Ophelie Lavoie-Gagne1, Matthew Siow2, William Harkin3, Alec R Flores4, Paul J Girard5, Alexandra K Schwartz6, William T Kent7. 1. University of California, San Diego Department of Orthopaedic Surgery, San Diego, CA, USA. Electronic address: olavoieg@health.ucsd.edu. 2. University of California, San Diego Department of Orthopaedic Surgery, San Diego, CA, USA. Electronic address: masiow@health.ucsd.edu. 3. University of California, San Diego Department of Orthopaedic Surgery, San Diego, CA, USA. Electronic address: wharkin@health.ucsd.edu. 4. University of California, San Diego Department of Orthopaedic Surgery, San Diego, CA, USA. Electronic address: a8flores@health.ucsd.edu. 5. University of California, San Diego Department of Orthopaedic Surgery, San Diego, CA, USA. Electronic address: pgirard@health.ucsd.edu. 6. University of California, San Diego Department of Orthopaedic Surgery, San Diego, CA, USA. Electronic address: akschwartz@health.ucsd.edu. 7. University of California, San Diego Department of Orthopaedic Surgery, San Diego, CA, USA. Electronic address: wkent@health.ucsd.edu.
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.
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.
Authors: Ali Pourmand; Keith S Boniface; Katherine Douglass; Colton Hood; Sarah E Frasure; Jeremy Barnett; Kunj Bhatt; Neal Sikka Journal: Cureus Date: 2021-11-13
Authors: Kimon L H Ioannides; Pin-Chieh Wang; Kamran Kowsari; Vu Vu; Noah Kojima; Dayna Clayton; Charles Liu; Tarak K Trivedi; David L Schriger; Joann G Elmore Journal: PLoS One Date: 2022-04-06 Impact factor: 3.240
Authors: August Vincent Stray; Henrik Siverts; Knut Melhuus; Martine Enger; Pål Galteland; Ingar Næss; Eirik Helseth; Jon Ramm-Pettersen Journal: JAMA Netw Open Date: 2022-08-01
Authors: Disi Tian; Andrew D Ryan; Curtis M Craig; Kelsey Sievert; Nichole L Morris Journal: Int J Environ Res Public Health Date: 2022-08-16 Impact factor: 4.614