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电动滑板车相关的 CT 阳性脑损伤:五年单中心经验概述。

Electric scooter - related CT - positive brain injuries: a five - year single - centre experience overview.

机构信息

Department of Neurosurgery, Hospital of Lithuanian University of Health Sciences, Kaunas Clinics, Kaunas, Lithuania.

Faculty of Medicine, Lithuanian University of Health Sciences, Kaunas, Lithuania.

出版信息

Neurosurg Rev. 2024 Sep 12;47(1):597. doi: 10.1007/s10143-024-02842-x.

Abstract

The popularity of electric scooters (ES) during the last five years due to climate neutrality and public availability led to increased numbers in traffic accidents with significant injuries. This study was conducted to overview e-scooter related computed tomography (CT) positive traumatic brain injuries, exploring circumstances, clinical course, outcomes and possible relations to behavioral patterns. We retrospectively reviewed medical data of all patients treated in our center during the period 2019 to 2023, medical records were analysed and statistically processed. This review included 45 patients, 75.7% were males and median age was 40 years old. Patient numbers did not differ between weekdays, working days versus weekends and time of the day. Eighty percent of patients were injured from falling off the scooter, the rest were hit by another vehicle while riding. None of the patients were known using helmet, significant alcohol intoxication was found in 68.8% of cases. The most common traumatic intracranial features were subarachnoid hemorrhage (55.6%), followed by brain contusions (48.9%), epidural (26.7%), subdural (26.7%) hemorrhages. Age had a positive correlation with alcohol intoxication (r = 0.596, p = 0.007) and poor outcomes (r = 0.522, p = 0.004), also, men over 40 years old were more likely to undergo surgery (p = 0.024), meanwhile operated patients suffered more infections (p = 0.011) and more often ended with poor outcomes (p < 0.001).

摘要

由于气候中和和公共可用性,电动滑板车 (ES) 在过去五年中的普及导致交通事故数量增加,其中有大量严重受伤的情况。本研究旨在综述与电动滑板车相关的 CT 阳性创伤性脑损伤,探讨其发生情况、临床过程、结果以及与行为模式的可能关系。

我们回顾性分析了 2019 年至 2023 年期间在我们中心治疗的所有患者的医疗数据,分析和统计了病历。

本研究共纳入 45 名患者,75.7%为男性,中位年龄为 40 岁。患者人数在工作日、周末和一天中的不同时间之间没有差异。80%的患者是从滑板车上摔下来受伤的,其余的是在骑车时被另一辆车撞到的。没有患者使用头盔,68.8%的病例存在明显的酒精中毒。最常见的创伤性颅内特征是蛛网膜下腔出血(55.6%),其次是脑挫裂伤(48.9%)、硬膜外血肿(26.7%)和硬膜下血肿(26.7%)。年龄与酒精中毒(r = 0.596,p = 0.007)和不良结局(r = 0.522,p = 0.004)呈正相关,此外,40 岁以上的男性更有可能接受手术(p = 0.024),同时手术患者更容易发生感染(p = 0.011),且更常导致不良结局(p < 0.001)。

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