RT Journal Article SR Electronic T1 High incidence of injuries at the Pyeongchang 2018 Paralympic Winter Games: a prospective cohort study of 6804 athlete days JF British Journal of Sports Medicine JO Br J Sports Med FD BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine SP 38 OP 43 DO 10.1136/bjsports-2018-100170 VO 54 IS 1 A1 Wayne Derman A1 Phoebe Runciman A1 Esme Jordaan A1 Martin Schwellnus A1 Cheri Blauwet A1 Nick Webborn A1 Jan Lexell A1 Peter van de Vliet A1 James Kissick A1 Jaap Stomphorst A1 Young-Hee Lee A1 Keun-Suh Kim YR 2020 UL http://bjsm.bmj.com/content/54/1/38.abstract AB Objective To describe the epidemiology of sports injury at the Pyeongchang 2018 Paralympic Winter Games.Methods 567 athletes from 49 countries were monitored daily for 12 days over the Pyeongchang 2018 Paralympic Winter Games (6804 athlete days). Injury data were obtained daily from teams with their own medical support (41 teams and 557 athletes) and teams without their own medical support (8 teams and 10 athletes) through two electronic data capturing systems.Results 112 of 567 athletes (19.8%) reported a total of 142 injuries, with an injury incidence rate (IR) of 20.9 per 1000 athlete days (95% CI 17.4 to 25.0). The highest IR was reported for para snowboard (IR of 40.5 per 1000 athlete days [95% CI 28.5 to 57.5]; p<0.02), particularly in the lower limb and head/face/neck anatomical areas. Across all sports at the Games, acute traumatic injuries (IR of 16.2 per 1000 athlete days [95% CI 13.2 to 19.8]) and injuries to the shoulder/arm/elbow complex (IR of 5.7 per 1000 athlete days [95% CI 4.2 to 7.8]) were most common. However, most injuries (78.9%) did not require time loss.Conclusion The new Paralympic Winter Games sport of Para snowboard requires attention to implement actions that will reduce injury risk. The shoulder was the most injured single joint—a consistent finding in elite para sport.