Department of Radiology and Imaging Sciences, Indiana University School of Medicine, 550 N. University Blvd., Room 0663, Indianapolis, IN 46202, USA.
Clin Imaging. 2021 Jun;74:163-168. doi: 10.1016/j.clinimag.2021.02.005. Epub 2021 Feb 10.
Despite increased use of e-scooters globally, actionable data around injury incidence and patterns associated with e-scooter accidents are limited. This study aimed to determine the prevalence of imaging exams, injury incidence, and patterns related to e-scooter injuries, with the hope of guiding an appropriate policy response.
This was a retrospective observational study of imaging exams ordered for injuries related to e-scooters seen in an Emergency Department (ED) setting within our health system from September 2018 through December 2019. Our institutional Radiology Information System (RIS) was searched for the presence of the word "scooter." Manual query of search results was conducted in the electronic medical record (EMR) and only studies confirmed to be related to e-scooters were included.
A total of 477 radiologic studies performed on 192 unique patients were confirmed to be performed for injuries related to e-scooters. The median patient age was 28 years and 58.3% were male. One hundred forty patients (72.9%) had injuries identified on imaging, with an overall exam positivity rate of 44.4%. The most common injuries were soft tissue and musculoskeletal in nature. Over half (51.9%) of the entries with the keyword "scooter" were excluded because of lack of EMR specificity regarding scooter type.
While this study showed that injuries following e-scooter accidents are common and frequently involve the face and extremities, it is limited by lack of documentation in the EMR. Further research with a standardized documentation protocol will be needed to better understand injuries patterns following e-scooter accidents.
尽管全球范围内电动滑板车的使用日益增多，但与电动滑板车事故相关的损伤发生率和模式的具体数据仍十分有限。本研究旨在确定与电动滑板车相关的损伤进行影像学检查的发生率、损伤发生率和模式，以期为制定相应的政策提供参考。
这是一项回顾性观察研究，对 2018 年 9 月至 2019 年 12 月期间在我们的医疗系统的急诊（ED）环境中因电动滑板车相关损伤而进行的影像学检查进行了研究。我们的机构放射信息系统（RIS）中搜索了“scooter”一词的存在。在电子病历（EMR）中对搜索结果进行手动查询，仅纳入与电动滑板车相关的检查。
共确认 192 名患者的 477 项影像学检查是因电动滑板车相关损伤而进行的。患者的中位年龄为 28 岁，58.3%为男性。140 名患者（72.9%）的影像学检查发现损伤，总体检查阳性率为 44.4%。最常见的损伤为软组织和肌肉骨骼损伤。由于 EMR 缺乏对滑板车类型的特异性，超过一半（51.9%）包含“scooter”关键字的记录被排除在外。
虽然本研究表明，电动滑板车事故后的损伤很常见，且常累及面部和四肢，但由于 EMR 中缺乏相关记录，本研究存在一定的局限性。需要进一步开展研究，并制定标准化的记录协议，以更好地了解电动滑板车事故后的损伤模式。
