Paediatric e-scooter riders at high risk of life-threatening traffic accidents.
Journal
Pediatric research
ISSN: 1530-0447
Titre abrégé: Pediatr Res
Pays: United States
ID NLM: 0100714
Informations de publication
Date de publication:
22 Oct 2024
22 Oct 2024
Historique:
received:
10
04
2024
accepted:
29
07
2024
revised:
22
07
2024
medline:
22
10
2024
pubmed:
22
10
2024
entrez:
21
10
2024
Statut:
aheadofprint
Résumé
This study presents the epidemiology and the development of e-scooter and non-electric scooter injuries in children and adolescents to highlight the nature and the severity of such injuries. All children and adolescents with electric or non-electric scooter related injuries between January 2019 until December 2022 were included in this single-centre study and retrospectively evaluated. An epidemiological overview including age, sex, type of scooter, injury mechanism, diagnosed injuries and surgical interventions were presented. Further, statistical comparisons of the means and proportions of injuries and the number of surgical interventions between electric and non-electric scooter riders were made. The study consists of 633 children and adolescents (9.1 ± 5.0 years; 231 female, 36.5%, 402 male, 63.5%). 80.1% (8.0 ± 4.1 years) used non-electric scooters, while 19.9% (14.2 ± 4.1 years) used e-scooters. In comparison, adolescent e-scooter riders were significantly more likely to be involved in traffic accidents (non-electric scooter: 16/507; e-scooter: 21/126; p = 0.0001) and suffered severe head injuries more often (non-electric scooter: 8/134; e-scooter: 7/37; p = 0.0217) than patients riding non-electric scooters. Adolescent e-scooter riders were more likely to be involved in potentially life-threatening traffic accidents having a higher risk of severe head injuries requiring surgery compared to non-electric scooter riders. Adolescent e-scooter riders have a higher risk to be involved in potentially life-threatening traffic accidents than riders of non-electric scooters. E-scooter riders have a higher risk of sustaining serious head injuries requiring surgical intervention than non-electric scooter riders. The data highly recommends the implementation of prevention strategies especially educating youth and parents and wearing protective clothing. Legislation and law enforcement could help prevent such injuries and potentially life-threatening traffic accidents involving children and adolescents who ride e-scooters.
Sections du résumé
BACKGROUND
BACKGROUND
This study presents the epidemiology and the development of e-scooter and non-electric scooter injuries in children and adolescents to highlight the nature and the severity of such injuries.
METHODS
METHODS
All children and adolescents with electric or non-electric scooter related injuries between January 2019 until December 2022 were included in this single-centre study and retrospectively evaluated. An epidemiological overview including age, sex, type of scooter, injury mechanism, diagnosed injuries and surgical interventions were presented. Further, statistical comparisons of the means and proportions of injuries and the number of surgical interventions between electric and non-electric scooter riders were made.
RESULTS
RESULTS
The study consists of 633 children and adolescents (9.1 ± 5.0 years; 231 female, 36.5%, 402 male, 63.5%). 80.1% (8.0 ± 4.1 years) used non-electric scooters, while 19.9% (14.2 ± 4.1 years) used e-scooters. In comparison, adolescent e-scooter riders were significantly more likely to be involved in traffic accidents (non-electric scooter: 16/507; e-scooter: 21/126; p = 0.0001) and suffered severe head injuries more often (non-electric scooter: 8/134; e-scooter: 7/37; p = 0.0217) than patients riding non-electric scooters.
CONCLUSION
CONCLUSIONS
Adolescent e-scooter riders were more likely to be involved in potentially life-threatening traffic accidents having a higher risk of severe head injuries requiring surgery compared to non-electric scooter riders.
IMPACT
CONCLUSIONS
Adolescent e-scooter riders have a higher risk to be involved in potentially life-threatening traffic accidents than riders of non-electric scooters. E-scooter riders have a higher risk of sustaining serious head injuries requiring surgical intervention than non-electric scooter riders. The data highly recommends the implementation of prevention strategies especially educating youth and parents and wearing protective clothing. Legislation and law enforcement could help prevent such injuries and potentially life-threatening traffic accidents involving children and adolescents who ride e-scooters.
Identifiants
pubmed: 39433964
doi: 10.1038/s41390-024-03667-6
pii: 10.1038/s41390-024-03667-6
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024. The Author(s), under exclusive licence to the International Pediatric Research Foundation, Inc.
Références
Levine, D. A., Platt, S. L. & Foltin, G. L. Scooter Injuries in Children. Pediatrics 107, E64 (2001).
doi: 10.1542/peds.107.5.e64
pubmed: 11331714
Fong, C. P. & Hood, N. A Paediatric Trauma Study of Scooter Injuries. Emerg. Med Australas. 16, 139–144 (2004).
pubmed: 15239729
Schalamon, J., Sarkola, T. & Nietosvaara, Y. Injuries in Children Associated with the Use of Nonmotorized Scooters. J. Pediatr. Surg. 38, 1612–1615 (2003).
doi: 10.1016/S0022-3468(03)00571-2
pubmed: 14614710
Moftakhar, T. et al. Incidence and Severity of Electric Scooter Related Injuries after Introduction of an Urban Rental Programme in Vienna: A Retrospective Multicentre Study. Arch. Orthop. Trauma Surg. 141, 1207–1213 (2021).
doi: 10.1007/s00402-020-03589-y
pubmed: 32852595
Brownson, A. B., Fagan, P. V., Dickson, S. & Civil, I. D. Electric Scooter Injuries at Auckland City Hospital. N. Z. Med J. 132, 62–72 (2019).
pubmed: 31697664
Cohen, L. L., Geller, J. S., Yang, B. W., Allegra, P. R. & Dodds, S. D. Pediatric Injuries Related to Electric Scooter Use: A National Database Review. J. Pediatr. Orthop. B 31, e241–e245 (2022).
doi: 10.1097/BPB.0000000000000879
pubmed: 34050120
Desiateryk, S. et al. Characteristics of Outdoor Motorized Scooter-Related Injuries: Analysis of Data from the Electronic Canadian Hospitals Injury Reporting and Prevention Program (Echirpp). Health Promot Chronic Dis. Prev. Can. 42, 450–454 (2022).
doi: 10.24095/hpcdp.42.10.05
pubmed: 36223161
pmcid: 9584175
DiMaggio, C. J., Bukur, M., Wall, S. P., Frangos, S. G. & Wen, A. Y. Injuries Associated with Electric-Powered Bikes and Scooters: Analysis of Us Consumer Product Data. Inj. Prev. 26, 524–528 (2020).
doi: 10.1136/injuryprev-2019-043418
pubmed: 31712276
Fisher, N. D., Nwakoby, E., Hernandez, H. & McLaurin, T. M. Electric Scooter Injuries: Incidence and Injury Patterns at a Level I Trauma Center. China J. Traumatol. 26, 334–338 (2023).
Magee, L. C., Chan, C., Talwar, D., Maguire, K. J. & Horn, B. D. A Comparison of Motorized and Nonmotorized Scooter Injuries in Pediatric Patients Seen in US Emergency Departments. Pediatr. Emerg. Care 38, e1314–e1319 (2022).
doi: 10.1097/PEC.0000000000002706
pubmed: 35639435
McGalliard, R., Hallam, K., Townley, S., Messahel, S. & Durand, C. L. Two-Year Paediatric Trauma Centre Analysis of Electric Scooter Injuries. Arch. Dis. Child 107, 1061–1062 (2022).
doi: 10.1136/archdischild-2022-324213
pubmed: 36261151
Mitchell, G., Tsao, H., Randell, T., Marks, J. & Mackay, P. Impact of Electric Scooters to a Tertiary Emergency Department: 8-Week Review after Implementation of a Scooter Share Scheme. Emerg. Med Australas. 31, 930–934 (2019).
doi: 10.1111/1742-6723.13356
pubmed: 31423709
Morgan, C., Morgan, R., Dela Cruz, N., Ng Man Sun, S. & Sarraf, K. M. Pediatric Electric Scooter Injuries in the UK: Case Series and Review of Literature. Traffic Inj. Prev. 23, 369–371 (2022).
doi: 10.1080/15389588.2022.2084540
pubmed: 35687112
Namiri, N. K. et al. Electric Scooter Injuries and Hospital Admissions in the United States, 2014-2018. JAMA Surg. 155, 357–359 (2020).
doi: 10.1001/jamasurg.2019.5423
pubmed: 31913417
pmcid: 6990814
Neuroth, L. M., Humphries, K. D., Wing, J. J., Smith, G. A. & Zhu, M. Motor Vehicle-Related Electric Scooter Injuries in the Us: A Descriptive Analysis of Neiss Data. Am. J. Emerg. Med 55, 1–5 (2022).
doi: 10.1016/j.ajem.2022.02.004
pubmed: 35228017
Reito, A., Öljymäki, E., Franssila, M. & Mattila, V. M. Incidence of Electric Scooter-Associated Injuries in Finland from 2019 to 2021. JAMA Netw. Open 5, e227418 (2022).
doi: 10.1001/jamanetworkopen.2022.7418
pubmed: 35420666
pmcid: 9011127
Shichman, I., Shaked, O., Factor, S., Weiss-Meilik, A. & Khoury, A. Emergency Department Electric Scooter Injuries after the Introduction of Shared E-Scooter Services: A Retrospective Review of 3,331 Cases. World J. Emerg. Med 13, 5–10 (2022).
doi: 10.5847/wjem.j.1920-8642.2022.002
pubmed: 35003408
pmcid: 8677920
Thull-Freedman, J. & Caird, J. K. Injuries Associated with E-Scooter Use in the City of Calgary: Canada Joins an International Conversation. Cjem 24, 675–676 (2022).
doi: 10.1007/s43678-022-00397-8
pubmed: 36284027
pmcid: 9595084
Nurmi, M., Järvelä, S., Mattila, V. M., Luoto, T. M. & Pauniaho, S. L. Paediatric Traffic Accidents - Current Epidemiological Trends at a Finnish University Hospital. Injury 51, 2179–2185 (2020).
doi: 10.1016/j.injury.2020.07.030
pubmed: 32732119
Chapman, S., Webber, C. & O’Meara, M. Scooter Injuries in Children. J. Paediatr. Child Health 37, 567–570 (2001).
doi: 10.1046/j.1440-1754.2001.00763.x
pubmed: 11903837
Schuller, A. et al. Consistently High Frequency of Scooter Injuries in Children-Retrospective Data Analysis in a Level I Trauma Centre. Children (Basel) 10, 1464 (2023).
Büyükceran, İ., Ersoy, A., Şay, C., Coşkun, H. S. & Tomak, Y. The Epidemiology and the Treatment of Fractures Due to Electric Scooters: A Comparison of Pediatric and Adult Age Groups. Cureus 15, e37807 (2023).
pubmed: 37214011
pmcid: 10198666
Gaines, B. A., Shultz, B. L. & Ford, H. R. Nonmotorized Scooters: A Source of Significant Morbidity in Children. J. Trauma 57, 111–113 (2004).
doi: 10.1097/01.TA.0000082156.67895.C8
pubmed: 15284559
Montagna, L. A., Cunningham, S. J. & Crain, E. F. Pediatric Scooter-Related Injuries. Pediatr. Emerg. Care 20, 588–592 (2004).
doi: 10.1097/01.pec.0000139740.54215.65
pubmed: 15599259
Sethi, D., Towner, E., Vincenten, J., Segui-Gomez, M. & Racioppi, F. European Report on Child Injury Prevention xv, 98 p. (World Health Organization. Regional Office for Europe, 2008).
Bundesministerium für Klimaschutz, U., Energie, Mobilität, Innovation und Technologie. Elektro-Scooter, < https://www.oesterreich.gv.at/themen/mobilitaet/Elektro-Scooter,-Quads-und-Co/Seite.610110.html > (2024).
Anderson-Suddarth, J. L. & Chande, V. T. Scooter Injuries in Children in a Midwestern Metropolitan Area. Pediatr. Emerg. Care 21, 650–652 (2005).
doi: 10.1097/01.pec.0000181424.79600.45
pubmed: 16215466
Unkuri, J. H., Salminen, P., Kallio, P. & Kosola, S. Kick Scooter Injuries in Children and Adolescents: Minor Fractures and Bruise. Scand. J. Surg. 107, 350–355 (2018).
doi: 10.1177/1457496918766693
pubmed: 29633655
Beck, S., Barker, L., Chan, A. & Stanbridge, S. Emergency Department Impact Following the Introduction of an Electric Scooter Sharing Service. Emerg. Med. Australas. 32, 409–415 (2020).
doi: 10.1111/1742-6723.13419
pubmed: 31828975
Trivedi, T. K. et al. Injuries Associated with Standing Electric Scooter Use. JAMA Netw. Open 2, e187381 (2019).
doi: 10.1001/jamanetworkopen.2018.7381
pubmed: 30681711
pmcid: 6484536
Suominen, E. N. et al. Alcohol Intoxication and Lack of Helmet Use Are Common in Electric Scooter-Related Traumatic Brain Injuries: A Consecutive Patient Series from a Tertiary University Hospital. Acta Neurochir. (Wien.) 164, 643–653 (2022).
doi: 10.1007/s00701-021-05098-2
pubmed: 35029763
Deniz, U. et al. E-Scooter Incidents in Berlin: An Evaluation of Risk Factors and Injury Patterns. Emerg. Med. J. 39, 295 (2022).
doi: 10.1136/emermed-2020-210268
Morgan, A. Why Children Should Not Ride E-Scooters, < https://www.healthychildren.org/English/safety-prevention/on-the-go/Pages/E-Scooters.aspx?_gl=1*1lch3kq*_ga*MTI3NzA5NjY4MC4xNjM5NDkyNjc3*_ga_FD9D3XZVQQ*MTY1NDA5NzMxOS4xNTkuMS4xNjU0MDk3MzU0LjA.&_ga=2.51260201.1006082983.1654006596-1277096680.1639492677 > (2023).
PACTS, E. Recommendations on Safety of E-Scooters, < https://etsc.eu/etsc-and-pacts-set-out-safety-recommendations-for-e-scooters-and-their-riders/ > (2023).
ECC-Net. Country Overview: E-Scooter Regulations in Europe, < https://www.evz.de/en/reisen-verkehr/e-mobilitaet/zweiraeder/e-scooter-regulations-in-europe.html > (2023).
Nielsen, K. I., Nielsen, F. E. & Rasmussen, S. W. Injuries Following Accidents with Electric Scooters. Dan Med J 68, A09200697 (2021).
Petursdottir, S. G., Kristjansson, J. M. & Bjornsson, H. M. Emergency Department Visits in Reykjavik for Electric Scooter Related Injuries During the Summer of 2020. Laeknabladid 107, 234–238 (2021).
pubmed: 33904832
Aulino, G., Spagnolo, D. & Cittadini, F. Commentary On: “Characteristics of Early Shared E-Scooter Fatalities in the United States 2018-2020”. Saf. Sci. 163, 106119 (2023).
doi: 10.1016/j.ssci.2023.106119
Badeau, A. et al. Emergency Department Visits for Electric Scooter-Related Injuries after Introduction of an Urban Rental Program. Am. J. Emerg. Med. 37, 1531–1533 (2019).
doi: 10.1016/j.ajem.2019.05.003
pubmed: 31104782
Lavoie-Gagne, O. et al. Characterization of Electric Scooter Injuries over 27 months at an Urban Level 1 Trauma Center. Am. J. Emerg. Med. 45, 129–136 (2021).
doi: 10.1016/j.ajem.2021.02.019
pubmed: 33690079
Trivedi, B. et al. Craniofacial Injuries Seen with the Introduction of Bicycle-Share Electric Scooters in an Urban Setting. J. Oral. Maxillofac. Surg. 77, 2292–2297 (2019).
doi: 10.1016/j.joms.2019.07.014
pubmed: 31454504