Characterization of electric scooter injuries over 27 months at an urban level 1 trauma center - 13/07/21
, Matthew Siow, MD MBA , William Harkin, BA , Alec R. Flores, BS , Paul J. Girard, MD , Alexandra K. Schwartz, MD , William T. Kent, MD ⁎ Abstract |
Background |
Electric scooters (e-scooters) have become a widespread method of transportation. The purpose of this study is to provide risk stratification tools for modifiable risk factors associated with e-scooter injury morbidity.
Methods |
Patients at an urban Level 1 Trauma center sustaining e-scooter injuries between November 2017 through March 2020 were identified. Primary outcomes of interest were major trauma, as defined by an Injury Severity Score (ISS) >15, or hospital admission.
Results |
A total of 442 patients sustained orthopaedic (51%), facial (31%), cranial (13%), and chest/abdominal injuries (4.5%). Rate of helmet use was 2.5%, hospital admission was 40.7%, and intensive care was 3%. Patients with facial injuries were half as likely to sustain major trauma as compared to orthopaedic injuries (p < 0.05). Factors with higher likelihood of hospital admission included age > 40 years (OR 4.20, p < 0.01), alcohol or other substance intoxication (OR 4.14 and 9.87, p < 0.001), loss of consciousness (OR 2.72, p < 0.003), or transport to the hospital by ambulance (OR 4.47, p < 0.001).
Conclusions |
There is a substantial proportion of major trauma within e-scooter injuries. Modifiable risk factors for hospital admission include use of head protection and substance use while riding e-scooters.
Le texte complet de cet article est disponible en PDF.Highlights |
• | E-scooter injuries range from minor to high energy injuries and are unsurvivable in rare instances. |
• | Age >39, early morning injuries, intoxication, motor vehicle involvement, and no helmet use increased risk of major trauma. |
• | Major trauma may be mitigated with helmets, e-scooter designated areas, and regulations for riding under the influence. |
Keywords : Electric scooter, Major trauma, High-energy injury, Orthopaedic, Surgery, Public health
Plan
| ☆ | This work has not been previously presented or published. There was no outside source of funding utilized for this study. The institutional ethics and quality research board reviewed and approved conduction of this study. |
Vol 45
P. 129-136 - juillet 2021 Retour au numéro
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