7442Spartanburg Regional Medical Center, Spartanburg, SC, USA.
New Hanover Regional Medical Center, Wilmington, NC, USA.
Am Surg. 2022 Mar;88(3):364-367. doi: 10.1177/00031348211050826. Epub 2021 Nov 19.
Escalators and moving stairways are omnipresent in modern life. No study to date has examined nationwide incidence and outcomes associated with injuries directly related to escalator use. The aim of this study was to describe the injury patterns, incidence, and disposition as it pertains to youth compared to adults.
Descriptive and comparative analyses were performed using National Electronic Injury Surveillance System data. The frequencies of categorical variables were calculated across the two age groups. Chi-squared test was performed on all categorical variables. Significance was defined as two-tailed < 0.05. Logistic regression was used on variables that were determined to be significant from the frequency tables, with additional variable selection being used to arrive on a final model for each outcome.
From 2009 to 2019, there were 810 youth and 3669 adults injured in escalator-associated emergency department visits. Incidence in the youth population decreased over time. Disposition was similar between groups. Injury types were similar among groups. White female adults were more likely to sustain injuries related to escalator use. Adult patients were also significantly more likely to sustain head/neck/facial trauma. Last, adult patients were found to be more likely to suffer a fatal event in comparison to the youth population.
Differences in the injury patterns between youth and adult patients related to the use of escalators illustrate a need for improved injury prevention. Improved education and safety guidelines, particularly in individuals in ages 18 and up, would likely lessen the discrepancies between age groups identified in this study.
自动扶梯和移动楼梯在现代生活中无处不在。迄今为止，尚无研究调查与自动扶梯使用直接相关的伤害的全国发病率和结局。本研究旨在描述与年轻人相比成年人与自动扶梯使用相关的伤害模式、发病率和处理情况。
使用国家电子伤害监测系统数据进行描述性和比较分析。在两个年龄组之间计算了分类变量的频率。对所有分类变量均进行了卡方检验。双尾 < 0.05 定义为具有统计学意义。对频率表中确定为显著的变量使用逻辑回归，使用额外的变量选择为每个结局确定最终模型。
从 2009 年到 2019 年，有 810 名年轻人和 3669 名成年人因与自动扶梯相关的急诊就诊而受伤。年轻人中的发病率随时间下降。两组之间的处理情况相似。各组之间的伤害类型相似。白人女性成年人更有可能因与自动扶梯使用相关的受伤。成年患者也更有可能遭受头/颈/面部创伤。最后，与年轻人相比，成年患者发生致命事件的可能性更高。
与使用自动扶梯有关的年轻人和成年患者之间的伤害模式差异表明需要改进伤害预防。特别是在 18 岁及以上的人群中，改进教育和安全指南可能会减少本研究中确定的年龄组之间的差异。
