Epsom and St. Helier NHS Foundation Trust, London, United Kingdom.
St George's University Hospitals NHS Foundation Trust, London, United Kingdom.
Injury. 2022 Sep;53(9):3011-3018. doi: 10.1016/j.injury.2022.06.019. Epub 2022 Jun 17.
To establish the incidence and nature of injuries seen in patients following mobility scooter incidents.
The Trauma Audit and Research Network (TARN) database was used to collect data concerning injuries associated with mobility scooters. The data was taken from incidents that occurred between February 2014 and November 2020. The data analysed included: patient demographics, injury mechanism and patterns and associated mortality rates.
1,504 patients were identified of which 61.4% were male. The median age was 76.2 years (IQR 63.5-84.9). The median injury severity score (ISS) was 9 (IQR 9-17), with major trauma (ISS ≥16) being observed in 29.4% of patients. Injuries to the limb were most common, although injuries to the head were most severe. Vehicle collisions accounted for 65.4% of injuries and were most closely associated with the most severe incidents. The median length of stay in hospital was 12 days, excluding the patients who died. Overall, mortality following injury was 10.6%, but the mortality rate was 15.4% in those aged 75 years and over, and 24.2% in those sustaining severe trauma.
As the population ages, injury characteristics of those with both major and non-major trauma changes. Mobility scooter use is prevalent amongst older people, and we provided a detailed analysis of injuries sustained with their use across a national database. The length of stay and the inherent resource use, because of admission following mobility scooter trauma, is considerable. These injuries particularly affect the 'most elderly' and carry a considerable mortality burden.
确定与机动轮椅车事故相关的患者受伤的发生率和性质。
使用创伤审核和研究网络（TARN）数据库收集与机动轮椅车相关的伤害数据。该数据来自于 2014 年 2 月至 2020 年 11 月期间发生的事故。分析的数据包括：患者人口统计学、损伤机制和模式以及相关死亡率。
共确定了 1504 名患者，其中 61.4%为男性。中位年龄为 76.2 岁（IQR 63.5-84.9）。中位损伤严重度评分（ISS）为 9（IQR 9-17），29.4%的患者存在严重创伤（ISS≥16）。肢体损伤最常见，但头部损伤最严重。车辆碰撞占损伤的 65.4%，与最严重的事故密切相关。住院中位数为 12 天，不包括死亡的患者。总体而言，受伤后的死亡率为 10.6%，但 75 岁及以上患者的死亡率为 15.4%，严重创伤患者的死亡率为 24.2%。
随着人口老龄化，患有严重和非严重创伤的患者的损伤特征发生变化。机动轮椅车在老年人中很普遍，我们通过国家数据库对其使用过程中发生的损伤进行了详细分析。由于机动轮椅车创伤后需要住院，因此住院时间和固有资源的使用量相当大。这些损伤特别影响“最年长”的人群，并带来相当大的死亡负担。
