个人移动的代价：新加坡个人移动设备所致伤害和死亡的负担——一项全国性队列研究。
The price of personal mobility: burden of injury and mortality from personal mobility devices in Singapore - a nationwide cohort study.
机构信息
Preventive Medicine, National University Hospital, 1E Kent Ridge Road, NUHS Tower Block, Level 12, Singapore, 119228, Singapore.
Centre for Quantitative Medicine, Duke-National University of Singapore Graduate Medical School, 8 College Rd, Singapore, 169857, Singapore.
出版信息
BMC Public Health. 2019 Jul 4;19(1):880. doi: 10.1186/s12889-019-7210-6.
BACKGROUND
Personal mobility devices (PMDs) like skate-scooters, electric bicycles (e-bikes) or motorised scooters (e-scooters) have become widely available globally. There are several studies describing the rising incidence of injury from such devices. The aim of our study was to examine PMD user factors between motorised (MotPMDs) vs non-motorised PMDs (NonPMDs) as risk factors for severe injury and the need for hospital admission.
METHODS
We analysed de-identified National Trauma Registry data (2015 to 2017) from all public sector hospitals in Singapore for patients aged 12 and above presenting to emergency departments with PMD-related injuries. Multivariable logistic regression was used to identify risk factors for the primary outcome of interest (higher injury severity, defined as Injury Severity Score / ISS > =9), and the secondary outcome of interest (need for hospital admission). Additional subgroup analysis was conducted comparing only scooters (manual vs electric), the most common sub-type of PMD in our study.
RESULTS
Of the 614 patients in our study, majority were male (74%), median age 33 years, with 136 (22%) sustaining injuries with ISS > =9; 185 (30%) admitted [median stay length 3 days (IQR: 1-6)] and 93 (15%) required surgery. MotPMDs were more common (480, 78%), with e-scooters being the most common motorised device (393, 64%). There were 6 deaths, all in MotPMD users. On both univariate and multivariable regression, MotPMD users [OR 3.82, 95% CI 1.51-12.9, p = 0.01] and older users (> = 60 years) [OR 9.47, 95% CI 2.45-62.9, p = 0.004] were more likely to sustain injuries with ISS > =9, and more likely to need admission (MotPMD users [OR 1.8, 95% CI 1.04-3.29, p = 0.045], age > =60 years [OR 4.72, 95% CI 1.86-13.0, p = 0.002]).
CONCLUSION
MotPMDs tripled the risk of severe injury and doubled the risk of requiring hospitalisation, compared to NonPMDs, likely due to higher travelling speeds. Increased age was also associated with severe injury and requiring hospitalisation.
背景
个人移动设备（PMD），如滑板车、电动自行车（e-bike）或电动滑板车（e-scooter），在全球范围内已广泛普及。有多项研究描述了这些设备造成的伤害发生率不断上升的情况。我们的研究目的是探讨电动 PMD（MotPMD）与非电动 PMD（NonPMD）使用者的因素，这些因素是导致严重伤害和需要住院治疗的风险因素。
方法
我们分析了来自新加坡所有公立医疗机构的国家创伤登记处（2015 年至 2017 年）的数据，这些数据来自因 PMD 相关损伤而到急诊室就诊的 12 岁及以上患者。多变量逻辑回归用于确定主要研究结果（定义为损伤严重程度评分/ISS≥9）和次要研究结果（需要住院治疗）的风险因素。还进行了亚组分析，仅比较了在我们的研究中最常见的 PMD 亚型（手动与电动）滑板车。
结果
在我们的 614 名研究患者中，大多数为男性（74%），中位年龄为 33 岁，其中 136 名（22%）患者的 ISS≥9；185 名（30%）患者住院[中位住院时间 3 天（IQR：1-6 天）]，93 名（15%）患者需要手术。MotPMD 更为常见（480 例，78%），其中电动滑板车最为常见（393 例，64%）。有 6 例死亡，均发生在 MotPMD 用户中。在单变量和多变量回归中，MotPMD 用户[比值比（OR）3.82，95%置信区间（CI）1.51-12.9，p=0.01]和年龄较大的患者（≥60 岁）[OR 9.47，95% CI 2.45-62.9，p=0.004]更有可能发生 ISS≥9 的损伤，且更有可能需要住院治疗（MotPMD 用户[OR 1.8，95% CI 1.04-3.29，p=0.045]，年龄≥60 岁[OR 4.72，95% CI 1.86-13.0，p=0.002]）。
结论
与 NonPMD 相比，MotPMD 导致严重伤害的风险增加了两倍，需要住院治疗的风险增加了一倍，这可能是由于行驶速度较高所致。年龄增加也与严重伤害和需要住院治疗有关。
Zotero 插件