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Schroeter, C.; Wilhelmi, M.; Bielefeld, D.; Macke, C.; Winkelmann, M.; Mommsen, P.; Krettek, C.; Zeckey, C. (2019): Intensivmedizinische Behandlung von Patienten nach reitsportbedingten Unfällen. In: Notfall & Rettungsmedizin, Vol. 22, No. 6: pp. 500-508
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Background Accidents with serious injuries occur regularly in equestrian sports;however, risks, injury patterns and the consequences of equestrian sports are still underestimated. There are no data for the intensive medical care of injured equestrians in the literature. This was the reason for undertaking this study. Methods As part of this retrospective study, injured equestrians in the emergency department of a university hospital between 2006 and 2013 were identified and managed in a database. The statistical analysis of the data was done with the statistical software IBM SPSS. Results with a p-value of Results A total of 43 patients received intensive medical care at the beginning or during the inpatient stay. In this study 32 horse riders (74%) were injured by falling from the horse. The average Glasgow coma scale (GCS) score was 12.6 (min. 8.5;max. 15) The injury severity score (ISS) averaged 18.9 +/- 8.4. The main types of injury were head, spinal and thoracic injuries. The average intensive care treatment duration was 10 +/- 8.5 days. The average ventilation duration was 41.4 +/- 41.4 h. Discussion The most common injuries are head injuries. The further development and research in the field of riding helmets and in particular, strategies to increase the willingness to wear a riding helmet, promise the greatest benefits for the prevention of riding accidents. As a special risk group, patients over the age of 40 years were identified. Special attention with respect to intensive care medicine should be paid to patients who have suffered serious head, thoracic and abdominal injuries in riding sports.