Epidemiology Table 8a Sports and Recreation - Canada

Sports - Canada

Author
Year
N

Geographic region

Inclusion/exclusion criteria

Study population

Injury features

Cause (%) / sample

Tarazi et al. 1999
N=56

Whistler/ Blackcomb Mountains, Canada

1994-1996
Ski patrol records, the Provincial Trauma Database, and hospital records were reviewed.

Skiers:
Males=70% Mean age for =34.5 years,
Snowboarders:
Mean age for snowboarders=22.4 years, 100% men.

12 had neurological deficits
Complete at C2
Complete at T2
Complete at T6
Incomplete at T 12
Cauda equina L1
Central Cord Syn at C4
Central Cord Syn at C7 n=2
Nerve root deficits n=4

Snow-boarding and Skiing:
100% (n=56)

Prevalence:
0.01 per 1000 skier-days
0.04 per 1000 snowboarder-days

Koo & Fish 1999
N= 10

British Columbia, Canada

10 consecutive patients with SCI due to snowboarding admitted to Vancouver Hospital and Health Sciences Centre Acute SCI Unit

Males=90% Average age =22.4 (range 16-29) years. Average 6.25 years experience.

cervical facture/dislocation n=1
compression/burst type n=9
50% neurological impairment:
3 complete
2 incomplete

Snow-boarding:
100% (n=10)

Tator et al. 1991
N=117

Canada and United States

Canada=110
United States=6
Unknown=1

1966-1987
Survey results from physicians and other sources reporting spinal or spinal cord injury in hockey player.
Exclusion Criteria:
Minor spinal injuries such as strains, sprains, flexion-extension injuries and whiplash.

Males=96%
Mean age=21 (11-47) years
Mortality=5 (4%)

Cervical=93 (80%)
Thoracic=3 (3%)
Thoracolumbar=7 (6%)
Lumbosacral=6 (5%)
Unknown=8 (7%)
Complete=29 (25%)
Incomplete=32 (27%)
Root injury only=12 (10%)
No neurological deficit=28 (24%)
Unknown=16 (14%)

Ice Hockey:
100% (n=117)

Tator et al. 2004
N=271

Canada

1943-1999
Survey results from physicians and other sources reporting spinal or spinal cord injury in hockey players.
Exclusion Criteria:
Minor spinal injuries such as strains, sprains or whiplash.

Males=97%
Mean age =20.6 (11-50) years

Known features (n=236):
Cervical =83.5%
Thoracic=5.1%
Thoraco-Lumbar=5.9%
Lumbo-sacral=5.5%
Complete=58 (21%)
Incomplete=58 (21%)
Transient neurological symptoms=43 (16%)
Root injury only=26 (10%)
No neurological deficit=60 (22%)
Unknown=26 (10%)

Ice hockey:
100% (n=271)

 

Pickett et al. 2006
N=151

London, Ontario,
Canada

1997-2006
Admissions to hospital in London, Ontario with SCI.

Male=74.2%
Mean age = 42.2 ± 20.9 (9-96) years
Mortality=12 (8%)

Cervical=75%
Thoracic= 10%
Lumbar=9%
Junctional=6%
Complete=35% Incomplete=65%

Sports:
9.3%
(n=14)

Tator et al. 1993
N=201

Toronto,
Canada

1974-1981
First 220 admissions to Acute Spinal Cord Injury Unit in Toronto.
Exclusion Criteria: Admissions >30 days after injury; injuries without cord involvement; nerve root involvement only; penetrating injuries; injuries below L2; Patients who died on scene or upon arrival.

Males=79.6%
Mean age=34.5 years
Median age=27.0 years

Cervical=63.2%, Thoracic=16.9%, Thoraco-lumbar=19.9%
Complete=46.2%, Incomplete=53.8%

Sports:
22.9%
(n=46)

Dryden et al. 2003
N=450

Alberta, Canada

1997-2000
Data from the Alberta Ministry of Health and Wellness, records from the Alberta Trauma Registry, and death certificates from the Office of the Medical Examiner

Males=71.6% Median age of injury=35.0 years

61.5% (n=277) cervical
17.3% (n=78) thoracic
17.1% (n=77) lumbar/sacral/cauda equina
4.0% (n=18) unspecified

Sports:
11.3%
(n=51)

Krassioukov et al. 2003
N=58

Toronto, Canada

1998-2000
Admissions to hospital in Toronto with traumatic SCI.
Exclusion Criteria:
Patients admitted with ASIA E.

Males=87%
Ages 17-59 years:
Mean age=38.7 (17-56) years

ASIA A and B=30%
ASIA C and D=70%

Sports:
23.3%
(n=7)