Characterization of electric scooter injuries over 27 months at an urban level 1 trauma center.

Autor: Lavoie-Gagne O; University of California, San Diego Department of Orthopaedic Surgery, San Diego, CA, USA. Electronic address: olavoieg@health.ucsd.edu., Siow M; University of California, San Diego Department of Orthopaedic Surgery, San Diego, CA, USA. Electronic address: masiow@health.ucsd.edu., Harkin W; University of California, San Diego Department of Orthopaedic Surgery, San Diego, CA, USA. Electronic address: wharkin@health.ucsd.edu., Flores AR; University of California, San Diego Department of Orthopaedic Surgery, San Diego, CA, USA. Electronic address: a8flores@health.ucsd.edu., Girard PJ; University of California, San Diego Department of Orthopaedic Surgery, San Diego, CA, USA. Electronic address: pgirard@health.ucsd.edu., Schwartz AK; University of California, San Diego Department of Orthopaedic Surgery, San Diego, CA, USA. Electronic address: akschwartz@health.ucsd.edu., Kent WT; University of California, San Diego Department of Orthopaedic Surgery, San Diego, CA, USA. Electronic address: wkent@health.ucsd.edu.
Jazyk: angličtina
Zdroj: The American journal of emergency medicine [Am J Emerg Med] 2021 Jul; Vol. 45, pp. 129-136. Date of Electronic Publication: 2021 Feb 19.
DOI: 10.1016/j.ajem.2021.02.019
Abstrakt: 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.
Competing Interests: Declaration of Competing Interest There were no outside sources of funding used in this study and the authors have no conflicts of interest to disclose.
(Copyright © 2021 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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