University of California, San Diego Department of Orthopaedic Surgery, San Diego, CA, USA.
Am J Emerg Med. 2021 Jul;45:129-136. doi: 10.1016/j.ajem.2021.02.019. Epub 2021 Feb 19.
Electric scooters (e-scooters) have become a widespread method of transportation. The purpose of this study is to provide risk stratification tools for modifiable risk factors associated with e-scooter injury morbidity.
Patients at an urban Level 1 Trauma center sustaining e-scooter injuries between November 2017 through March 2020 were identified. Primary outcomes of interest were major trauma, as defined by an Injury Severity Score (ISS) >15, or hospital admission.
A total of 442 patients sustained orthopaedic (51%), facial (31%), cranial (13%), and chest/abdominal injuries (4.5%). Rate of helmet use was 2.5%, hospital admission was 40.7%, and intensive care was 3%. Patients with facial injuries were half as likely to sustain major trauma as compared to orthopaedic injuries (p < 0.05). Factors with higher likelihood of hospital admission included age > 40 years (OR 4.20, p < 0.01), alcohol or other substance intoxication (OR 4.14 and 9.87, p < 0.001), loss of consciousness (OR 2.72, p < 0.003), or transport to the hospital by ambulance (OR 4.47, p < 0.001).
There is a substantial proportion of major trauma within e-scooter injuries. Modifiable risk factors for hospital admission include use of head protection and substance use while riding e-scooters.
电动滑板车（e-scooter）已成为一种广泛使用的交通工具。本研究的目的是为与 e-scooter 损伤发病率相关的可改变的危险因素提供风险分层工具。
确定 2017 年 11 月至 2020 年 3 月期间在城市一级创伤中心因电动滑板车受伤的患者。主要观察结果是严重创伤，定义为损伤严重程度评分（ISS）>15 或住院。
共有 442 名患者发生了骨科（51%）、面部（31%）、头部（13%）和胸部/腹部损伤（4.5%）。头盔使用率为 2.5%，住院率为 40.7%，重症监护率为 3%。与骨科损伤相比，面部损伤患者发生严重创伤的可能性低一半（p<0.05）。更有可能住院的因素包括年龄>40 岁（OR 4.20，p<0.01）、酒精或其他物质中毒（OR 4.14 和 9.87，p<0.001）、意识丧失（OR 2.72，p<0.003）或乘坐救护车到医院（OR 4.47，p<0.001）。
电动滑板车损伤中存在相当比例的严重创伤。可改变的住院风险因素包括骑电动滑板车时使用头部保护和物质使用。
