Department of Major Trauma, St Marys Hospital, London, UK.
Centre for Trauma Sciences, Blizard Institute, Queen Mary University of London, London, UK.
Inj Prev. 2023 Apr;29(2):121-125. doi: 10.1136/ip-2022-044722. Epub 2023 Feb 28.
To determine the incidence, demographics and injury patterns involved in E-Scooter-related hospital admissions due to significant trauma compared with bicycle-related trauma within England and Wales. To compare morbidity and mortality between groups.
A retrospective cohort study based on data which has been prospectively collected and submitted to the UK Trauma Audit and Research Network (TARN) registry.
Major trauma centres and trauma units within England and Wales.
Patients of any age who were admitted to hospitals in England and Wales with injuries following E-Scooter or bicycle incidents between the dates 1 January 2021-31 December 2021. All patients must have met TARN database inclusion criteria.
In-hospital mortality, critical care admission and length of stay (LoS), hospital LoS and discharge destination.
There were 293 E-Scooter trauma incidents compared with 2538 bicycle incidents. E-Scooter users were more likely to be admitted to a major trauma centre (p=0.019) or a critical care unit (p<0.001). Serious head and limb trauma (Abbreviated Injury Scale >2) occurred more frequently among the E-Scooter cohort (35.2% vs 19.7%, p<0.001 and 39.9% vs 27.2%, p<0.001, respectively) while serious chest and pelvic trauma were greater among bicycle users (p<0.001 and p=0.003, respectively). Over one-third of E-Scooter injuries were incurred outside the current legislation by patients who were intoxicated by alcohol and drugs (26%, 75/293) or under the age of 17 (14%, 41/293).
These early results suggest a greater relative incidence of serious trauma and an alternative pattern of injury among E-Scooter users compared with bicycles.
TARN210101.
确定与英格兰和威尔士自行车相关创伤相比，因严重创伤而导致与电动滑板车相关的住院治疗的发生率、人口统计学特征和损伤模式。比较两组之间的发病率和死亡率。
基于前瞻性收集并提交给英国创伤审核和研究网络 (TARN) 登记处的数据的回顾性队列研究。
英格兰和威尔士的主要创伤中心和创伤单位。
2021 年 1 月 1 日至 12 月 31 日期间，因电动滑板车或自行车事故受伤后在英格兰和威尔士的医院就诊的任何年龄的患者。所有患者必须符合 TARN 数据库纳入标准。
院内死亡率、重症监护病房收治和住院时间（LoS）、医院 LOS 和出院去向。
共发生 293 例电动滑板车创伤事件，而自行车创伤事件为 2538 例。电动滑板车使用者更有可能被收治到主要创伤中心（p=0.019）或重症监护病房（p<0.001）。电动滑板车组更常发生严重的头部和肢体创伤（损伤严重度评分>2）（35.2% vs 19.7%，p<0.001 和 39.9% vs 27.2%，p<0.001），而自行车使用者更常发生严重的胸部和骨盆创伤（p<0.001 和 p=0.003）。超过三分之一的电动滑板车受伤是由因酒精和药物中毒（26%，75/293）或年龄在 17 岁以下（14%，41/293）的患者在现行法规之外造成的。
与自行车相比，这些早期结果表明电动滑板车使用者的严重创伤相对发生率更高，且损伤模式不同。
TARN210101。
