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Electric scooter trauma as a new category of injuries with high hospitalisation and morbidity rates in young and adult patients

Maria Grazia Bocci

3409759951

Introduction:

Electric scooters (e-scooters) are a new means of transport used worldwide. Their ease of use and low costs allowed a rapid spread in high traffic urban areas although their use increased road accidents. The goals of our study are to describe e-scooter related high morbidity injuries and to raise awareness about this topic.

Methods:

It is a retrospective analysis conducted from September 2019 to September 2022 in San Camillo Forlanini Hospital (Rome, Italy). All patients presenting to the emergency department (ED) with injuries associated with e-scooter use were included.

Results:

273 patients were enrolled (156 males [57%], mean age [SD] 33.2 [13.4] years): 233 were e-scooter riders; only a limited number of them wore helmet. 256 of patients (94%) presented during night time. The mean Injury Severity Score (ISS) was 4.6 (SD ± 11.02); in 60 patients (22%) ISS was > 9. Injuries involved more frequently head (37%), face (22%) and upper limbs (44%). 70 patients required surgery and 7 of them were admitted to intensive care unit. Major head injury occurred in 22 patients (22%), 4 of them had permanent disability. Risk factors for hospitalization include: e-scooter crush during night time (OR 2.17, p < 0,05), loss of consciousness at the admission (OR 1.75 p < 0,01), need for transfer by helicopter (OR 4.12, p < 0,05) and anticoagulant or antiplatelet therapy (OR 5.17, p < 0,01).

Conclusion:

The use of e-scooters is a growing phenomenon worldwide. However, its use is associated with a wide range of injuries that may require hospital admission and surgical intervention, resulting in high morbidity and health care costs. In this setting, use of helmet must be mandatory to reduce head injury associated morbidity. Furthermore, given the remarkably high rates of night time injuries, an e-scooter ban during night could significantly decrease the rate of accidents.

Electric scooter trauma as a new category of injuries with high hospitalisation and morbidity rates in young and adult patients

Orale

C Gori, MD, UOSD Shock and Trauma, San Camillo-Forlanini Hospital, Rome, Italy

MG Bocci, MD, Department of Emergency, Intensive Care Medicine and Anesthesia, Fondazione Policlinico Universitario AGemelli IRCCS, Rome, Italy

L Forcella, MD, UOSD Shock and Trauma, San Camillo-Forlanini Hospital, Rome, Italy

A Martinotti, MD, UOSD Shock and Trauma, San Camillo-Forlanini Hospital, Rome, Italy

RM Pani, MD, UOSD Shock and Trauma, San Camillo-Forlanini Hospital, Rome, Italy

S Manfroni, MD, UOC General and Emergency Surgery, San Camillo-Forlanini Hospital, Rome, Italy

G Ricci, MD, UOC General and Emergency Surgery, San Camillo-Forlanini Hospital, Rome, Italy

P Marini, MD, UOC General and Emergency Surgery, San Camillo-Forlanini Hospital, Rome, Italy

E Cingolani, MD, UOSD Shock and Trauma, San Camillo-Forlanini Hospital, Rome, Italy

Pronto Soccorso

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