From the University of Illinois College of Medicine at Chicago (Mr.Jiang, Mr.Davison-Kerwood, and Dr. Gonzalez), and the Department of Orthopaedic Surgery, University of Illinois at Chicago, Chicago, IL (Dr. Gonzalez).
J Am Acad Orthop Surg Glob Res Rev. 2022 Sep 27;6(9). doi: 10.5435/JAAOSGlobal-D-22-00147. eCollection 2022 Sep 1.
COVID-19 disrupted public transit and led to increased reliance on alternative modes of transportation (AMTs) internationally. This study hypothesizes that public interest and fracture injuries associated with AMTs increased during COVID-19 in the United States.
Monthly Google search probabilities and the number of fracture injuries associated with bicycles, scooters, skateboards/longboards, rollerblades, electric bicycles, and electric micromobility vehicles were collected from January 2017 to December 2021. Wilcoxon signed-rank tests were used to assess differences in search probabilities and fracture injuries between 2021, 2020, and 2019. Linear regression was used to study the relationship between search probabilities and number of fracture injuries.
For bicycles, skateboards/longboards, electric bicycles, and electric micromobility vehicles, search probabilities and fracture injuries were higher in 2021 and 2020 compared with 2019, except for bicycle fractures in 2021 (P < 0.05). For every AMT, except roller skates, search probability had an explanatory effect on fracture injuries (P < 0.001).
Online interest in AMTs and associated fracture injuries increased during the COVID-19 pandemic. Excess fractures seem to be stabilizing as of December 2021, but online search volumes may be used to inform the allocation of orthopaedic trauma resources during future surges in COVID-19 and other epidemics.
COVID-19 扰乱了公共交通，导致国际上对替代交通方式（AMTs）的依赖增加。本研究假设，在美国，COVID-19 期间，公众对 AMTs 的兴趣以及与 AMTs 相关的骨折损伤增加。
从 2017 年 1 月至 2021 年 12 月，每月收集与自行车、滑板/长板、轮滑鞋、电动自行车和电动微型交通工具相关的 Google 搜索概率和骨折损伤数量。采用 Wilcoxon 符号秩检验评估 2021 年、2020 年和 2019 年搜索概率和骨折损伤的差异。线性回归用于研究搜索概率与骨折损伤数量之间的关系。
对于自行车、滑板/长板、电动自行车和电动微型交通工具，2021 年和 2020 年的搜索概率和骨折损伤均高于 2019 年，但 2021 年自行车骨折除外（P < 0.05）。除了轮滑鞋外，对于每种 AMT，搜索概率对骨折损伤都有解释作用（P < 0.001）。
在 COVID-19 大流行期间，人们对 AMTs 和相关骨折损伤的在线兴趣增加。截至 2021 年 12 月，过度骨折似乎趋于稳定，但在线搜索量可用于为未来 COVID-19 和其他流行病的激增期间分配骨科创伤资源提供信息。
