Bascones K, Maio Méndez T E, Yañez Siller F A
Cirugía Ortopédica y Traumatología, Unidad de Extremidad Superior, Hospital Asepeyo, Sant Cugat del Vallés, Barcelona, España.
Residente COT, Hospital Asepeyo, Sant Cugat del Vallés, Barcelona, España.
Rev Esp Cir Ortop Traumatol. 2022 Mar-Apr;66(2):135-142. doi: 10.1016/j.recot.2021.09.009. Epub 2022 Feb 9.
During the last years, the use of e-scooter has become more and more popular due to the versatility as the practicality in intra-urban mobility. However, e-scooter has turned into a spring of accidents, lot of them, severe, causing new public health problems and significantly increasing the direct and indirect healthcare costs.
To characterize the epidemiology of the injuries caused by e-scooter related accidents and to study their indirect economic impact in work-related accidents hospital.
Retrospective and descriptive study in which has been checked all the medical information about the patients attended in the ER (emergency room) of the Hospital Asepeyo Sant Cugat, who suffered e-scooter accident from January 2018 to December 2020.
167 patients were included in the study. 55% (92) were male and 45% (75) were female. The average of age was 37.4 years-old. There were quantified 117 different fractures in 105 patients (63%). Other injuries documented were: 36 patients with multiple contusions, 16 head traumas and 4 wounds which required suture. The most frequent ligamentous injuries were 4 ACL ruptures, 3 ACJ dislocations and 2 patients with rupture of the UCL of the thumb. 105 patients required hospital admission, 3 of them in ICU. The 51% of the cases required surgical treatment of their injuries. In that period, as a consequence of the work inabilities generated by the total of the patients included in the study, the added cost for the hospital was around 1,062,444€.
The popularization of e-scooters between the employed population has caused a high increased number of accidents in this range of age. Most of the injuries observed may be compared with those seen in high-energy traumas. These cause an important socio-economic impact due to the nature of the injuries and the potential complications that could appear. The work inabilities observed as a consequence of e-scooter related injuries in the employed population have caused a substantial economic impact, shooting up to more than 1,000,000€ the indirect cost of our hospital during the reviewed period.
在过去几年中，电动滑板车因其在城市内部出行中的多功能性和实用性而越来越受欢迎。然而，电动滑板车已成为事故的根源，其中许多事故非常严重，引发了新的公共卫生问题，并显著增加了直接和间接医疗成本。
描述电动滑板车相关事故所致损伤的流行病学特征，并研究其在工伤事故医院中的间接经济影响。
进行回顾性描述性研究，查阅了2018年1月至2020年12月期间在圣库加特阿塞佩约医院急诊科就诊的因电动滑板车事故受伤患者所有的医疗信息。
167例患者纳入研究。其中男性占55%（92例），女性占45%（75例）。平均年龄为37.4岁。105例患者（63%）共出现117处不同骨折。记录的其他损伤包括：36例多处挫伤、16例头部外伤和4处需要缝合的伤口。最常见的韧带损伤为4例前交叉韧带断裂、3例肩锁关节脱位和2例拇指尺侧副韧带断裂。105例患者需要住院治疗，其中3例入住重症监护病房。51%的病例需要对损伤进行手术治疗。在此期间，由于纳入研究的所有患者产生的工作能力丧失，医院的额外费用约为1,062,444欧元。
电动滑板车在就业人群中的普及导致该年龄段事故数量大幅增加。观察到的大多数损伤可与高能创伤中的损伤相比较。由于损伤的性质以及可能出现的潜在并发症，这些损伤造成了重要的社会经济影响。就业人群中因电动滑板车相关损伤导致的工作能力丧失造成了巨大的经济影响，在审查期间，我院的间接成本飙升至超过100万欧元。
