We investigated key risk factors for hospital admission related to powered scooters, which are modes of transportation with increasing accessibility across the United States (US). We queried the National Electronic Injury Surveillance System (NEISS) for injuries related to powered scooters, obtaining US population projections of injuries and hospital admissions. We determined mechanism of injury, characterized injury types, and performed multivariate regression analyses to determine factors associated with hospital admission. One thousand one hundred ninety-one patients sustained electric-motorized scooter (e-scooter) injuries and 10.9% (131) required hospitalization from 2013 to 2018. This extrapolated to a US annual total of 862 (95% CI:745–979) scooter injuries requiring hospitalization, with estimated annual mortality of 6.7 patients per year (95% CI:4.8–8.5). The incidence of hospital admissions increased by an average of 13.1% each year of the study period. Fall (79 [60%]) and motor vehicle collision (33 [25%]) were the most common mechanism. Injury locations included head (44 [34%]), lower extremity (22 [17%]), and lower trunk (16 [12%]). On multivariable analysis, significant factors associated with admission included increased age (OR 1.02, 95% CI:1.01–1.02), torso injuries (OR 6.19, 2.93–13.10), concussion (25.45, 5.88–110.18), fractures (21.98, 7.13–67.66), musculoskeletal injury (6.65, 1.20–36.99), and collision with vehicle (3.343, 2.009–5.562). Scooter speed, seasonality, and gender were not associated with risk of hospitalization. Our findings show increased hospital admissions and mortality from powered scooter trauma, with fall and motor vehicle collisions as the most common mechanisms resulting in hospitalization. This calls for improved rider safety measures and regulation surrounding vehicular collision scenarios.

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与踏板车创伤相关的入院风险：国家急诊室数据库研究


我们调查了与电动滑板车相关的入院关键风险因素，电动滑板车是美国各地日益普及的交通方式。我们向国家电子伤害监测系统 (NEISS) 查询了与电动滑板车相关的伤害情况，获得了美国伤害和住院人数的人口预测。我们确定了损伤机制、损伤类型特征，并进行了多元回归分析以确定与入院相关的因素。 2013 年至 2018 年，有 1191 名患者因电动滑板车（e-scooter）受伤，其中 10.9%（131 名）需要住院治疗。由此推断，美国每年总共有 862 名患者（95% CI：745-979）踏板车受伤需要住院治疗，估计每年有 6.7 名患者死亡（95% CI：4.8-8.5）。研究期间，入院率每年平均增加 13.1%。跌倒（79 [60%]）和机动车碰撞（33 [25%]）是最常见的机制。受伤部位包括头部（44 处 [34%]）、下肢（22 处 [17%]）和下躯干（16 处 [12%]）。多变量分析显示，与入院相关的重要因素包括年龄增加（OR 1.02，95% CI：1.01–1.02）、躯干损伤（OR 6.19，2.93–13.10）、脑震荡（25.45，5.88–110.18）、骨折（21.98，7.13） –67.66）、肌肉骨骼损伤（6.65、1.20–36.99）以及车辆碰撞（3.343、2.009–5.562）。滑板车速度、季节性和性别与住院风险无关。我们的研究结果显示，电动滑板车创伤导致的入院率和死亡率增加，其中跌倒和机动车碰撞是导致住院的最常见机制。 这就需要改进骑手安全措施和有关车辆碰撞场景的监管。