Risk factors and prevention for spinal cord injury from diving in swimming pools and natural sites in Quebec, Canada: A 44-year study
Diving is the most frequent cause of spinal cord injury (SCI) from recreation and sport in Canada. This study was done to identify risk factors for SCI from diving in the province of Quebec. An interview survey was done for a target population of 203 subjects with a SCI from diving treated in the tw...
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| Veröffentlicht in: | Accident analysis and prevention 2008-03, Vol.40 (2), p.787-797 |
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| creator | Barss, Peter Djerrari, Hind Leduc, Bernard E. Lepage, Yves Dionne, Clermont E. |
| description | Diving is the most frequent cause of spinal cord injury (SCI) from recreation and sport in Canada. This study was done to identify risk factors for SCI from diving in the province of Quebec.
An interview survey was done for a target population of 203 subjects with a SCI from diving treated in the two specialized rehabilitation centers in Quebec during 1961–2004. Telephone interviews of consenting individuals were used to collect pertinent personal, equipment, and environmental factors for each incident.
Response was 44% (89/203); 92% were male and 85% |
| doi_str_mv | 10.1016/j.aap.2007.09.017 |
| format | Article |
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An interview survey was done for a target population of 203 subjects with a SCI from diving treated in the two specialized rehabilitation centers in Quebec during 1961–2004. Telephone interviews of consenting individuals were used to collect pertinent personal, equipment, and environmental factors for each incident.
Response was 44% (89/203); 92% were male and 85% <35 years old. Only 37% were aware prior to injury of the risk of SCI from diving, and only 33% had received water safety training. Swimming pools were the site of 51% (
n
=
45) and natural bodies of water for 49% (
n
=
44). 87% (
n
=
39) of pools were single-unit home pools and 57% (
n
=
26) above-ground. Depth indicators were absent for 100% of above-ground and 74% of in-ground pools. For SCI in in-ground pools, 63% resulted from striking the up-slope between deep and shallow ends. For dives at natural sites, a dock or wharf was the most frequent location, 36% (
n
=
16). In 52% of pools and 79% of natural sites, depth was <1.4
m (4.6
ft). Signs prohibiting diving were absent in 96% of above-ground and 89% of in-ground pools. Alcohol was reported in 47% of SCIs.
The target for prevention of diving SCI is male youths and young adults. Above-ground pools are too shallow and small for diving. Deep ends of many in-ground pools are excessively shallow and short since many SCIs resulted from striking the up-slope. Prevention of SCI from diving needs to focus on education of potential victims, pool vendors and manufacturers, and regulations for safety norms in private pools. Water safety should highlight diving as a high-risk activity, and emphasize that most home pools and natural sites are unsafe. Safer evidence-based pool designs and more effective warnings need to be implemented.</description><identifier>ISSN: 0001-4575</identifier><identifier>EISSN: 1879-2057</identifier><identifier>DOI: 10.1016/j.aap.2007.09.017</identifier><identifier>PMID: 18329434</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; Child ; Child, Preschool ; Databases as Topic ; Diving - adverse effects ; Diving/injuries ; Female ; Health Surveys ; Humans ; Infant ; Infant, Newborn ; Male ; Middle Aged ; Quebec - epidemiology ; Retrospective Studies ; Risk Factors ; Safety ; Spinal cord injuries ; Spinal Cord Injuries - epidemiology ; Spinal Cord Injuries - etiology ; Spinal Cord Injuries - prevention & control ; Spinal cord injuries/aetiology ; Spinal cord injuries/prevention and control ; Surveys and Questionnaires ; Swimming - injuries ; Swimming pools ; Tetraplegia ; Time Factors</subject><ispartof>Accident analysis and prevention, 2008-03, Vol.40 (2), p.787-797</ispartof><rights>2007 Elsevier Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c413t-157f0966e05a4637a798f2af872c1f07652be1e791d9bdc62ddccb5fa4b43cea3</citedby><cites>FETCH-LOGICAL-c413t-157f0966e05a4637a798f2af872c1f07652be1e791d9bdc62ddccb5fa4b43cea3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.aap.2007.09.017$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18329434$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Barss, Peter</creatorcontrib><creatorcontrib>Djerrari, Hind</creatorcontrib><creatorcontrib>Leduc, Bernard E.</creatorcontrib><creatorcontrib>Lepage, Yves</creatorcontrib><creatorcontrib>Dionne, Clermont E.</creatorcontrib><title>Risk factors and prevention for spinal cord injury from diving in swimming pools and natural sites in Quebec, Canada: A 44-year study</title><title>Accident analysis and prevention</title><addtitle>Accid Anal Prev</addtitle><description>Diving is the most frequent cause of spinal cord injury (SCI) from recreation and sport in Canada. This study was done to identify risk factors for SCI from diving in the province of Quebec.
An interview survey was done for a target population of 203 subjects with a SCI from diving treated in the two specialized rehabilitation centers in Quebec during 1961–2004. Telephone interviews of consenting individuals were used to collect pertinent personal, equipment, and environmental factors for each incident.
Response was 44% (89/203); 92% were male and 85% <35 years old. Only 37% were aware prior to injury of the risk of SCI from diving, and only 33% had received water safety training. Swimming pools were the site of 51% (
n
=
45) and natural bodies of water for 49% (
n
=
44). 87% (
n
=
39) of pools were single-unit home pools and 57% (
n
=
26) above-ground. Depth indicators were absent for 100% of above-ground and 74% of in-ground pools. For SCI in in-ground pools, 63% resulted from striking the up-slope between deep and shallow ends. For dives at natural sites, a dock or wharf was the most frequent location, 36% (
n
=
16). In 52% of pools and 79% of natural sites, depth was <1.4
m (4.6
ft). Signs prohibiting diving were absent in 96% of above-ground and 89% of in-ground pools. Alcohol was reported in 47% of SCIs.
The target for prevention of diving SCI is male youths and young adults. Above-ground pools are too shallow and small for diving. Deep ends of many in-ground pools are excessively shallow and short since many SCIs resulted from striking the up-slope. Prevention of SCI from diving needs to focus on education of potential victims, pool vendors and manufacturers, and regulations for safety norms in private pools. Water safety should highlight diving as a high-risk activity, and emphasize that most home pools and natural sites are unsafe. Safer evidence-based pool designs and more effective warnings need to be implemented.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Databases as Topic</subject><subject>Diving - adverse effects</subject><subject>Diving/injuries</subject><subject>Female</subject><subject>Health Surveys</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Quebec - epidemiology</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Safety</subject><subject>Spinal cord injuries</subject><subject>Spinal Cord Injuries - epidemiology</subject><subject>Spinal Cord Injuries - etiology</subject><subject>Spinal Cord Injuries - prevention & control</subject><subject>Spinal cord injuries/aetiology</subject><subject>Spinal cord injuries/prevention and control</subject><subject>Surveys and Questionnaires</subject><subject>Swimming - injuries</subject><subject>Swimming pools</subject><subject>Tetraplegia</subject><subject>Time Factors</subject><issn>0001-4575</issn><issn>1879-2057</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkcGO0zAQhi0EYrsLD8AF-cSJhLHjxA2cVhULSCshEJwtxx4jl8QOdlLUB-C9cdVK3NjTeKzv_w7zE_KCQc2AdW_2tdZzzQFkDX0NTD4iG7aVfcWhlY_JBgBYJVrZXpHrnPdllVvZPiVXbNvwXjRiQ_589fknddosMWWqg6VzwgOGxcdAXUw0zz7okZqYLPVhv6YjdSlO1PqDDz_KF82__TSd3nOM49kR9LKmksp-wXxivqw4oHlNdzpoq9_SWypEdURd_Mtqj8_IE6fHjM8v84Z8v3v_bfexuv_84dPu9r4ygjVLxVrpoO86hFaLrpFa9lvHtdtKbpgD2bV8QIayZ7YfrOm4tcYMrdNiEI1B3dyQV2fvnOKvFfOiJp8NjqMOGNesJDRF0sCDYMM7zkC2D4IcpBRd1xeQnUGTYs4JnZqTn3Q6Kgbq1Kbaq9KmOrWpoFelzZJ5eZGvw4T2X-JSXwHenQEsRzt4TCobj8Gg9QnNomz0_9H_BXiqsJ8</recordid><startdate>20080301</startdate><enddate>20080301</enddate><creator>Barss, Peter</creator><creator>Djerrari, Hind</creator><creator>Leduc, Bernard E.</creator><creator>Lepage, Yves</creator><creator>Dionne, Clermont E.</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7TK</scope><scope>7TS</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope><scope>7QF</scope><scope>7TB</scope><scope>8FD</scope><scope>FR3</scope><scope>JG9</scope><scope>KR7</scope><scope>7X8</scope></search><sort><creationdate>20080301</creationdate><title>Risk factors and prevention for spinal cord injury from diving in swimming pools and natural sites in Quebec, Canada: A 44-year study</title><author>Barss, Peter ; Djerrari, Hind ; Leduc, Bernard E. ; Lepage, Yves ; Dionne, Clermont E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c413t-157f0966e05a4637a798f2af872c1f07652be1e791d9bdc62ddccb5fa4b43cea3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Databases as Topic</topic><topic>Diving - adverse effects</topic><topic>Diving/injuries</topic><topic>Female</topic><topic>Health Surveys</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Quebec - epidemiology</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Safety</topic><topic>Spinal cord injuries</topic><topic>Spinal Cord Injuries - epidemiology</topic><topic>Spinal Cord Injuries - etiology</topic><topic>Spinal Cord Injuries - prevention & control</topic><topic>Spinal cord injuries/aetiology</topic><topic>Spinal cord injuries/prevention and control</topic><topic>Surveys and Questionnaires</topic><topic>Swimming - injuries</topic><topic>Swimming pools</topic><topic>Tetraplegia</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Barss, Peter</creatorcontrib><creatorcontrib>Djerrari, Hind</creatorcontrib><creatorcontrib>Leduc, Bernard E.</creatorcontrib><creatorcontrib>Lepage, Yves</creatorcontrib><creatorcontrib>Dionne, Clermont E.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Aluminium Industry Abstracts</collection><collection>Mechanical & Transportation Engineering Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Materials Research Database</collection><collection>Civil Engineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Accident analysis and prevention</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Barss, Peter</au><au>Djerrari, Hind</au><au>Leduc, Bernard E.</au><au>Lepage, Yves</au><au>Dionne, Clermont E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk factors and prevention for spinal cord injury from diving in swimming pools and natural sites in Quebec, Canada: A 44-year study</atitle><jtitle>Accident analysis and prevention</jtitle><addtitle>Accid Anal Prev</addtitle><date>2008-03-01</date><risdate>2008</risdate><volume>40</volume><issue>2</issue><spage>787</spage><epage>797</epage><pages>787-797</pages><issn>0001-4575</issn><eissn>1879-2057</eissn><abstract>Diving is the most frequent cause of spinal cord injury (SCI) from recreation and sport in Canada. This study was done to identify risk factors for SCI from diving in the province of Quebec.
An interview survey was done for a target population of 203 subjects with a SCI from diving treated in the two specialized rehabilitation centers in Quebec during 1961–2004. Telephone interviews of consenting individuals were used to collect pertinent personal, equipment, and environmental factors for each incident.
Response was 44% (89/203); 92% were male and 85% <35 years old. Only 37% were aware prior to injury of the risk of SCI from diving, and only 33% had received water safety training. Swimming pools were the site of 51% (
n
=
45) and natural bodies of water for 49% (
n
=
44). 87% (
n
=
39) of pools were single-unit home pools and 57% (
n
=
26) above-ground. Depth indicators were absent for 100% of above-ground and 74% of in-ground pools. For SCI in in-ground pools, 63% resulted from striking the up-slope between deep and shallow ends. For dives at natural sites, a dock or wharf was the most frequent location, 36% (
n
=
16). In 52% of pools and 79% of natural sites, depth was <1.4
m (4.6
ft). Signs prohibiting diving were absent in 96% of above-ground and 89% of in-ground pools. Alcohol was reported in 47% of SCIs.
The target for prevention of diving SCI is male youths and young adults. Above-ground pools are too shallow and small for diving. Deep ends of many in-ground pools are excessively shallow and short since many SCIs resulted from striking the up-slope. Prevention of SCI from diving needs to focus on education of potential victims, pool vendors and manufacturers, and regulations for safety norms in private pools. Water safety should highlight diving as a high-risk activity, and emphasize that most home pools and natural sites are unsafe. Safer evidence-based pool designs and more effective warnings need to be implemented.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>18329434</pmid><doi>10.1016/j.aap.2007.09.017</doi><tpages>11</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0001-4575 |
| ispartof | Accident analysis and prevention, 2008-03, Vol.40 (2), p.787-797 |
| issn | 0001-4575 1879-2057 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adolescent Adult Child Child, Preschool Databases as Topic Diving - adverse effects Diving/injuries Female Health Surveys Humans Infant Infant, Newborn Male Middle Aged Quebec - epidemiology Retrospective Studies Risk Factors Safety Spinal cord injuries Spinal Cord Injuries - epidemiology Spinal Cord Injuries - etiology Spinal Cord Injuries - prevention & control Spinal cord injuries/aetiology Spinal cord injuries/prevention and control Surveys and Questionnaires Swimming - injuries Swimming pools Tetraplegia Time Factors |
| title | Risk factors and prevention for spinal cord injury from diving in swimming pools and natural sites in Quebec, Canada: A 44-year study |
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