Neuroth Lucas M, Humphries Kayleigh D, Wing Jeffrey J, Smith Gary A, Zhu Motao
The Center for Injury Research and Policy, Abigail Wexner Research Institute at Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA; Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 135 Dauer Drive, Chapel Hill, NC 27599, USA.
The Center for Injury Research and Policy, Abigail Wexner Research Institute at Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA.
Am J Emerg Med. 2022 May;55:1-5. doi: 10.1016/j.ajem.2022.02.004. Epub 2022 Feb 5.
The introduction of scooter-share programs across the United States has led to an increased incidence of electronic scooter (e-scooter) injuries presenting to emergency departments (EDs). As legislation begins to push scooters from the sidewalk to the street, injuries resulting from collisions between e-scooters and motor vehicles are an important, but poorly characterized consideration. This study leverages data from a national injury surveillance system to characterize e-scooter versus motor vehicle collisions resulting in ED presentation.
This study utilizes data from the National Electronic Injury Surveillance System (NEISS). NEISS was queried for e-scooter-related injuries from January 1st, 2015 through December 31st, 2019. Injuries were characterized as motor vehicle-related (MV-involved) or non-motor-vehicle-related (MV-uninvolved) based on a manual review by the study investigators. Weighted tabular analyses were used to characterize both types of e-scooter injuries across demographic, diagnostic, and event-related factors.
Over the study period an estimated 60,554 (95% CI: 37,525-84,594) injuries were treated in US EDs. Approximately 19% of these injuries involved motor vehicles. Those sustaining MV-involved injuries were significantly younger (p = 0.01), with a higher proportion of males injured (p = 0.01). Additionally, when compared to MV-uninvolved injuries, a significantly higher proportion of those with MV-involved injuries were admitted to the hospital for treatment (8.8% vs. 14.6%, p < 0.01). MV-involved injuries occurred primarily in the street (96.3%), while MV-uninvolved injuries were split across streets (44.0%), at one's home (20%), and on public property (20%) (p < 0.01).
Electric scooter injuries involving a motor vehicle differed from those that did not across several key categories. As e-scooters and motor vehicles start to share the road more frequently, greater consideration should be made regarding how these two modes of transportation interact with each other. The promotion of thoughtful e-scooter legislation and infrastructure changes could help promote safer travel.
美国各地共享电动滑板车项目的引入导致急诊科(ED)收治的电动滑板车(e - 滑板车)受伤病例增多。随着立法开始将滑板车从人行道转移到街道,电动滑板车与机动车碰撞造成的伤害是一个重要但特征描述不足的考量因素。本研究利用国家伤害监测系统的数据来描述导致急诊就诊的电动滑板车与机动车碰撞的特征。
本研究使用国家电子伤害监测系统(NEISS)的数据。对2015年1月1日至2019年12月31日期间与电动滑板车相关的伤害进行了查询。研究人员通过人工审查将伤害分为与机动车相关(涉及机动车,MV - involved)或与非机动车相关(不涉及机动车,MV - uninvolved)。加权表格分析用于描述这两种类型的电动滑板车伤害在人口统计学、诊断和事件相关因素方面的特征。
在研究期间,估计美国急诊科共治疗了60,554例(95%置信区间:37,525 - 84,594)伤害病例。其中约19%的伤害涉及机动车。遭受涉及机动车伤害的患者明显更年轻(p = 0.01),受伤男性的比例更高(p = 0.01)。此外,与不涉及机动车的伤害相比,涉及机动车伤害的患者因伤住院治疗的比例显著更高(8.8%对14.6%,p < 0.01)。涉及机动车的伤害主要发生在街道上(96.3%),而不涉及机动车的伤害则分散在街道(44.0%)、家中(约20%)和公共财产处(约20%)(p < 0.01)。
涉及机动车的电动滑板车伤害在几个关键类别上与不涉及机动车的伤害有所不同。随着电动滑板车和机动车开始更频繁地共享道路,应更多地考虑这两种交通方式如何相互作用。推动周全的电动滑板车立法和基础设施变革有助于促进更安全的出行。