Medical University of South Carolina, Department of Orthopaedics and Physical Medicine, 96 Jonathan Lucas St., CSB 708, Charleston, SC 29425, United States.
Medical University of South Carolina, Department of Orthopaedics and Physical Medicine, 96 Jonathan Lucas St., CSB 708, Charleston, SC 29425, United States.
Am J Emerg Med. 2024 Dec;86:98-103. doi: 10.1016/j.ajem.2024.09.037. Epub 2024 Sep 15.
Skateboarding and motorized boards are popular as a recreational activity and mode of transportation. Prior studies have investigated injury patterns from these activities in the pediatric population, but there is little data in the adult population. This study aims to investigate and compare the type and severity of injuries associated with skateboarding and motorized boards.
Retrospective analysis of injury data collected from the NIESS (National Electronic Injury Surveillance system) database, including cases of fractures involving skateboards or motorized boards from 2018 to 2022. Data collected was demographic information, injury characteristics (e.g., body region affected, injury type), environmental factors, mechanism of injury, and hospital treatment and disposition. Statistical analysis including chi-square and independent t-test were employed to determine significant differences in injury pattern.
A total of 104,301 cases were included for analysis. 73.0 % of patients were male. 61.8 % of injuries were to the upper extremity. The most common fractures were of the wrist (20.2 %) and ankle (12.4 %). Patients injured on motorized boards were more likely to be older (40.0 ± 15.4 years) than those injured on skateboards (27.8 ± 9.8 years; p < 0.001). 13.9 % of fractures required hospital admission. Skateboard accidents were more likely to present with lower extremity fractures (p < 0.001), despite upper extremity injuries being the majority in both groups. There was a significant association between motorized board injuries and multiple fractures (p < 0.001, OR = 1.2), and hospital admission (p < 0.001, OR = 1.7).
Our study shows a high prevalence of upper extremity injuries, regardless of board type. Motorized boards are associated with a higher risk of multiple fractures and hospital admission. Motorized boards likely have increased risk due to their ability to sustain elevated speeds.
滑板和电动滑板车作为一种娱乐活动和交通工具越来越受欢迎。先前的研究已经调查了儿童群体中这些活动的伤害模式，但在成年人群体中数据较少。本研究旨在调查和比较与滑板和电动滑板车相关的伤害类型和严重程度。
对 2018 年至 2022 年期间从 NIESS（国家电子伤害监测系统）数据库中收集的伤害数据进行回顾性分析，包括涉及滑板或电动滑板车的骨折病例。收集的数据包括人口统计学信息、伤害特征（如受伤部位、伤害类型）、环境因素、损伤机制以及医院治疗和处置情况。采用卡方检验和独立 t 检验进行统计分析，以确定伤害模式的显著差异。
共纳入 104301 例进行分析。73.0%的患者为男性。61.8%的伤害发生在上肢。最常见的骨折是手腕（20.2%）和脚踝（12.4%）。电动滑板车受伤的患者年龄较大（40.0±15.4 岁），而滑板车受伤的患者年龄较小（27.8±9.8 岁；p<0.001）。13.9%的骨折需要住院治疗。尽管两组中上肢受伤均占多数，但滑板车事故更易导致下肢骨折（p<0.001）。电动滑板车受伤与多发性骨折（p<0.001，OR=1.2）和住院治疗（p<0.001，OR=1.7）之间存在显著关联。
我们的研究表明，无论滑板类型如何，上肢受伤的发生率都很高。电动滑板车与多发性骨折和住院治疗的风险增加相关。电动滑板车的风险增加可能是由于其能够维持较高的速度。
