New peril on our roads: a retrospective study of electric scooter-related injuries

New peril on our roads: a retrospective study of electric scooter-related injuries
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DOI:
10.11622/smedj.2019083
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发表时间:
2020-02-01
影响因子:
2.7
通讯作者:
Pek, Jen Heng
Pek, Jen Heng
中科院分区:
医学4区
文献类型:
--
作者:
Liew, Yee Kent;Wee, Choon Peng Jeremy;Pek, Jen Heng

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简介 电动滑板车作为一种通勤方式在当地越来越受欢迎。我们的目的是了解新加坡电动滑板车相关伤害的现状。方法对 2015 年至 2016 年在新加坡急诊室 (ED) 就诊的患者的医疗记录进行回顾性审查。对患者的人口学特征、事故情况、受伤情况和临床进展进行分析。结果 共36例,均为电动滑板车使用者。中位年龄为 34 岁(范围 17.70),其中 66.7% 为男性。从 2015 年到 2016 年,案件数量增加了 2.3 倍。其中 11 起案件(30.6%)涉及另一名道路使用者。两起案件涉及防护装备的使用。 14 例(38.9%)病例由紧急医疗服务机构转送。在急诊室,4 例(11.1%)、17 例(47.2%)和 15 例(41.7%)病例分别被分类为 P1(急诊)、P2(紧急)和 P3(门诊)。急诊科对 31 例 (86.1%) 病例进行了调查。外部损伤最常见 (72.2%),其次是四肢损伤 (33.3%),简明损伤量表评分中位数分别为 1 和 2。总体而言,伤害严重程度评分中位数为 1。9 名患者入院,其中 3 名需要手术。中位住院时间为 2 天(范围 1.6)。 结论 电动滑板车相关伤害的发生率似乎呈上升趋势,并可能导致显着的发病率和医疗费用。应进一步加强安全教育和执法,以防止事故发生并尽量减少伤害的影响。
INTRODUCTION The electric scooter has been gaining popularity locally as a commute mode. We aimed to understand the current landscape of electric scooter-related injuries in Singapore.METHODS A retrospective review was performed of the medical records of patients seen from 2015 to 2016 at an emergency department (ED) in Singapore. Patient demographics, circumstances of the accident, injuries sustained and clinical progress were analysed.RESULTS There were 36 cases, all of whom were electric scooter users. The median age was 34 (range 17.70) years and 66.7% were male. There was a 2.3-fold increase in the number of cases from 2015 to 2016. In 11 (30.6%) of cases, another road user was implicated. Two cases involved the use of protective equipment. 14 (38.9%) cases were conveyed by Emergency Medical Services. In the ED, 4 (11.1%), 17 (47.2%) and 15 (41.7%) cases were triaged as P1 (emergent), P2 (urgent) and P3 (ambulatory), respectively. Investigations were performed in the ED for 31 (86.1%) cases. External injuries were most common (72.2%), followed by extremity injuries (33.3%), with median Abbreviated Injury Scale scores of 1 and 2, respectively. Overall, the median Injury Severity Score was 1. Nine patients were admitted to the hospital with three requiring surgery. The median length of stay was 2 (range 1.6) days.CONCLUSION The incidence of electric scooter-related injuries appears to be on the rise and may potentially incur significant morbidity and healthcare costs. Further efforts at safety education and enforcement should be made to prevent accidents and minimise the impact of these injuries.