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Injuries to individuals participating in mountain and wilderness sports: a thematic review
(Short title: Mountain and wilderness sports injuries)
Alasdair Mort, PhD, and David Godden, MD
Authors’ affiliation: Centre for Rural Health, University of Aberdeen, Scotland, UK
Tables
Inclusion criteria Exclusion criteria Injuries occurring to individuals participating in mountain and wilderness sports Non-mountain and wilderness sports (e.g. track and field, soccer) Non-motorised, leisure time, outdoor sports Skiing and snowboarding Acute injuries Chronic, overuse-type injuries Articles published after 31.12.86 Indoor simulations of outdoor activities (e.g. climbing walls) Worldwide literature Expressions of opinion Full text articles in English language Medical illness and typical mountain and wilderness problems (e.g. hypothermia) Case studies and case series Occupational incidents Injury/illness managed at sea Table 1. Inclusion and exclusion criteria
Evidence type STOX classification Description Systematic reviews S1 Comprehensive systematic reviews containing at least one randomised controlled trial S2 Comprehensive systematic review Trials T1 Randomised controlled trial T2 Non randomised controlled trial T3 Before and after interventional trial Observational studies O1 Cohort study O2 Case-control study O3 Cross-sectional/longitudinal study (including statistical data) O4 Study using qualitative methods only O5 Case study EXpressions of opinion X Formal consensus or other professional opinion Table 2. STOX evidence classification system 8
Table 3a. Summary of included studies ‘On-foot’ activities: mountaineering, rock climbing, trekking/hiking (n=22) Study design: Cohort (O1) (n=2) Study Mountain and wilderness sport Setting Period of data collection Injury incidence/ survey response Demographics Body part(s) injured Injury type, severity and mechanism Monasterio et al.21 Mountaineering New Zealand - Baseline data: 23/49 (47 %)
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