韩国电动滑板车相关创伤。
Electric Scooter-Related Trauma in Korea.
机构信息
Department of Plastic and Reconstructive Surgery, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea.
出版信息
J Korean Med Sci. 2022 Jun 6;37(22):e181. doi: 10.3346/jkms.2022.37.e181.
BACKGROUND
The number of users of electric scooters, which provide swift and convenient mobility options, has increased sharply over recent years as their distribution as a shared service has expanded. Although the number of accidents and related damage has increased accordingly, limited research has analyzed data on the new types of accidents arising from electric scooters. This study aimed to analyze data on trauma characteristics due to accidents that occurred during electric scooter use.
METHODS
A retrospective chart review was conducted for patients who visited the regional trauma center of our institute due to electric scooter accidents from April 2018 to October 2021. Information was extracted on helmet-wearing status, sex, age, drinking status, accident timeframe, accident mechanism, electric scooter proficiency (period of use), injury severity, severe trauma, lethality, admission to the intensive care unit, surgery under general anesthesia, and the trauma region.
RESULTS
Among the 108 patients involved in electric scooter accidents, 92 patients were not wearing a helmet. Eighty-nine patients (85.2%) were male. The average age of the patients without a helmet was 31.3 years, while that of patients with a helmet was 34.1 years. The most frequent causes of accidents were lack of electric scooter operation experience and falling off the scooter due to obstacles (90 cases). Whether surgery was performed under general anesthesia was not associated with helmet use or non-use, although all patients who underwent facial fracture surgery were not wearing a helmet.
CONCLUSION
The craniofacial region was most frequently affected in electric scooter accidents and wearing a helmet was the best way to prevent craniofacial trauma. Although helmet-wearing is mandatory, the majority of treated patients were not wearing a helmet at the time of injury. Thus, there is an urgent need to introduce a helmet rental system, as well as strict legal requirements, to improve this situation.
背景
近年来，随着电动滑板车共享服务的扩展，其作为便捷的出行方式，使用者数量急剧增加。虽然相应地，事故数量和相关损失也有所增加，但针对电动滑板车引发的新型事故，相关研究有限。本研究旨在分析因使用电动滑板车而发生的事故导致的创伤特征数据。
方法
对 2018 年 4 月至 2021 年 10 月期间因电动滑板车事故到我院区域创伤中心就诊的患者进行回顾性图表审查。提取了头盔佩戴情况、性别、年龄、饮酒状态、事故时间框架、事故机制、电动滑板车熟练程度（使用时间）、损伤严重程度、严重创伤、致死率、入住重症监护病房、全身麻醉下手术和创伤区域等信息。
结果
在 108 名涉及电动滑板车事故的患者中，92 名患者未戴头盔。89 名患者（85.2%）为男性。未戴头盔患者的平均年龄为 31.3 岁，而戴头盔患者的平均年龄为 34.1 岁。最常见的事故原因是缺乏电动滑板车操作经验和因障碍物而从滑板车上坠落（90 例）。是否进行全身麻醉手术与戴头盔或不戴头盔无关，尽管所有接受面部骨折手术的患者都未戴头盔。
结论
电动滑板车事故最常影响头面部，戴头盔是预防头面部创伤的最佳方法。尽管戴头盔是强制性的，但大多数接受治疗的患者在受伤时都未戴头盔。因此，迫切需要引入头盔租赁系统和严格的法律要求来改善这种情况。
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