Evidence map›Paper›PMID 38419090›Full record

ArticleWorld journal of emergency surgery : WJES2024

The ground is the limit: epidemiology of skydiving accidents over 25 years and in 2.1 million jumps in the Netherlands with sub-analysis of injuries reported by medical professionals in the past five years.

Michiel Damhuis, Raymond van der Wal, Harriet Frielink, Robert Nijveldt, Joost Ten Brinke, Edward Tan

Open access · goldAbstract read
In one paragraph

Article in World journal of emergency surgery : WJES, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 44% of its field
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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
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 at 3 institutions in 1 country.

Michiel DamhuisDivision of Trauma Surgery, Department of Surgery, Radboud University Medical Center, P.O. Box 9101, Nijmegen, 6500 HB, The Netherlands. Michiel.Damhuis@radboudumc.nl.ORCID 0009-0004-5632-1855
Raymond van der WalDepartment of Anesthesiology, Radboud University Medical Center, P.O. Box 9101, Nijmegen, 6500 HB, The Netherlands.
Harriet FrielinkDivision of Trauma Surgery, Department of Surgery, Radboud University Medical Center, P.O. Box 9101, Nijmegen, 6500 HB, The Netherlands.
Robert NijveldtDivision of Trauma Surgery, Department of Surgery, ISALA Hospital, P.O. Box 10400, Zwolle, 8025 AB, The Netherlands.
Joost Ten BrinkeDivision of Trauma Surgery, Department of Surgery, Gelre Hospital, P.O. Box 9014, Apeldoorn, 7334 DZ, The Netherlands.
Edward TanDivision of Trauma Surgery, Department of Surgery, Radboud University Medical Center, P.O. Box 9101, Nijmegen, 6500 HB, The Netherlands.ORCID 0000-0002-9978-249X
Radboud University Nijmegen · NLGelre Hospitals · NLIsala · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSkydiving is the fastest nonmotorized sport; and consequently is not without risk. In the last decades, skydiving has become considerably safer but injuries and fatalities still occur. Incidents are reported to and administered by the Royal Netherlands Aeronautical Association (KNVvL). From 1995 to 2020, 2715 incidents were reported; of which 1503 resulted in injury and 26 in fatality. There is a need for more information available on the particular type, severity, and factors which contribute to skydiving-related injuries worldwide. This study aims to investigate patterns in occurrence rates, examine demographic and skydiving-related factors linked to injuries, and analyze the types and severity of injuries relating to these contributing factors.

methodsThe Dutch KNVvL database - covering more than 25 years of data - was examined for contributing factors. An analysis of the severity and types of injury resulting from incidents over the last five years were matched with a search of hospital databases.

resultsThe rate of injuries pattern increases starting from 2016, with novice jumpers having the highest risk of injury. Most injuries occur during the landing phase. The lower extremities and the spine are most affected, with fractures being the most prevalent type of injury. More than half of the patients were admitted to hospital, with 10% requiring surgery, resulting in months of rehabilitation.

conclusionThis study is the first in the Netherlands, and only the second worldwide to analyze technical incident databases in combination with data from medical information systems. Skydiving accidents of experienced jumpers should be considered as 'high-energy trauma,' therefore treatment should follow standard trauma guidelines. In less experienced skydivers, it is critical to conduct a secondary survey to assess the extremities adequately. Clinicians should also pay attention to friction burns that can arise due to friction between the skin and skydive equipment, a phenomenom that is already known in road traffic accidents.

Indexed as

Athletic InjuriesFractures, BoneAccidentsHumansNetherlandsRisk FactorsEmergency medicineInjuriesParachutePrehospital emergency careSkydivingTrauma

Identifiers

PMID38419090
PMCPMC10900578
OpenAlexW4392232998

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.