Department of Health Surveillance and Bioethics, Fondazione Policlinico A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Largo F. Vito, 00168, Rome, Italy.
Emergency Medicine Department, Fondazione Policlinico Universitario Agostino Gemelli-IRCCS, Università Cattolica del Sacro Cuore Di Roma, Largo A. Gemelli 8, 00168, Rome, Italy.
Forensic Sci Med Pathol. 2023 Sep;19(3):319-324. doi: 10.1007/s12024-022-00546-6. Epub 2022 Nov 4.
Despite electric scooter use has proliferated in Italy since 2019, actionable data regarding injury incidence and patterns associated with electric scooter accidents are limited. This study aims at analyzing the rate, clinical, and demographic features of electric scooter accidents accessed to the Emergency Department (ED) of Fondazione Policlinico Universitario A. Gemelli IRCSS (Rome, Italy). This retrospective study included all patients older than 18 years riding an electric scooter in the ED from June 2019 to April 2022. Personal data, injury circumstances, helmet use, and health data were collected. Abbreviated Injury Scale (AIS) codes of all diagnoses were recorded, and the Injury Severity Score (ISS) was calculated for each patient. The analysis includes 92 patients admitted to the ED due to an e-scooter accident during the study period, with an increase in years. Thirty-two patients presented bone fractures especially concerning the extremities and the face districts. The median Injury Severity Score in the study cohort was 3, with the highest AIS represented by AIS Pelvic-Extremity and AIS External. Moreover, statistical significance was found between AIS Head-Neck and severity of trauma. E-scooters have become a familiar sight in cities worldwide recently, with many new companies renting them for use. But their arrival has also brought new safety concerns. Although most injuries reported are minor, the meager rate of helmet use is critical. Implementing compulsory helmet use for electric scooters for all ages could be a protective factor for being patient with head trauma on urban streets.
尽管自 2019 年以来，电动滑板车在意大利的使用已经普及，但与电动滑板车事故相关的受伤发生率和模式的可操作数据有限。本研究旨在分析到 Fondazione Policlinico Universitario A. Gemelli IRCSS（罗马，意大利）急诊部就诊的电动滑板车事故的发生率、临床和人口统计学特征。这项回顾性研究包括 2019 年 6 月至 2022 年 4 月期间在急诊科骑电动滑板车的所有 18 岁以上的患者。收集了个人数据、受伤情况、头盔使用情况和健康数据。记录了所有诊断的简明损伤分级 (AIS) 代码，并为每位患者计算了损伤严重度评分 (ISS)。该分析包括在研究期间因电动滑板车事故而到急诊科就诊的 92 名患者，就诊人数逐年增加。32 名患者出现骨折，特别是四肢和面部区域。研究队列的中位数损伤严重度评分为 3，最高的 AIS 代表 AIS 骨盆-四肢和 AIS 外部。此外，AIS 头颈部和创伤严重程度之间存在统计学意义。电动滑板车最近已成为世界各地城市的常见景象，许多新公司都租用它们供人们使用。但它们的到来也带来了新的安全问题。尽管报告的大多数伤害都比较轻微，但头盔使用率低是一个关键问题。为所有年龄段的电动滑板车强制使用头盔可能是保护城市街道上头部创伤患者的一个因素。
