Department of Emergency Medicine, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul 03080, Republic of Korea; Disaster Medicine Research Center, Seoul National University Medical Research Center, 103 Daehak-ro, Jongno-gu, Seoul 03080, Republic of Korea; Department of Emergency Medicine, Seoul National University College of Medicine, 103 Daehak-ro, Jongno-gu, Seoul 03080, Republic of Korea.
Department of Emergency Medicine, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul 03080, Republic of Korea; Disaster Medicine Research Center, Seoul National University Medical Research Center, 103 Daehak-ro, Jongno-gu, Seoul 03080, Republic of Korea; Department of Emergency Medicine, Seoul National University College of Medicine, 103 Daehak-ro, Jongno-gu, Seoul 03080, Republic of Korea.
Injury. 2024 Jan;55(1):111197. doi: 10.1016/j.injury.2023.111197. Epub 2023 Nov 14.
Head trauma accounts for a large proportion of unpowered scooter injuries in children. Traumatic brain injury (TBI) is the leading cause of considerable mortality and morbidity in children, who are the main users of unpowered scooters. The aim of this study was to explore the characteristics of unpowered scooter injuries in children and to identify predictors of the occurrence of TBI.
A multicentre observational retrospective study was conducted using the Emergency Department-based Injury In-depth Surveillance (EDIIS) database in South Korea. Children aged 2 to 18 years old with unpowered scooter injuries between 2011 and 2018 were eligible for inclusion in this study, and the primary outcome was TBI defined based on the International Classification of Diseases, 10th Revision (ICD-10) code.
The annual rate of unpowered scooter injuries per 1,000 injured patients increased throughout the study period from 1.4 in 2011 to 16.4 in 2018 (P for trend < 0.001). Of the 3,892 children who had unpowered scooter injuries, 353 (9.2 %) had TBI. Children were at a higher risk of unpowered scooter TBI if they were aged between 2 and 5 years (adjusted odds ratio [aOR]: 1.37; 95 % confidence interval (CI): 1.09-1.73), were male (aOR: 1.45; 95 % CI: 1.14-1.86), were injured either on sidewalks (aOR: 1.80; 95 % CI: 1.20-2.70) or on driveways (aOR: 2.31; 95 % CI: 1.41-3.79), and experienced a fall (aOR: 1.98; 95 % CI: 1.15-3.43). Additionally, children injured after a blunt force were at a lower risk of TBI (aOR: 0.28; 95 % CI: 0.15-0.53).
Unpowered scooter injuries in children are increasing in South Korea. It is essential for younger children riding unpowered scooters to wear helmets and for caregivers to actively supervise their children to prevent TBI.
头部外伤占儿童非动力滑板车损伤的很大比例。创伤性脑损伤（TBI）是导致儿童死亡率和发病率较高的主要原因，而儿童是非动力滑板车的主要使用者。本研究旨在探讨儿童非动力滑板车损伤的特点，并确定 TBI 发生的预测因素。
本研究采用韩国基于急诊的损伤深入监测（EDIIS）数据库的多中心观察性回顾性研究。年龄在 2 至 18 岁之间，2011 年至 2018 年期间因非动力滑板车受伤的儿童有资格入组，主要结局为基于国际疾病分类，第 10 版（ICD-10）代码定义的 TBI。
研究期间，每年每 1000 名受伤患者中非动力滑板车受伤的发生率从 2011 年的 1.4 上升到 2018 年的 16.4（趋势 P < 0.001）。在 3892 名发生非动力滑板车损伤的儿童中，353 名（9.2%）发生 TBI。如果儿童年龄在 2 至 5 岁（调整后的优势比[aOR]：1.37；95%置信区间[CI]：1.09-1.73），为男性（aOR：1.45；95%CI：1.14-1.86），在人行道（aOR：1.80；95%CI：1.20-2.70）或车道（aOR：2.31；95%CI：1.41-3.79）受伤，或发生跌倒（aOR：1.98；95%CI：1.15-3.43），则非动力滑板车 TBI 的风险更高。此外，非动力滑板车受伤后受钝器打击的儿童发生 TBI 的风险较低（aOR：0.28；95%CI：0.15-0.53）。
韩国儿童非动力滑板车损伤呈上升趋势。年幼的儿童在骑非动力滑板车时应戴头盔，看护者应积极监督儿童，以防止 TBI。
