Capua Tali, Glatstein Miguel, Hermon Karin, Tavor Oren, Scolnik Dennis, Kusaev Veronika, Rimon Ayelet
Pediatric Emergency Medicine, Dana-Dwek Children's Hospital, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Division of Clinical Pharmacology and Toxicology, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv, Israel.
Rambam Maimonides Med J. 2019 Jul 18;10(3):e0017. doi: 10.5041/RMMJ.10370.
The use of electric bicycles (E-bikes) has dramatically increased over the last decade. E-bikes offer an inexpensive, alternative form of transport, but also pose a new public health challenge in terms of safety and injury prevention.
The aim of this study was to describe the epidemiology and severity of E-bike related injuries among children treated in the emergency department (ED) and to compare these to manual bicycle related injuries.
A retrospective observational study of all pediatric patients presenting to the ED between December 2014 and November 2015 with an injury related to E-bike or manual bicycle use. Data including demographics, diagnosis, injury severity score (ISS), and outcome were compared.
A total of 196 cyclist injuries presented to the ED; 85 related to E-bike use and 111 to manual bicycle riders. The mean age of E-bikers was 13.7 years (7.5-16 years) and of manual bicycle riders was 9.9 years (3-16 years). Injuries to the head and the extremities were common in both groups. E-bikers had significantly more intra-abdominal organ injury (P=0.047). Injury severity scores were low overall, but injuries of higher severity (ISS>9) only occurred among the E-bikers.
Pediatric E-bike injuries tend to be more severe than those sustained during manual bicycle riding. Further research into bicycle and other road and pavement users could lead to enhanced regulation regarding E-bike usage.
在过去十年中，电动自行车的使用量急剧增加。电动自行车提供了一种廉价的替代交通方式，但在安全和伤害预防方面也带来了新的公共卫生挑战。
本研究的目的是描述在急诊科接受治疗的儿童中与电动自行车相关的损伤的流行病学和严重程度，并将其与手动自行车相关的损伤进行比较。
对2014年12月至2015年11月期间到急诊科就诊的所有与电动自行车或手动自行车使用相关损伤的儿科患者进行回顾性观察研究。比较包括人口统计学、诊断、损伤严重程度评分（ISS）和结局等数据。
共有196名骑自行车者的损伤病例到急诊科就诊；85例与电动自行车使用有关，111例与手动自行车骑行有关。电动自行车使用者的平均年龄为13.7岁（7.5 - 16岁），手动自行车骑行者的平均年龄为9.9岁（3 - 16岁）。两组中头部和四肢损伤都很常见。电动自行车使用者的腹腔内器官损伤明显更多（P = 0.047）。总体损伤严重程度评分较低，但较高严重程度（ISS>9）的损伤仅发生在电动自行车使用者中。
儿童电动自行车损伤往往比手动自行车骑行时受到的损伤更严重。对自行车及其他道路和人行道使用者的进一步研究可能会加强对电动自行车使用的监管。
