Koehne Niklas H, Locke Auston R, Alley Austin A, Ramey Matthew D, Namiri Nikan K, Dhanjani Suraj, Yendluri Avanish, Waterman Brian R, Sherman Seth L, Parisien Robert L
Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Department of Economics, Brown University, Providence, RI, USA.
Phys Sportsmed. 2025 Jun;53(3):197-202. doi: 10.1080/00913847.2024.2440309. Epub 2024 Dec 13.
Electric biking (e-biking) is a rapidly growing recreation, sport, and mode of transportation that often presents to emergency departments (EDs) with high-impact head injuries. This study aimed to evaluate the epidemiology of e-bike-related concussions and closed-head injuries (CHI) to inform more effective injury prevention strategies.
The National Electronic Injury Surveillance (NEISS) was queried for e-bike related concussions and CHIs presented to national EDs from 1 January 2013-31 December 2022. Patient demographics, diagnoses, and dispositions were recorded, and injury narratives were reviewed to identify mechanisms of injury and motor vehicle (MV) involvement.
A total of 11,052 nationally estimated (NE) e-bike head injuries presented to US EDs from 2013 to 2022. E-bike head injuries increased significantly from 2013 to 2022 ( = .006, β = 372.5), with 40.8% of all head injuries occurring in 2022. Nearly one-third of patients (31.0%) required hospital admission, with hospitalization occurring most frequently among ages 51 and older (44.5%). MV involvement accounted for 27.6% of head injuries, and caused a higher proportion of hospitalizations than mechanisms without MVs (35.6% vs. 29.4%, respectively; < 0.001). High school age riders had the most MV incidents (53.2%), while the middle school age group had the highest proportion of concussions (26.5%) among all age groups. Relative to females, males were more likely to be involved in an MV incident (28.5% vs. 15.5%; < 0.001) and were more likely to be hospitalized (33.0% vs. 25.4%; < 0.001).
The incidence of concussions and CHIs due to e-bikes increased significantly from 2013 to 2022, while high proportions of hospitalization indicate serious injury severity and large medical costs associated with these injuries. The prevalence of crashes involving MVs, especially among teenagers, calls for further research on commuter and recreational e-bike use along with new traffic legislation to protect young e-bikers.
电动自行车骑行（电动自行车运动）作为一种娱乐、运动及交通方式正在迅速发展，电动自行车骑行者常因头部受到严重撞击而被送往急诊科。本研究旨在评估与电动自行车相关的脑震荡和闭合性头部损伤的流行病学情况，以便制定更有效的 injury prevention strategies。
查询国家电子伤害监测系统（NEISS）中2013年1月1日至2022年12月31日期间因电动自行车相关脑震荡和闭合性头部损伤而前往全国急诊科就诊的病例。记录患者的人口统计学信息、诊断结果和处置方式，并审查损伤描述以确定损伤机制和是否涉及机动车（MV）。
2013年至2022年期间，共有11,052例经全国估算（NE）的电动自行车头部损伤患者前往美国急诊科就诊。从2013年到2022年，电动自行车头部损伤显著增加（=0.006，β=372.5），2022年发生的头部损伤占总数的40.8%。近三分之一的患者（31.0%）需要住院治疗，51岁及以上患者的住院率最高（44.5%）。涉及机动车的情况占头部损伤的27.6%，与未涉及机动车的损伤机制相比，涉及机动车导致的住院比例更高（分别为35.6%和29.4%；<0.001）。高中年龄段的骑行者机动车事故发生率最高（53.2%），而在所有年龄组中，初中年龄段的脑震荡比例最高（26.5%）。相对于女性，男性更有可能卷入机动车事故（28.5%对15.5%；<0.001），也更有可能住院（33.0%对25.4%；<0.001）。
2013年至2022年期间，电动自行车导致的脑震荡和闭合性头部损伤发生率显著增加，而高住院率表明损伤严重程度高且与这些损伤相关的医疗成本巨大。涉及机动车的碰撞事故普遍存在，尤其是在青少年中，这就需要对通勤和娱乐性电动自行车的使用进行进一步研究，并出台新的交通法规以保护年轻的电动自行车骑行者。
