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与使用悬浮滑板相关的损伤:急诊科患者病例系列

Injuries Associated with Hoverboard Use: A Case Series of Emergency Department Patients.

作者信息

Weingart Gregory S, Glueckert Lindsey, Cachaper Girlyn A, Zimbro Kathie S, Maduro Ralitsa S, Counselman Francis

机构信息

Eastern Virginia Medical School, Department of Emergency Medicine, Norfolk, Virginia.

Emergency Physicians of Tidewater, Virginia Beach, Virginia.

出版信息

West J Emerg Med. 2017 Oct;18(6):993-999. doi: 10.5811/westjem.2017.6.34264. Epub 2017 Sep 22.

Abstract

INTRODUCTION

Since hoverboards became available in 2015, 2.5 million have been sold in the US. An increasing number of injuries related to their use have been reported, with limited data on associated injury patterns. We describe a case series of emergency department (ED) visits for hoverboard-related injuries.

METHODS

We performed a retrospective chart review on patients presenting to 10 EDs in southeastern Virginia from December 24, 2015, through June 30, 2016. We used a free-text search feature of the electronic medical record to identify patients documented to have the word "hoverboard" in the record. We reported descriptive statistics for patient demographics, types of injuries, body injury location, documented helmet use, injury severity score (ISS), length of stay in the ED, and ED charges.

RESULTS

We identified 83 patients in our study. The average age was 26 years old (18 months to 78 years). Of these patients, 53% were adults; the majority were female (61.4%) and African American (56.6%). The primary cause of injury was falls (91%), with an average ISS of 5.4 (0-10). The majority of injuries were contusions (37.3%) and fractures (36.1%). Pediatric patients tended to have more fractures than adults (46.2% vs 27.3%). Though 20% of patients had head injuries, only one patient reported using a helmet. The mean and median ED charges were $2,292.00 (SD $1,363.64) and $1,808.00, respectively. Head injuries resulted in a significantly higher cost when compared to other injuries; median cost was $2,846.00.

CONCLUSION

While the overall ISS was low, more pediatric patients suffered fractures compared to adults. Documented helmet use was low, yet 20% of our population had head injuries. Further investigation into proper protective gear and training is warranted.

摘要

引言

自2015年悬浮滑板上市以来,美国已售出250万辆。据报道,与使用悬浮滑板相关的受伤事件越来越多,但有关相关损伤模式的数据有限。我们描述了一系列因悬浮滑板相关损伤而到急诊科就诊的病例。

方法

我们对2015年12月24日至2016年6月30日期间在弗吉尼亚州东南部10家急诊科就诊的患者进行了回顾性病历审查。我们使用电子病历的自由文本搜索功能来识别病历中记录有“悬浮滑板”一词的患者。我们报告了患者人口统计学、损伤类型、身体损伤部位、记录的头盔使用情况、损伤严重程度评分(ISS)、在急诊科的停留时间以及急诊科费用的描述性统计数据。

结果

我们在研究中识别出83名患者。平均年龄为26岁(18个月至78岁)。在这些患者中,53%为成年人;大多数为女性(61.4%)和非裔美国人(56.6%)。受伤的主要原因是摔倒(91%),平均ISS为5.4(0 - 10)。大多数损伤为挫伤(37.3%)和骨折(36.1%)。儿科患者的骨折情况往往比成年人更多(46.2%对27.3%)。尽管20%的患者有头部损伤,但只有一名患者报告使用了头盔。急诊科费用的均值和中位数分别为2292.00美元(标准差1363.64美元)和1808.00美元。与其他损伤相比,头部损伤导致的费用显著更高;中位数费用为2846.00美元。

结论

虽然总体ISS较低,但与成年人相比,更多儿科患者发生了骨折。记录的头盔使用率较低,但我们的患者中有20%有头部损伤。有必要对适当的防护装备和培训进行进一步调查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a533/5654891/9854fb65db32/wjem-18-993-g001.jpg

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