Navpreet K Dhillon1, Catherine Juillard2, Galinos Barmparas1, Ting-Lung Lin3, Dennis Y Kim4, David Turay5, Alyssa R Seibold5, Stephen Kaminski6, Thomas K Duncan7, Graal Diaz7, Shawki Saad8, David Hanpeter9, Elizabeth R Benjamin10, Areti Tillou2, Demetrios Demetriades10, Kenji Inaba10, Eric J Ley11. 1. Department of Surgery, Division of Trauma and Critical Care, Cedars-Sinai Medical Center, Los Angeles, CA. 2. Department of Surgery, Ronald Reagan UCLA Medical Center, Santa Monica, CA. 3. Department of Surgery, Division of Trauma and Critical Care, Cedars-Sinai Medical Center, Los Angeles, CA; Departments of Surgery, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan. 4. Division of Trauma and Critical Care, Harbor UCLA, Torrance, CA. 5. Department of Surgery, Division of Trauma, Loma Linda University Medical Center, Loma Linda, CA. 6. Trauma Division, Santa Barbara Cottage Hospital, Santa Barbara, CA. 7. Division of Trauma, Ventura County Medical Center, Ventura, CA. 8. General Surgery, Northridge Hospital Medical Center, Northridge, CA. 9. General Surgery, Providence Holy Cross Medical Center, Mission Hills, CA. 10. Division of Trauma, Emergency Surgery and Surgical Critical Care, Keck Medicine of University of Southern California, Los Angeles, CA. 11. Department of Surgery, Division of Trauma and Critical Care, Cedars-Sinai Medical Center, Los Angeles, CA. Electronic address: Eric.Ley@cshs.org.
Abstract
BACKGROUND: Electric scooters are popular in Southern California due to their ease of use, affordability, and availability. The objective of this study was to characterize how hospital admissions and outcomes varied due to electric scooter injury among Southern California trauma centers. STUDY DESIGN: Trauma registry data from 9 urban trauma centers were queried for patients sustaining injury while operating an electric scooter from January to December 2018. Data collection included patient demographics, diagnoses, interventions, and outcomes. RESULTS: During the 1-year study period, 87 patients required trauma surgeon care due to scooter-related injury, with a mean age of 35.1 years; 71.3% were male with 20.7% and 17.2% of patients requiring ICU admission and a surgical intervention, respectively. One (1.1%) patient died. The head and face were most commonly injured, followed by the extremities. Helmet use was uncommon (71.3%). High variability in patient volume was noted, with 2 centers considered high-incidence and the remaining low-incidence. CONCLUSIONS: Injuries from electric scooter crashes are primarily to the head, face, and extremities, with approximately 1 in 5 patients requiring ICU admission and/or a surgical intervention. There is significant variation in patient volume among Southern California trauma centers that could affect the delivery of care with the abrupt introduction of this technology. Targeted public health interventions and policies might better address community use of the electric scooter.
BACKGROUND: Electric scooters are popular in Southern California due to their ease of use, affordability, and availability. The objective of this study was to characterize how hospital admissions and outcomes varied due to electric scooter injury among Southern California trauma centers. STUDY DESIGN:Trauma registry data from 9 urban trauma centers were queried for patients sustaining injury while operating an electric scooter from January to December 2018. Data collection included patient demographics, diagnoses, interventions, and outcomes. RESULTS: During the 1-year study period, 87 patients required trauma surgeon care due to scooter-related injury, with a mean age of 35.1 years; 71.3% were male with 20.7% and 17.2% of patients requiring ICU admission and a surgical intervention, respectively. One (1.1%) patient died. The head and face were most commonly injured, followed by the extremities. Helmet use was uncommon (71.3%). High variability in patient volume was noted, with 2 centers considered high-incidence and the remaining low-incidence. CONCLUSIONS: Injuries from electric scooter crashes are primarily to the head, face, and extremities, with approximately 1 in 5 patients requiring ICU admission and/or a surgical intervention. There is significant variation in patient volume among Southern California trauma centers that could affect the delivery of care with the abrupt introduction of this technology. Targeted public health interventions and policies might better address community use of the electric scooter.
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