Think ahead before you shred: Major trauma associated with skateboarding in England and Wales.

H Shireff; Sophie Jones; Tracy Swann; Diego Zamora; Blair Graham

Abstract

Aims/Objectives/Background
Skateboarding is an Olympic sport and popular recreational activity. UK participation is increasing. In contrast to other high-risk sports, uptake of protective equipment remains low due to sociocultural factors and equipment design limitations. Alongside health benefits, there may be injury risks associated with skateboarding. US data demonstrates admission rates of 51.3% and Injury Severity Score (ISS) >15 in 22.5% of skateboard related injuries (SRIs). This study aims to provide some initial insights into SRI for England and Wales.

Methods/Design
A retrospective review of the Trauma Audit & Research Network (TARN) database was performed. All SRI with ISS >15, occurring between January 2012 and December 2021, were included (Fig.1). Descriptive analysis included patient demographics, most severely injured body region, rates of ICU admission, and outcomes including survival.

Results
A total of 139 cases were included. Patients were predominantly male (n=114,82%) and young (median age=20.8 years, IQR 16.4-28). Most SRI were classified as non-intentional or sports related (n=106,76%). Behaviour classified as ‘high risk’ was rare (n=6,4%) and intoxication was infrequently reported (n=21,16%). The commonest injury settings were public areas (n=89, 64%) and highways/pavements (n=35,25%). Seasonal variation occurred with incidence highest in spring/summer (n=52,88%).

The commonest mechanism of SRI was fall (n=107,77%) followed by vehicle collision (n=27,19%). Half of cases had an ISS >24 (n=64,46%). The most frequently severely injured body region was head (n=107,77%) followed by abdomen (n=19,14%) and thorax (n=7,5%). Sixty-two (45%) cases required ICU and 36 (26%) required surgery. A total of 1,254 hospital stay days resulted (average=9 days/patient). Survival was 97%.
Conclusions
An appreciable major trauma burden results from skateboarding. Increasing head injury awareness and encouraging use of head protection gear may be most effective at reducing the burden of serious SRI. Participatory research involving the skateboarding community will inform how these goals can be achieved.

Original language	English
Publication status	Published - 21 Nov 2023
Event	British Trauma Society & Trauma Care Annual Conference: The Patient Journey - Principality Stadium, Cardiff, United Kingdom Duration: 21 Nov 2023 → 23 Nov 2023

Conference

Conference	British Trauma Society & Trauma Care Annual Conference
Country/Territory	United Kingdom
City	Cardiff
Period	21/11/23 → 23/11/23

Cite this

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title = "Think ahead before you shred: Major trauma associated with skateboarding in England and Wales.",

abstract = "Aims/Objectives/BackgroundSkateboarding is an Olympic sport and popular recreational activity. UK participation is increasing. In contrast to other high-risk sports, uptake of protective equipment remains low due to sociocultural factors and equipment design limitations. Alongside health benefits, there may be injury risks associated with skateboarding. US data demonstrates admission rates of 51.3% and Injury Severity Score (ISS) >15 in 22.5% of skateboard related injuries (SRIs). This study aims to provide some initial insights into SRI for England and Wales.Methods/DesignA retrospective review of the Trauma Audit & Research Network (TARN) database was performed. All SRI with ISS >15, occurring between January 2012 and December 2021, were included (Fig.1). Descriptive analysis included patient demographics, most severely injured body region, rates of ICU admission, and outcomes including survival.ResultsA total of 139 cases were included. Patients were predominantly male (n=114,82%) and young (median age=20.8 years, IQR 16.4-28). Most SRI were classified as non-intentional or sports related (n=106,76%). Behaviour classified as {\textquoteleft}high risk{\textquoteright} was rare (n=6,4%) and intoxication was infrequently reported (n=21,16%). The commonest injury settings were public areas (n=89, 64%) and highways/pavements (n=35,25%). Seasonal variation occurred with incidence highest in spring/summer (n=52,88%).The commonest mechanism of SRI was fall (n=107,77%) followed by vehicle collision (n=27,19%). Half of cases had an ISS >24 (n=64,46%). The most frequently severely injured body region was head (n=107,77%) followed by abdomen (n=19,14%) and thorax (n=7,5%). Sixty-two (45%) cases required ICU and 36 (26%) required surgery. A total of 1,254 hospital stay days resulted (average=9 days/patient). Survival was 97%.ConclusionsAn appreciable major trauma burden results from skateboarding. Increasing head injury awareness and encouraging use of head protection gear may be most effective at reducing the burden of serious SRI. Participatory research involving the skateboarding community will inform how these goals can be achieved.",

author = "H Shireff and Sophie Jones and Tracy Swann and Diego Zamora and Blair Graham",

year = "2023",

month = nov,

day = "21",

language = "English",

note = "British Trauma Society & Trauma Care Annual Conference : The Patient Journey ; Conference date: 21-11-2023 Through 23-11-2023",

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TY - CONF

T1 - Think ahead before you shred: Major trauma associated with skateboarding in England and Wales.

AU - Shireff, H

AU - Jones, Sophie

AU - Swann, Tracy

AU - Zamora, Diego

AU - Graham, Blair

PY - 2023/11/21

Y1 - 2023/11/21

N2 - Aims/Objectives/BackgroundSkateboarding is an Olympic sport and popular recreational activity. UK participation is increasing. In contrast to other high-risk sports, uptake of protective equipment remains low due to sociocultural factors and equipment design limitations. Alongside health benefits, there may be injury risks associated with skateboarding. US data demonstrates admission rates of 51.3% and Injury Severity Score (ISS) >15 in 22.5% of skateboard related injuries (SRIs). This study aims to provide some initial insights into SRI for England and Wales.Methods/DesignA retrospective review of the Trauma Audit & Research Network (TARN) database was performed. All SRI with ISS >15, occurring between January 2012 and December 2021, were included (Fig.1). Descriptive analysis included patient demographics, most severely injured body region, rates of ICU admission, and outcomes including survival.ResultsA total of 139 cases were included. Patients were predominantly male (n=114,82%) and young (median age=20.8 years, IQR 16.4-28). Most SRI were classified as non-intentional or sports related (n=106,76%). Behaviour classified as ‘high risk’ was rare (n=6,4%) and intoxication was infrequently reported (n=21,16%). The commonest injury settings were public areas (n=89, 64%) and highways/pavements (n=35,25%). Seasonal variation occurred with incidence highest in spring/summer (n=52,88%).The commonest mechanism of SRI was fall (n=107,77%) followed by vehicle collision (n=27,19%). Half of cases had an ISS >24 (n=64,46%). The most frequently severely injured body region was head (n=107,77%) followed by abdomen (n=19,14%) and thorax (n=7,5%). Sixty-two (45%) cases required ICU and 36 (26%) required surgery. A total of 1,254 hospital stay days resulted (average=9 days/patient). Survival was 97%.ConclusionsAn appreciable major trauma burden results from skateboarding. Increasing head injury awareness and encouraging use of head protection gear may be most effective at reducing the burden of serious SRI. Participatory research involving the skateboarding community will inform how these goals can be achieved.

AB - Aims/Objectives/BackgroundSkateboarding is an Olympic sport and popular recreational activity. UK participation is increasing. In contrast to other high-risk sports, uptake of protective equipment remains low due to sociocultural factors and equipment design limitations. Alongside health benefits, there may be injury risks associated with skateboarding. US data demonstrates admission rates of 51.3% and Injury Severity Score (ISS) >15 in 22.5% of skateboard related injuries (SRIs). This study aims to provide some initial insights into SRI for England and Wales.Methods/DesignA retrospective review of the Trauma Audit & Research Network (TARN) database was performed. All SRI with ISS >15, occurring between January 2012 and December 2021, were included (Fig.1). Descriptive analysis included patient demographics, most severely injured body region, rates of ICU admission, and outcomes including survival.ResultsA total of 139 cases were included. Patients were predominantly male (n=114,82%) and young (median age=20.8 years, IQR 16.4-28). Most SRI were classified as non-intentional or sports related (n=106,76%). Behaviour classified as ‘high risk’ was rare (n=6,4%) and intoxication was infrequently reported (n=21,16%). The commonest injury settings were public areas (n=89, 64%) and highways/pavements (n=35,25%). Seasonal variation occurred with incidence highest in spring/summer (n=52,88%).The commonest mechanism of SRI was fall (n=107,77%) followed by vehicle collision (n=27,19%). Half of cases had an ISS >24 (n=64,46%). The most frequently severely injured body region was head (n=107,77%) followed by abdomen (n=19,14%) and thorax (n=7,5%). Sixty-two (45%) cases required ICU and 36 (26%) required surgery. A total of 1,254 hospital stay days resulted (average=9 days/patient). Survival was 97%.ConclusionsAn appreciable major trauma burden results from skateboarding. Increasing head injury awareness and encouraging use of head protection gear may be most effective at reducing the burden of serious SRI. Participatory research involving the skateboarding community will inform how these goals can be achieved.

M3 - Abstract

T2 - British Trauma Society & Trauma Care Annual Conference

Y2 - 21 November 2023 through 23 November 2023

ER -

Think ahead before you shred: Major trauma associated with skateboarding in England and Wales.

Abstract

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