Department of Surgery, Division of Trauma and Critical Care, Cedars-Sinai Medical Center, Los Angeles, CA.
Department of Surgery, Ronald Reagan UCLA Medical Center, Santa Monica, CA.
J Am Coll Surg. 2020 Jul;231(1):133-138. doi: 10.1016/j.jamcollsurg.2020.02.047. Epub 2020 Mar 30.
Electric scooters are popular in Southern California due to their ease of use, affordability, and availability. The objective of this study was to characterize how hospital admissions and outcomes varied due to electric scooter injury among Southern California trauma centers.
Trauma registry data from 9 urban trauma centers were queried for patients sustaining injury while operating an electric scooter from January to December 2018. Data collection included patient demographics, diagnoses, interventions, and outcomes.
During the 1-year study period, 87 patients required trauma surgeon care due to scooter-related injury, with a mean age of 35.1 years; 71.3% were male with 20.7% and 17.2% of patients requiring ICU admission and a surgical intervention, respectively. One (1.1%) patient died. The head and face were most commonly injured, followed by the extremities. Helmet use was uncommon (71.3%). High variability in patient volume was noted, with 2 centers considered high-incidence and the remaining low-incidence.
Injuries from electric scooter crashes are primarily to the head, face, and extremities, with approximately 1 in 5 patients requiring ICU admission and/or a surgical intervention. There is significant variation in patient volume among Southern California trauma centers that could affect the delivery of care with the abrupt introduction of this technology. Targeted public health interventions and policies might better address community use of the electric scooter.
电动滑板车因其使用方便、价格实惠且易于获得,在南加州广受欢迎。本研究旨在分析南加州创伤中心因电动滑板车受伤导致的住院和结局差异。
从 9 个城市创伤中心的创伤登记处检索了 2018 年 1 月至 12 月期间因操作电动滑板车受伤的患者数据。数据收集包括患者人口统计学特征、诊断、干预措施和结局。
在为期 1 年的研究期间,共有 87 名患者因与滑板车相关的受伤需要接受创伤外科医生的治疗,平均年龄为 35.1 岁;71.3%为男性,20.7%和 17.2%的患者分别需要入住 ICU 和接受手术干预。1 例(1.1%)患者死亡。头部和面部是最常见的受伤部位,其次是四肢。头盔使用率较低(71.3%)。患者数量存在较大差异,其中 2 家中心属于高发中心,其余的则为低发中心。
电动滑板车事故造成的伤害主要集中在头部、面部和四肢,约 1/5 的患者需要入住 ICU 和/或接受手术干预。南加州创伤中心的患者数量存在显著差异,这可能会影响到这种新技术的引入后对患者的救治。有针对性的公共卫生干预和政策可能会更好地解决社区对电动滑板车的使用问题。