Artikel
Does a helmet or a knit cap protect against severe head injury during snowboarding? Prospective analysis of consecutive 1,190 snowboarding patients
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Autoren
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O. Fukuda
- Department of Neurosurgery, Saito Memorial Hospital, Japan
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S. Endo
- Department of Neurosurgery, Toyama University, Japan
| Veröffentlicht: | 8. Mai 2006 |
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Gliederung
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Objective: The usefulness of helmets in protecting against severe head injuries is still controversial in snowboarding. In the present study, we prospectively evaluated that a helmet or a knit cap is effective in preventing severe head injuries.
Methods: This prospective study was conducted by collecting questionnaire data from 1,190 consecutive patients in a hospital during the 1999/00 - 2002/03 winter seasons at Uonuma ski resort, Niigata, Japan.
Results: After adjustment for other confounders, there was a significant negative association between the occurrence of severe head injury during snowboarding and female gender (adjusted OR; 0.55, 95%CI; 0.421-0.718, p<0.0001) and a significant positive association between severe head injury and jumping (adjusted OR; 2.25, 95%CI; 1.48-3.43, p=0.0001). Furthermore, among snowboarding maneuvers, only for jumping was there a significant negative association between the wearing of a helmet or knit cap and the occurrence of severe head injury (p=0.036). Helmet wearing was positively associated with severe head injury in overall injury mechanism (adjusted OR; 2.29, 95%CI; 1.12-4.72, p=0.020).
Conclusions: Wearing of a helmet or knit cap protected against severe head injuries on jumping. However, use of a helmet during snowboarding was associated with increased incidence of severe head injuries. We speculate it may be due in part to the fact that snowboarders, who wear helmets attempt dangerous maneuvers causing injuries.
