从危险到保护：对影响电动滑板车受伤情况的法规的评估
From Peril to Protection: an evaluation of regulations impacting eScooter injuries.
作者信息
Black Kendra M, Santorelli Jarrett E, Costantini Todd W, Kobayashi Leslie M, Doucet Jay J, Haines Laura N
机构信息
Department of Surgery, Division of Trauma, Surgical Critical Care, Burns and Acute Care Surgery, University of California San Diego, San Diego, California, USA.
出版信息
Trauma Surg Acute Care Open. 2025 Feb 10;10(1):e001440. doi: 10.1136/tsaco-2024-001440. eCollection 2025.
BACKGROUND
The use of standing electric motorized scooters (eScooters) has skyrocketed since its first release in 2016. This quickly popularized form of transportation has been associated with significant injury and even death. These eScooter-related traumatic injuries led to local advocacy efforts, resulting in safety restrictions including speed limit geofencing, sidewalk restrictions, and limiting the number of eScooter providers in high-density population areas. We hypothesized that these local safety restrictions decreased the number of eScooter-related injuries presenting to our trauma center. .
METHODS
This is a retrospective cohort study of eScooter-crash patients presenting to our Level 1 trauma center from July 2018 to June 2023. Variables included patient demographics, injury severity score (ISS), and mortality. The primary outcome was the rate of eScooter patients presenting over time in relation to the implementation of local-regional safety regulations.
RESULTS
A total of 381 patients presented after eScooter crashes. Males were 73.8% of patients. The average age was 38.6 years; 45+ years was the most common age group at 33%, followed by ages 25-34 (31%). The mean ISS was 9±6, with ISS 0-9 (65.1%), 10-15 (24.4%), 16-24 (8.4%), and >25 (20.1%). There were three (0.8%) deaths. The median number of eScooter patients per month with prespeed limits was nine and post five (p=0.005), showing a 44.4% decrease in injured patients. After February 2022 restrictions, the rate precipitously declined with a median of two (p=0.033), reflecting an additional 60% decrease in injured patients.
CONCLUSION
Local advocacy resulting in increased safety regulations was associated with a significant reduction in injured patients secondary to eScooter use. This demonstrates the importance of advocacy efforts in response to changes in injury patterns and mechanisms of injury. We believe that our work can serve as a model for other urban centers seeking to reduce eScooter-related injuries and implement effective safety measures.
LEVEL OF EVIDENCE
IV, prognostic/epidemiologic.
背景
自2016年首次推出以来，电动站立式滑板车（电动滑板车）的使用量急剧上升。这种迅速流行的交通方式与严重伤害甚至死亡有关。这些与电动滑板车相关的创伤性损伤引发了地方宣传活动，导致了安全限制措施的出台，包括速度限制地理围栏、人行道限制以及限制高密度人口地区电动滑板车供应商的数量。我们假设这些地方安全限制措施减少了到我们创伤中心就诊的与电动滑板车相关的损伤数量。
方法
这是一项对2018年7月至2023年6月期间到我们一级创伤中心就诊的电动滑板车碰撞患者的回顾性队列研究。变量包括患者人口统计学信息、损伤严重程度评分（ISS）和死亡率。主要结局是随着地方区域安全法规的实施，电动滑板车患者随时间就诊的发生率。
结果
共有381名患者在电动滑板车碰撞后前来就诊。男性患者占73.8%。平均年龄为38.6岁；45岁及以上是最常见的年龄组，占33%，其次是25 - 34岁（31%）。平均ISS为9±6，ISS为0 - 9的患者占65.1%，10 - 15的占24.4%，16 - 24的占8.4%，大于25的占20.1%。有3例（0.8%）死亡。速度限制实施前每月电动滑板车患者的中位数为9例，实施后为5例（p = 0.005），表明受伤患者减少了44.4%。2022年2月的限制措施实施后，发生率急剧下降，中位数为2例（p = 0.033），这表明受伤患者又减少了60%。
结论
地方宣传活动导致安全法规增加，与电动滑板车使用导致的受伤患者显著减少有关。这证明了针对伤害模式和损伤机制变化进行宣传努力的重要性。我们相信我们的工作可以为其他寻求减少与电动滑板车相关损伤并实施有效安全措施的城市中心提供一个范例。
证据水平
IV，预后/流行病学。
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