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Published on: March 26, 2019
[Severe trauma patients in a mountain area: an observational study]
C Jacquot1, F Mongenot, J-F Payen
1Pôle d'anesthésie-réanimation, CHU de Grenoble, BP 217, 38043 Grenoble cedex 9, France.
Objectives:
The main objective was to estimate the nature, severity and medical care of severe trauma injuries following mountain activities as compared to severe trauma following traffic accident in a mountain area.
Study Design:
We conducted a prospective comparative monocentric observational study at a University Hospital located in the northern Alps area, using the First national study database (French intensive care recorded in severe trauma).
Patients And Methods:
Three hundred and thirty-seven patients were included during a 2-year-period from January 2005 to December 2006. Three hundred and thirty-seven patients, including 223 traffic accidents and 114 mountain accidents were included. The survey data was achieved with a standardized method on a period of 30 days after the accident, and recorded in a computerized file for optimal completeness.
Results:
The study did not show higher severity or mortality rates in patients with mountain accidents. In both groups, we found a peak of mortality for young adults and similar causes of death. However, spinal cord injuries were statistically more frequent in mountain accidents.
Conclusion:
So, it seems important to continuously warn population about dangers of this playground.