Singh Priya, Jami Meghana, Geller Joseph, Granger Caroline, Geaney Lauren, Aiyer Amiethab
Department of Orthopedic Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Department of Orthopedic Surgery, University of Miami, Miami, Florida, USA.
Bone Jt Open. 2022 Sep;3(9):674-683. doi: 10.1302/2633-1462.39.BJO-2022-0096.R1.
Due to the recent rapid expansion of scooter sharing companies, there has been a dramatic increase in the number of electric scooter (e-scooter) injuries. Our purpose was to conduct a systematic review to characterize the demographic characteristics, most common injuries, and management of patients injured from electric scooters.
We searched PubMed, EMBASE, Scopus, and Web of Science databases using variations of the term "electric scooter". We excluded studies conducted prior to 2015, studies with a population of less than 50, case reports, and studies not focused on electric scooters. Data were analyzed using -tests and p-values < 0.05 were considered significant.
We studied 5,705 patients from 34 studies. The mean age was 33.3 years (SD 3.5), and 58.3% (n = 3,325) were male. The leading mechanism of injury was falling (n = 3,595, 74.4%). Injured patients were more likely to not wear a helmet (n = 2,114; 68.1%; p < 0.001). The most common type of injury incurred was bony injuries (n = 2,761, 39.2%), of which upper limb fractures dominated (n = 1,236, 44.8%). Head and neck injuries composed 22.2% (n = 1,565) of the reported injuries, including traumatic brain injuries (n = 455; 2.5%), lacerations/abrasions/contusions (n = 500; 7.1%), intracerebral brain haemorrhages (n = 131; 1.9%), and concussions (n = 255; 3.2%). Standard radiographs comprised most images (n = 2,153; 57.7%). Most patients were treated and released without admission (n = 2,895; 54.5%), and 17.2% (n = 911) of injured patients required surgery. Qualitative analyses of the cost of injury revealed that any intoxication was associated with higher billing costs.
The leading injuries from e-scooters are upper limb fractures. Falling was the leading mechanism of injury, and most patients did not wear a helmet. Future research should focus on injury characterization, treatment, and cost.Cite this article: 2022;3(9):674-683.
由于共享滑板车公司近期的迅速扩张，电动滑板车（e-scooter）受伤人数急剧增加。我们的目的是进行一项系统综述，以描述电动滑板车受伤患者的人口统计学特征、最常见的损伤情况及治疗方式。
我们使用“电动滑板车”一词的不同变体在PubMed、EMBASE、Scopus和Web of Science数据库中进行检索。我们排除了2015年之前进行的研究、样本量少于50的研究、病例报告以及非聚焦于电动滑板车的研究。使用t检验进行数据分析，p值<0.05被认为具有统计学意义。
我们研究了来自34项研究的5705名患者。平均年龄为33.3岁（标准差3.5），58.3%（n = 3325）为男性。受伤的主要机制是摔倒（n = 3595，74.4%）。受伤患者更有可能未佩戴头盔（n = 2114；68.1%；p < 0.001）。最常见的损伤类型是骨损伤（n = 2761，39.2%），其中上肢骨折占主导（n = 1236，44.8%）。头部和颈部损伤占报告损伤的22.2%（n = 1565），包括创伤性脑损伤（n = 455；2.5%）、撕裂伤/擦伤/挫伤（n = 500；7.1%）、脑内出血（n = 131；1.9%）和脑震荡（n = 255；3.2%）。标准X光片构成了大多数影像（n = 2153；57.7%）。大多数患者接受治疗后出院，无需住院（n = 2895；54.5%），17.2%（n = 911）的受伤患者需要手术。对损伤成本的定性分析表明，任何中毒情况都与更高的计费成本相关。
电动滑板车导致的主要损伤是上肢骨折。摔倒是主要的受伤机制，且大多数患者未佩戴头盔。未来的研究应聚焦于损伤特征、治疗及成本。引用本文：2022；3(9):674 - 683。
