Electric Scooter Injury in Southern California Trauma Centers.


Journal

Journal of the American College of Surgeons
ISSN: 1879-1190
Titre abrégé: J Am Coll Surg
Pays: United States
ID NLM: 9431305

Informations de publication

Date de publication:
07 2020
Historique:
received: 05 01 2020
revised: 20 02 2020
accepted: 20 02 2020
pubmed: 3 4 2020
medline: 16 3 2021
entrez: 3 4 2020
Statut: ppublish

Résumé

Electric scooters are popular in Southern California due to their ease of use, affordability, and availability. The objective of this study was to characterize how hospital admissions and outcomes varied due to electric scooter injury among Southern California trauma centers. Trauma registry data from 9 urban trauma centers were queried for patients sustaining injury while operating an electric scooter from January to December 2018. Data collection included patient demographics, diagnoses, interventions, and outcomes. During the 1-year study period, 87 patients required trauma surgeon care due to scooter-related injury, with a mean age of 35.1 years; 71.3% were male with 20.7% and 17.2% of patients requiring ICU admission and a surgical intervention, respectively. One (1.1%) patient died. The head and face were most commonly injured, followed by the extremities. Helmet use was uncommon (71.3%). High variability in patient volume was noted, with 2 centers considered high-incidence and the remaining low-incidence. Injuries from electric scooter crashes are primarily to the head, face, and extremities, with approximately 1 in 5 patients requiring ICU admission and/or a surgical intervention. There is significant variation in patient volume among Southern California trauma centers that could affect the delivery of care with the abrupt introduction of this technology. Targeted public health interventions and policies might better address community use of the electric scooter.

Sections du résumé

BACKGROUND
Electric scooters are popular in Southern California due to their ease of use, affordability, and availability. The objective of this study was to characterize how hospital admissions and outcomes varied due to electric scooter injury among Southern California trauma centers.
STUDY DESIGN
Trauma registry data from 9 urban trauma centers were queried for patients sustaining injury while operating an electric scooter from January to December 2018. Data collection included patient demographics, diagnoses, interventions, and outcomes.
RESULTS
During the 1-year study period, 87 patients required trauma surgeon care due to scooter-related injury, with a mean age of 35.1 years; 71.3% were male with 20.7% and 17.2% of patients requiring ICU admission and a surgical intervention, respectively. One (1.1%) patient died. The head and face were most commonly injured, followed by the extremities. Helmet use was uncommon (71.3%). High variability in patient volume was noted, with 2 centers considered high-incidence and the remaining low-incidence.
CONCLUSIONS
Injuries from electric scooter crashes are primarily to the head, face, and extremities, with approximately 1 in 5 patients requiring ICU admission and/or a surgical intervention. There is significant variation in patient volume among Southern California trauma centers that could affect the delivery of care with the abrupt introduction of this technology. Targeted public health interventions and policies might better address community use of the electric scooter.

Identifiants

pubmed: 32240771
pii: S1072-7515(20)30248-9
doi: 10.1016/j.jamcollsurg.2020.02.047
pii:
doi:

Types de publication

Journal Article Multicenter Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

133-138

Commentaires et corrections

Type : CommentIn

Informations de copyright

Copyright © 2020 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

Auteurs

Navpreet K Dhillon (NK)

Department of Surgery, Division of Trauma and Critical Care, Cedars-Sinai Medical Center, Los Angeles, CA.

Catherine Juillard (C)

Department of Surgery, Ronald Reagan UCLA Medical Center, Santa Monica, CA.

Galinos Barmparas (G)

Department of Surgery, Division of Trauma and Critical Care, Cedars-Sinai Medical Center, Los Angeles, CA.

Ting-Lung Lin (TL)

Department of Surgery, Division of Trauma and Critical Care, Cedars-Sinai Medical Center, Los Angeles, CA; Departments of Surgery, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan.

Dennis Y Kim (DY)

Division of Trauma and Critical Care, Harbor UCLA, Torrance, CA.

David Turay (D)

Department of Surgery, Division of Trauma, Loma Linda University Medical Center, Loma Linda, CA.

Alyssa R Seibold (AR)

Department of Surgery, Division of Trauma, Loma Linda University Medical Center, Loma Linda, CA.

Stephen Kaminski (S)

Trauma Division, Santa Barbara Cottage Hospital, Santa Barbara, CA.

Thomas K Duncan (TK)

Division of Trauma, Ventura County Medical Center, Ventura, CA.

Graal Diaz (G)

Division of Trauma, Ventura County Medical Center, Ventura, CA.

Shawki Saad (S)

General Surgery, Northridge Hospital Medical Center, Northridge, CA.

David Hanpeter (D)

General Surgery, Providence Holy Cross Medical Center, Mission Hills, CA.

Elizabeth R Benjamin (ER)

Division of Trauma, Emergency Surgery and Surgical Critical Care, Keck Medicine of University of Southern California, Los Angeles, CA.

Areti Tillou (A)

Department of Surgery, Ronald Reagan UCLA Medical Center, Santa Monica, CA.

Demetrios Demetriades (D)

Division of Trauma, Emergency Surgery and Surgical Critical Care, Keck Medicine of University of Southern California, Los Angeles, CA.

Kenji Inaba (K)

Division of Trauma, Emergency Surgery and Surgical Critical Care, Keck Medicine of University of Southern California, Los Angeles, CA.

Eric J Ley (EJ)

Department of Surgery, Division of Trauma and Critical Care, Cedars-Sinai Medical Center, Los Angeles, CA. Electronic address: Eric.Ley@cshs.org.

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