Evidence map›Paper›PMID 35450112›Full record

ArticleBMJ open sport & exercise medicine2022

Injuries in outdoor climbing: a retrospective single-centre cohort study at a level 1 emergency department in Switzerland.

Chantal Selina Krieger, Doris-Viviana Vesa, Stephan Ziegenhorn, Aristomenis Konstantinos Exadaktylos, Jolanta Klukowska-Rötzler, Monika Brodmann Maeder

Abstract read
In one paragraph

Article in BMJ open sport & exercise medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Chantal Selina KriegerDepartment of Emergency Medicine University Hospital, Inselspital University Hospital Bern, Bern, Switzerland.
Doris-Viviana VesaDepartment of Emergency Medicine University Hospital, Inselspital University Hospital Bern, Bern, Switzerland.
Stephan ZiegenhornDepartment of Emergency Medicine University Hospital, Inselspital University Hospital Bern, Bern, Switzerland.
Aristomenis Konstantinos ExadaktylosDepartment of Emergency Medicine University Hospital, Inselspital University Hospital Bern, Bern, Switzerland.
Jolanta Klukowska-Rötzler *Department of Emergency Medicine University Hospital, Inselspital University Hospital Bern, Bern, Switzerland.ORCID 0000-0001-7956-2724
Monika Brodmann Maeder *Department of Emergency Medicine University Hospital, Inselspital University Hospital Bern, Bern, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Outdoor rock climbing has become popular in recent years. However, few data have been published on climbing accidents in Switzerland, even though the Swiss Alps are a major climbing resort.To analyse data on accidents related to outdoor climbing treated in the Emergency Department (ED) of University Hospital Bern, Switzerland. Methods: A retrospective database search for accidents related to outdoor climbing was conducted in the clinical reporting system E.care of the ED of University Hospital Bern for the period April 2012-December 2018. Results: 78 patients were treated after an accident related to outdoor climbing, which accounted for 1 per 3571 (0.028%) of all ED visits during this period. Mean age was 35.8±10.4 years. 76% of patients were male. Falls were the most common mechanism of injury (64%), followed by rock or ice falling on the climber (21%). Injuries affected multiple body regions (38%) or only the lower limbs (22%). Most injuries were fractures (68%). Mean ISS was 7.5 (1-38), and grade 3 UIAA MedCom injuries were most common (45%). 11 cases of polytrauma occurred and one fatality. 44 patients needed inpatient admission. Mean duration of inpatient stay was 7 days. Mean costs per patient were 12 283 CHF. Conclusions: Accidents related to outdoor climbing accounted for a small number of patients seen in the University ED Bern. Further research should be on a nationwide basis, with collection of specific climbing data like use of a helmet and experience of climbing to inform injury prevention strategies. This should shed further light on this topic, as would a prospective study using the International Alpine Trauma Register.

Indexed as

InjuriesRock climbingSporting injuries

Identifiers

PMID35450112
PMCPMC8971760

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.