Electric Scooter Orthopaedic Injury Demographics at an Urban Level I Trauma Center
| Autor: | William E Harkin, Cary S. Politzer, Alexandra K. Schwartz, William T. Kent, Paul J. Girard, Ophelie Lavoie-Gagne, Matthew Y. Siow, Alec R. Flores, Brendon C. Mitchell |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Poison control Young Adult 03 medical and health sciences 0302 clinical medicine Trauma Centers Injury prevention Prevalence medicine Humans Outpatient clinic Orthopedics and Sports Medicine Aged Retrospective Studies 030222 orthopedics business.industry Trauma center 030208 emergency & critical care medicine General Medicine Emergency department Middle Aged Orthopedics Orthopedic surgery Emergency medicine Injury Severity Score Female Head Protective Devices Surgery Diagnosis code business |
| Zdroj: | Journal of Orthopaedic Trauma. 34:e424-e429 |
| ISSN: | 0890-5339 |
| DOI: | 10.1097/bot.0000000000001803 |
| Popis: | OBJECTIVES This study highlights demographics and orthopaedic injuries of electric scooter-related trauma that presented to our institution over a 27-month period. DESIGN Retrospective review. SETTING Urban Level 1 trauma center. PATIENTS Patients presenting to the emergency department, trauma bay, or outpatient clinic after electric scooter injury were identified from November 2017 through January 2020 using ICD-10 diagnosis codes. MAIN OUTCOMES Patient charts were reviewed for demographics, injury characteristics, imaging, treatment, perioperative data, and Injury Severity Scores. RESULTS Four hundred eighty-five patients presented during the study period. Of these, 44% had orthopaedic injuries, including 30% with pelvis or extremity fractures. There were 21 (10%) polytraumatized patients in the orthopaedic cohort. The age ranged from 16 to 79 years (average 36 years), with 58% men, and 18% were visitors from out of town. Of 49 patients requiring orthopaedic surgery, 8 underwent surgery on an urgent basis. The average Injury Severity Score for orthopaedic patients was 8.4 with a median of 5.0 for nonoperative injuries versus a significantly higher median of 16.0 for operative injuries. Twenty-nine percent of patients were intoxicated and only 2% wore a helmet. CONCLUSIONS Electric scooter injuries are increasing, and many patients sustain high-energy injuries. As electric scooter use continues to increase, the prevalence of orthopaedic injuries is also likely to rise. Further studies are needed to fully understand the impact scooter-related injuries have on individual patients and the health care system. LEVEL OF EVIDENCE Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence. |
| Databáze: | OpenAIRE |
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