Epidemiology and mortality of glacier crevasse accidents.

Details

Serval ID
serval:BIB_64A2C601FC0C
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Epidemiology and mortality of glacier crevasse accidents.
Journal
Injury
Author(s)
Pasquier M., Taffé P., Kottmann A., Mosimann U., Reisten O., Hugli O.
ISSN
1879-0267 (Electronic)
ISSN-L
0020-1383
Publication state
Published
Issued date
2014
Peer-reviewed
Oui
Volume
45
Number
11
Pages
1700-1703
Language
english
Notes
Publication types: JOURNAL ARTICLE Publication Status: ppublish
Abstract
INTRODUCTION: Crevasse accidents can lead to severe injuries and even death, but little is known about their epidemiology and mortality.
METHODS: We retrospectively reviewed helicopter-based emergency services rescue missions for crevasse victims in Switzerland between 2000 and 2010. Demographic and epidemiological data were collected. Injury severity was graded according to the National Advisory Committee for Aeronautics (NACA) score.
RESULTS: A total of 415 victims of crevasse falls were included in the study. The mean victim age was 40 years (SD 13) (range 6-75), 84% were male, and 67% were foreigners. The absolute number of victims was much higher during the months of March, April, July, and August, amounting to 73% of all victims; 77% of victims were practicing mountaineering or ski touring. The mean depth of fall was 16.5m (SD 9.0) (range 1-35). Overall on-site mortality was 11%, and it was higher during the ski season than the ski offseason (14% vs. 7%; P=0.01), for foreigners (14% vs. 5%; P=0.01), and with higher mean depth of fall (22 vs. 15m; P=0.01). The NACA score was ≥4 for 22% of the victims, indicating potential or overt vital threatening injuries, but 24% of the victims were uninjured (NACA 0). Multivariable analyses revealed that depth of the fall, summer season, and snowshoeing were associated with higher NACA scores, whereas depth of the fall, snowshoeing, and foreigners but not season were associated with higher risk of death.
CONCLUSION: The clinical spectrum of injuries sustained by the 415 patients in this study ranged from benign to life-threatening. Death occurred in 11% of victims and seems to be determined primarily by the depth of the fall.
Pubmed
Web of science
Create date
02/12/2014 19:12
Last modification date
20/08/2019 15:20
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