Emergency and Trauma Centre, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
Emergency Department, Redland Hospital, Brisbane, Queensland, Australia.
Emerg Med Australas. 2019 Dec;31(6):930-934. doi: 10.1111/1742-6723.13356. Epub 2019 Aug 18.
A retrospective audit of presentations to a tertiary trauma centre reviewing the demographics of electric scooter injuries in the first 2 months of the scooter-share scheme, which was commenced in Brisbane in November 2018.
Electric scooter-associated presentations to the Royal Brisbane and Women's Hospital Emergency and Trauma Centre from November 2018 to January 2019 were identified. Data collected included patient demographics, type and location of injuries, helmet use, alcohol consumption, length of stay and disposition. Estimates of costs associated with electric scooter presentation were also obtained.
Fifty-four electric scooter encounters were included during the 2-month period. Helmets were worn in 46% and was associated with reduced risk of head injury (odds ratio (OR) 0.18, P = 0.029). Alcohol was involved in 27% although this did not impact on admission rates (OR 1.25, P = 0.83) or operative management (OR 2.14, P = 0.42). Contusions/abrasions and fractures/dislocations were the most common types of injury, whereas upper limb and minor head injuries were the most common sites of injury. Most patients were discharged home (87%), with 74% completing their emergency visit in under 4 h. Six patients required operative management and 15 patients needed outpatient follow-up. There were no deaths. Average patient cost per presentation was $542 and ranged from $285 to $1345.
The findings characterised injury patterns and costs associated with electric scooters in our ED. Given the increasing popularity of electric scooters as an alternate form of transportation, our study may help to inform public policy for future injury prevention.
对布里斯班一家三级创伤中心的就诊情况进行回顾性审核，以了解电动滑板车共享计划实施头 2 个月期间的创伤患者人口统计学特征。该计划于 2018 年 11 月在布里斯班启动。
确定 2018 年 11 月至 2019 年 1 月期间，因电动滑板车相关事故而前往皇家布里斯班妇女医院急诊和创伤中心就诊的患者。收集的数据包括患者人口统计学特征、损伤类型和部位、头盔使用、酒精摄入、住院时间和转归。还获得了与电动滑板车就诊相关的费用估计。
在这 2 个月期间，共发生 54 例电动滑板车事故。46%的患者佩戴了头盔，这与降低头部损伤风险有关（比值比（OR）0.18，P=0.029）。27%的患者涉及酒精，但这并未影响入院率（OR 1.25，P=0.83）或手术治疗（OR 2.14，P=0.42）。挫伤/擦伤和骨折/脱位是最常见的损伤类型，而上肢和轻度头部损伤是最常见的损伤部位。大多数患者出院回家（87%），其中 74%在 4 小时内完成了急诊就诊。6 例患者需要手术治疗，15 例患者需要门诊随访。无死亡病例。每位患者的平均就诊费用为 542 美元，范围为 285 美元至 1345 美元。
本研究结果描述了我们急诊科与电动滑板车相关的损伤模式和费用。鉴于电动滑板车作为一种替代交通工具越来越受欢迎，我们的研究结果可能有助于为未来的伤害预防提供公共政策信息。
