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英国儿童电动滑板车致伤:病例系列及文献复习。

Pediatric electric scooter injuries in the UK: Case series and review of literature.

机构信息

Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.

St Marys and Charing Cross Hospital, Imperial College Healthcare NHS Trust, London, UK.

出版信息

Traffic Inj Prev. 2022;23(6):369-371. doi: 10.1080/15389588.2022.2084540. Epub 2022 Jun 10.

Abstract

OBJECTIVE

Electric scooters are being used worldwide as a new means of transport and e-scooter shared schemes are currently being piloted in cities across the UK. At present, there is no data published looking at pediatric e-scooter injuries within the UK. We aim to assess if e-scooters pose a risk to children and the patterns and severity of orthopedic injuries related to their use.

METHODS

We performed a retrospective review of all orthopedic pediatric referrals relating to e-scooter use from January 1 to December 31, 2020 at two hospitals, including one pediatric Major Trauma Center in central London. Data including patient demographics, mechanism of injury, diagnosis, and treatment were collected.

RESULTS

Ten patients were identified in this series, of which 5 required orthopedic surgery. Four patients required admission to hospital from the emergency department. The median age was 15 (range 13-17 years) and all were male. All e-scooters were privately owned and all sustained a fall whilst riding the e-scooter. No patient was wearing a helmet. Six sustained lower limb injuries and four upper limb injuries. Two patients were trauma called and one patient sustained an open fracture. There were no mortalities at 30 days.

CONCLUSION

E-scooters pose a significant risk to children and can be associated with severe musculoskeletal injury. The risk they pose to the pediatric population should not be overlooked and these findings may inform public policy regarding the restriction of electric scooter use in children.

摘要

目的

电动滑板车作为一种新的交通工具在全球范围内得到广泛应用,目前英国各地的城市正在试行电动滑板车共享计划。目前,尚无关于英国儿童使用电动滑板车受伤的相关数据公布。我们旨在评估电动滑板车是否对儿童构成风险,以及与使用相关的骨科损伤的类型和严重程度。

方法

我们对 2020 年 1 月 1 日至 12 月 31 日期间在两家医院(包括伦敦市中心的一家儿科重大创伤中心)因使用电动滑板车而导致的所有骨科儿科转介进行了回顾性审查。收集了包括患者人口统计学、损伤机制、诊断和治疗等数据。

结果

在本系列中确定了 10 名患者,其中 5 名需要骨科手术。4 名患者从急诊室入院。中位年龄为 15 岁(范围 13-17 岁),均为男性。所有电动滑板车均为私人所有,且均在骑行电动滑板车时摔倒。没有患者戴头盔。6 名患者下肢受伤,4 名患者上肢受伤。有 2 名患者因创伤被呼叫,1 名患者发生开放性骨折。在 30 天内无死亡病例。

结论

电动滑板车对儿童构成重大风险,可导致严重的肌肉骨骼损伤。不应忽视它们对儿科人群构成的风险,这些发现可能会影响有关限制儿童使用电动滑板车的公共政策。

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