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Assessing the risk for major injuries in equestrian sports
Abstract
Background/aim: Horse riding is a popular sport, which bears the risk of serious injuries. This study aims to assess whether individual factors influence the risk to sustain major injuries. Methods: Retrospective data were collected from all equine-related accidents at a German Level I Trauma Centre between 2004 and 2014. Logistic regression was used to identify the risk factors for major injures. Results: 770 patients were included (87.9% females). Falling off the horse (67.7%) and being kicked by the horse (16.5%) were the two main injury mechanisms. Men and individuals of higher age showed higher odds for all tested parameters of serious injury. Patients falling off a horse had higher odds for being treated as inpatients, whereas patients who were kicked had higher odds for a surgical therapy (OR 1.7) and intensive care unit/intermediate care unit (ICU/IMC) treatment (OR 1.2). The head was the body region most often injured (32.6%) and operated (32.9%). Patients with head injuries had the highest odds for being hospitalised (OR 6.13). Head or trunk injuries lead to the highest odds for an ICU/IMC treatment (head: OR 4.37; trunk: OR 2.47). Upper and lower limb injuries showed the highest odds for a surgical therapy (upper limb: OR 2.61; lower limb: OR 1.7). Conclusion: Risk prevention programmes should include older individuals and males as target groups. Thus a rethinking of the overall risk assessment is necessary. Not only horseback riding itself, but also handling a horse bears a relevant risk for major injuries. Serious head injures remain frequent, serious and an important issue to be handled in equestrians sports.
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“However, many horse handlers and riders continue to sustain serious head-body trauma and even die when wearing a helmet [118].”
From What People Really Think About Safety around Horses: The Relationship between Risk Perception, Values and Safety Behaviours (2020) · cites this paper as [118]
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Cited by
Sorted by citations
Chapman, M., Thomas, M., & Thompson, K. (2020) · Animals · doi:10.3390/ani10122222 · Cited by 20
Metadata
- Authors
- Krüger, L., Hohberg, M., Lehmann, W., & Dresing, K.
- Affiliations
- Department of Trauma Surgery, Orthopaedics and Plastic Surgery, University Medical Centre Goettingen, Goettingen, Germany
- Chair of Statistics, University of Goettingen, Goettingen, Germany
- Venue
- BMJ Open Sport & Exercise Medicine
- Publisher
- BMJ
- Published
- 2018-10
- Volume
- 4
- Issue
- 1
- Pages
- e000408
- ISSN
- 2055-7647
- PMC
- PMC6196937
- Cited by
- 19
- References
- 0
- Language
- en
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