emergency department outcomes of reported snowboarding-related injuries. Of the 4,214 records, the majority of patients required treatments in the emergency departments (67.2%). There were 146 reported hospital admissions, and of these, 69.2% were associated with fractures and 16.4%, with injuries to internal organs.
Table 5. Emergency department outcomes among snowboarding-related cases in CHIRPP, October 1, 2016 to January 11, 2024.
Emergency department outcomes | Count | Proportion (%) |
---|---|---|
Treatment required at emergency department | 2,833 | 67.2 |
Left without being seen by physician or advice only provided | 963 | 22.9 |
Observation in emergency department | 271 | 6.4 |
Admitted to hospital | 146 | 3.5 |
Note: One reported case was missing information on the emergency department outcome.