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Skateboarding
More Dangerous Than Roller Skating or In-line Skating
J. Scott Osberg, PhD;
Sue E. Schneps, MA;
Carla Di Scala, PhD;
Guohua Li, MD DrPH
Arch Pediatr Adolesc Med. 1998;152:985-991.
Objective To describe the circumstances, severity, and outcomes of skating-related injuries among children admitted to trauma centers.
Design A cross-sectional comparison of roller skaters (n = 154), in-line skaters (n = 190), and skateboarders (n = 254) aged 5 to 19 years who were hospitalized with injuries.
Setting Seventy-nine hospitals and pediatric trauma centers participating in the National Pediatric Trauma Registry between October 1988 and April 1997.
Results Three quarters (75.8%) of the study sample were male, nearly half (47.8%) were injured on roads, and more than one third (37.1%) had head injuries. Among skateboarders, 50.8% had head injuries compared with 33.7% of in-line skaters and 18.8% of roller skaters (P<.001). According to the Injury Severity Score, injuries to skateboarders were 8 times more likely to be severe or critical compared with roller skaters' injuries and more than 2 times as likely to be severe or critical compared with in-line skaters' injuries. Mean hospital length of stay was 6.0 days for skateboarders, 3.4 days for in-line skaters, and 2.4 days for roller skaters (P<.001). Skateboarders were more likely to be male and to be injured on roads than were in-line skaters or roller skaters.
Conclusions Skateboarding-related injuries are more severe and have more serious consequences than roller skating or in-line skating injuries. Research is needed to identify ergonomic and behavioral factors responsible for higher head injury risk to skateboarders, and interventions are needed to reduce the risk.
From the Medical Rehabilitation Research and Training Center in Rehabilitation and Childhood Trauma, Department of Physical Medicine and Rehabilitation, New England Medical Center (Drs Osberg and Di Scala and Ms Schneps), and Tufts University School of Medicine (Drs Osberg and Di Scala), Boston, Mass; and the Department of Emergency Medicine, The Johns Hopkins University School of Medicine, Baltimore, Md (Dr Li).
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