World Journal of Emergency Medicine ›› 2022, Vol. 13 ›› Issue (1): 5-10.doi: 10.5847/wjem.j.1920-8642.2022.002
• Original Articles • Next Articles
Ittai Shichman1, Or Shaked1(), Shai Factor1, Ahuva Weiss-Meilik2, Amal Khoury1
Received:
2021-03-29
Accepted:
2021-08-16
Online:
2021-09-23
Published:
2022-01-01
Contact:
Or Shaked
E-mail:orshakedd@gmail.com
Ittai Shichman, Or Shaked, Shai Factor, Ahuva Weiss-Meilik, Amal Khoury. Emergency department electric scooter injuries after the introduction of shared e-scooter services: A retrospective review of 3,331 cases[J]. World Journal of Emergency Medicine, 2022, 13(1): 5-10.
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URL: http://wjem.com.cn/EN/10.5847/wjem.j.1920-8642.2022.002
Table 1
Patient demographics, n (% of total cohort)
Parameters | Values |
---|---|
Age, years, mean (SD) | 32.3 (11.8) |
Age group | |
16-25 years | 889 (26.7) |
25-40 years | 1,849 (55.5) |
40-60 years | 441 (13.2) |
≥60 years | 152 (4.6) |
Sex, male | 1,991 (59.8) |
Time of day | |
00:00-05:59 | 525 (15.8) |
06:00-11:59 | 795 (23.8) |
12:00-17:59 | 1,113 (33.4) |
18:00-23:59 | 898 (27.0) |
Mechanism of ED transport | |
Emergency medical services | 1,153 (34.6) |
Self-presented | 2,178 (65.4) |
Australasian Triage Scale | |
1 - Immediately life threatening | 36 (1.1) |
2 - Imminently life threatening | 82 (2.5) |
3 - Potentially life threatening | 1,016 (30.5) |
4 - Situational urgency | 1,801 (54.1) |
5 - Less urgent | 240 (7.2) |
Unknown | 156 (4.6) |
Trauma room activation | 41 (1.2) |
Imaging | |
X-Ray | 2,342 (70.3) |
Any CT | 985 (29.6) |
Head CT | 531 (15.9) |
ED treatment | |
Analgesics | 1,344 (40.3) |
Antibiotics | 207 (6.2) |
Tetanus toxoid | 723 (21.7) |
Blood alcohol concentration (≥0.08 mg/dL) | |
Positive | 56 (1.7) |
Negative | 70 (2.1) |
Missing | 3,205 (96.2) |
Helmet use | |
Yes | 138 (4.1) |
No | 122 (3.7) |
Unknown | 3,071 (92.2) |
Mechanism of injury | |
Rider fall | 2,635 (79.1) |
Rider collision | 536 (16.1) |
Pedestrian vs. e-scooter | 160 (4.8) |
ED LOS, mean (SD) | 4 hours and 55 minutes (3 hours and 44 minutes) |
Table 2
Injury characteristic and patient outcomes1,2
Parameters | Values |
---|---|
Orthopedic injuries, n (% of total cohort) | 2,637 (79.2) |
Contusion/laceration | 1,941 (58.3) |
Sprain/dislocation | 97 (2.9) |
Fractures | 599 (18.0) |
Non-orthopedic injuries, n (% of total cohort) | 741 (22.2) |
Head | 581 (17.4) |
Thoracic | 115 (3.5) |
Abdomen | 45 (1.4) |
Hospital admissions, n (% of total cohort); [% of admissions] | |
Orthopedic | 126 (3.8); [42.6] |
General surgery | 40 (1.2); [13.5] |
Neurosurgery | 48 (1.4); [16.2] |
Other | 82 (2.5); [27.7] |
Total | 296 (8.9) |
Surgeries, n (% of total cohort); [% of surgeries] | |
Orthopedic | 358 (10.7); [77.5] |
General surgery | 14 (0.4); [3.0] |
Neurosurgery | 9 (0.3); [1.9] |
Other | 81 (2.4); [17.6] |
Total | 462 (13.9) |
Direct transfer to operating room, n (% of surgeries) | 76 (16.4) |
Emergency department readmissions, n (% of total cohort) | |
24 hours | 73 (2.2) |
7 days | 182 (5.5) |
30 days | 93 (2.8) |
Total | 348 (10.4) |
1 |
Badeau A, Carman C, Newman M, Steenblik J, Carlson M, Madsen T. Emergency department visits for electric scooter-related injuries after introduction of an urban rental program. Am J Emerg Med. 2019; 37(8):1531-3.
doi: 10.1016/j.ajem.2019.05.003 |
2 | Kobayashi LM, Williams E, Brown CV, Emigh BJ, Bansal V, Badiee J, et al. The e-merging e-pidemic of e-scooters. Trauma Surg Acute Care Open. 2019; 4(1):e000337. |
3 |
Barker R. Electric scooters. Emerg Med Australas. 2019; 31(6):914-5.
doi: 10.1111/1742-6723.13424 pmid: 31816665 |
4 | Moses S. E-scooter ridesharing co Bird to launch in Tel Aviv. Available at https://en.globes.co.il/en/article-escooter-ridesharing-co-bird-to-launch-in-tel-aviv-1001248460 . |
5 | Raz-Chaimovich M. E-scooter co Wind to launch in Tel Aviv. Available at https://en.globes.co.il/en/article-e-scooter-co-wind-to-launch-in-tel-aviv-1001266446 . |
6 | Raz-Chaimovich M. Lime e-scooters officially launches Israel operations. Available at https://en.globes.co.il/en/article-lime-e-scooters-officially-launches-israel-operations-1001272352 . |
7 | Etison U, Pick A. Lime e-scooters officially launches Israel operations. Available at https://www.calcalistech.com/ctech/articles/0,7340,L-3777899,00.html . |
8 |
Ishmael CR, Hsiue PP, Zoller SD, Wang PC, Hori KR, Gatto JD, et al. An early look at operative orthopaedic injuries associated with electric scooter accidents. J Bone Joint Surg Am. 2020; 102(5):e18.
doi: 10.2106/JBJS.19.00390 |
9 | Israel National Road Safety Authority. Regulations—electric scooter.Available at https://www.gov.il/he/departments/legalInfo/regulations_scooter . |
10 | Bird Rides, Inc. A look at e-scooter safety. Available at https://www.bird.co/wp-content/uploads/2019/12/Bird-Safety-Report-April-2019.pdf |
11 | Choron RL, Sakran JV. The integration of electric scooters: useful technology or public health problem? Am J Public Heal. 2019; 109(4):555-6. |
12 | McGuinness MJ, Tiong Y, Bhagvan S. Shared electric scooter injuries admitted to Auckland city hospital: a comparative review one year after their introduction. N Z Med J. 2021; 134(1530):21-9. |
13 |
Cha Sow King C, Liu M, Patel S, Goo TT, Lim WW, Toh HC. Injury patterns associated with personal mobility devices and electric bicycles: an analysis from an acute general hospital in Singapore. Singap Med J. 2020; 61(2):96-101.
doi: 10.11622/smedj.2019084 |
14 |
Beck S, Barker L, Chan AN, Stanbridge S. Emergency department impact following the introduction of an electric scooter sharing service. Emerg Med Australas. 2020; 32(3):409-15.
doi: 10.1111/emm.v32.3 |
15 |
Namiri NK, Lui H, Tangney T, Allen IE, Cohen AJ, Breyer BN. Electric scooter injuries and hospital admissions in the United States, 2014-2018. JAMA Surg. 2020; 155(4):357-9.
doi: 10.1001/jamasurg.2019.5423 pmid: 31913417 |
16 | Peleg K. Bicycle and electric scooter injury data report—summary 2019. Available at http://www.gertnerinst.org.il/health_policy/trauma/trauma_research/968.htm . |
17 |
Dhillon NK, Juillard C, Barmparas G, Lin TL, Kim DY, Turay D, et al. Electric scooter injury in southern California trauma centers. J Am Coll Surg. 2020; 231(1):133-8.
doi: 10.1016/j.jamcollsurg.2020.02.047 |
18 | Trivedi TK, Liu C, Antonio ALM, Wheaton N, Kreger V, Yap A, et al. Injuries associated with standing electric scooter use. JAMA Netw Open. 2019; 2(1):e187381. |
19 |
Vernon N, Maddu K, Hanna TN, Chahine A, Leonard CE, Johnson JO. Emergency department visits resulting from electric scooter use in a major southeast metropolitan area. Emerg Radiol. 2020; 27(5):469-75.
doi: 10.1007/s10140-020-01783-4 pmid: 32372167 |
20 | American Trauma Society. Trauma center levels explained. Available at https://www.amtrauma.org/page/traumalevels . |
21 | Forero R. Literature review on the Australasian Triage Scale (ATS). Available at http://nla.gov.au/nla.arc-128506 . |
22 | Bird Rides, Inc. Tel Aviv hits modeshift milestone with over 5 million bird rides in 2 years.Available at https://www.bird.co/blog/tel-aviv-modeshift-milestone-5-million-bird-rides-2-years . |
23 |
Siow MY, Lavoie-Gagne O, Politzer CS, Mitchell BC, Harkin WE, Flores AR, et al. Electric scooter orthopaedic injury demographics at an urban level I trauma center. J Orthop Trauma. 2020; 34(11):e424-9.
doi: 10.1097/BOT.0000000000001803 |
24 |
Tenenbaum S, Weltsch D, Bariteau JT, Givon A, Peleg K, Thein R, et al. Orthopaedic injuries among electric bicycle users. Injury. 2017; 48(10):2140-4.
doi: S0020-1383(17)30533-8 pmid: 28826652 |
25 |
Aizpuru M, Farley KX, Rojas JC, Crawford RS, Moore TJ, Wagner ER. Motorized scooter injuries in the era of scooter-shares: a review of the national electronic surveillance system. Am J Emerg Med. 2019; 37(6):1133-8.
doi: 10.1016/j.ajem.2019.03.049 |
26 | Blomberg SNF, Rosenkrantz OCM, Lippert F, Collatz Christensen H. Injury from electric scooters in Copenhagen: a retrospective cohort study. BMJ Open. 2019; 9(12):e033988. |
27 | Amin NH, Jakoi A, Katsman A, Harding SP, Tom JA, Cerynik DL. Incidence of orthopedic surgery intervention in a level I urban trauma center with motorcycle trauma. J Trauma. 2011; 71(4):948-51. |
28 | Lateef F. Riding motorcycles: is it a lower limb hazard?. Singapore Med J. 2002; 43(11):566-9. |
29 |
Bloom MB, Noorzad A, Lin C, Little M, Lee EY, Margulies DR, et al. Standing electric scooter injuries: impact on a community. Am J Surg. 2021; 221(1):227-32.
doi: 10.1016/j.amjsurg.2020.07.020 |
30 |
Rix K, Demchur NJ, Zane DF, Brown LH. Injury rates per mile of travel for electric scooters versus motor vehicles. Am J Emerg Med. 2021; 40:166-8.
doi: 10.1016/j.ajem.2020.10.048 |
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