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布鲁姆菲尔德医院与电动滑板车使用相关的口腔颌面部损伤:一项对英国电动滑板车合法化后24个月数据的队列研究。

Oral and maxillofacial injuries associated with e-scooter use at Broomfield Hospital: a cohort study of 24 months of data since e-scooter legalisation in the UK.

作者信息

Jones Kate, Parkin James, Rathod Neelam, Bhatt Vyomesh

机构信息

Dental Core Trainee 1, Oral Surgery and Oral and Maxillofacial Surgery, Broomfield Hospital, Essex, United Kingdom.

Senior House Officer, Respiratory Medicine, Basildon Hospital, Essex, United Kingdom.

出版信息

Br Dent J. 2023 Feb 3:1-5. doi: 10.1038/s41415-023-5506-5.

Abstract

Introduction Rental electronic scooters (e-scooters) were legalised in July 2020 in the UK for use on public roads. This has led to higher numbers of emergency department (ED) attendances for head and neck injuries managed by the oral and maxillofacial surgical (OMFS) department.Aim The aim of this research is to assess the increase in e-scooter injuries requiring OMFS input and analyse factors and management associated.Method Data were collected over a 24-month period. A total of 212 e-scooter-related ED presentations were recorded, with 34 patients requiring input from the OMFS department. For the patients referred to OMFS, numerical and categorical factors used independent T-tests and one-way Analysis of Variance tests, respectively, to determine statistical significance at the 5% confidence level (p <0.05).Results The mean age was 32.8 years (SD = 15.9) in a predominately male cohort (79.4%). Alcohol intoxication was observed in 55.8% of accidents. Injuries were most common on Saturdays (41.2%). Soft tissue injuries were present in 64.7% of patients, bony injuries in 38.2% of patients and dental injuries in 11.8% of patients. Imaging was required for 76.5% of patients. In total, 44% of patients required surgical treatment, 5.9% required major surgery and 38.2% required minor surgery.Conclusion This research supports the literature suggesting significant growth in e-scooter-related injuries and their associated burden of conditions managed by the OMFS department.

摘要

引言 租赁电动滑板车于2020年7月在英国合法化,可在公共道路上使用。这导致口腔颌面外科(OMFS)部门处理的头部和颈部损伤的急诊科(ED)就诊人数增加。

目的 本研究的目的是评估需要OMFS介入的电动滑板车损伤的增加情况,并分析相关因素及处理方式。

方法 数据收集期为24个月。共记录了212例与电动滑板车相关的ED就诊病例,其中34例患者需要OMFS部门介入。对于转诊至OMFS的患者,数值因素和分类因素分别采用独立样本t检验和单因素方差分析,以确定在5%置信水平(p<0.05)下的统计学意义。

结果 在以男性为主(79.4%)的队列中,平均年龄为32.8岁(标准差=15.9)。55.8%的事故中观察到酒精中毒。受伤情况在周六最为常见(41.2%)。64.7%的患者有软组织损伤,38.2%的患者有骨损伤,11.8%的患者有牙齿损伤。76.5%的患者需要影像学检查。总体而言,44%的患者需要手术治疗,5.9%的患者需要大手术,38.2%的患者需要小手术。

结论 本研究支持文献表明,电动滑板车相关损伤及其由OMFS部门处理的相关疾病负担显著增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed17/9897602/3be08d3988f0/41415_2023_5506_Fig1_HTML.jpg

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