Journal
CANADIAN JOURNAL OF SURGERY
Volume 57, Issue 3, Pages E62-E68Publisher
CMA-CANADIAN MEDICAL ASSOC
DOI: 10.1503/cjs.030812
Keywords
-
Categories
Funding
- Alberta Innovates - Health Solutions Clinician Fellowship
- Clinician Investigator and Surgeon Scientist Programs at the University of Calgary
Ask authors/readers for more resources
Background: The weekend warrior engages in demanding recreational sporting activities on weekends despite minimal physical activity during the week. We sought to identify the incidence and injury patterns of major trauma from recreational sporting activities on weekends versus weekdays. Methods: We performed a retrospective cohort study using the Alberta Trauma Regis try comparing all adults who were severely injured (injury severity score [ISS] >= 12) while engaging in physical activity on weekends versus weekdays between 1995 and 2009. Results: Among the 351 identified patients (median ISS 18; median hospital stay 6 d; mortality 6.6%), significantly more were injured on the weekend than during the week (54.8% v. 45.2%, p = 0.016). Common mechanisms were motocross (23.6%), hiking or mountain/rock climbing (15.4%), skateboarding or rollerblading (12.3%), hockey/ice-skating (10.3%) and aircraft-(9.9%) and water-related (7.7%) activities. This distribution was similar regardless of the day of the week. Most patients were injured as a result of a ground-level (21.9%) or higher fall while hiking, mountain climbing or rock climbing (25.9%); motocross-related incidents (24.2%); or collision with a tree, person, man-made object or moving vehicle (14.0%). Injury patterns were similar across both groups (all p > 0.05): head (55.8%), spine (35.1%), chest (35.0%), extremities (31.1%), face (17.4%), abdomen (13.1%). Surgical intervention was required in 41% of patients: 15.1% required open reduction and internal fixation, 8.3% spinal fixation, 7.4% craniotomy, 5.1% facial repair and 4.3% laparotomy. Conclusion: The weekend warrior concept may be a validated entity for major trauma.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available