1
|
Desiateryk S, Zutrauen S, Wang Z, Iynkkaran I, Ghandour L, McFaull SR, Butler G, Cheesman J, Champagne A, Do MT. 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 2022; 42:450-454. [PMID: 36223161 PMCID: PMC9584175 DOI: 10.24095/hpcdp.42.10.05] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
INTRODUCTION The use of motorized scooters is gaining popularity in Canada and elsewhere. This study aims to summarize characteristics of injuries related to use of motorized scooters using data from the electronic Canadian Hospitals Injury Reporting and Prevention Program (eCHIRPP) and to analyze trends. The eCHIRPP collects information associated with the injury event and clinical information related to treatment (the injured body part, the nature of the injury, injury intent and treatment received) from 11 pediatric and 9 general hospitals across Canada. RESULTS A free-text search using keywords identified 523 cases related to motorized scooter injuries between January 2012 and December 2019. Most of the injuries reported were among males (62.7%). Fracture/dislocation was the most frequent injury (36.9%), and 14.3% of all patients were admitted to hospital. Joinpoint regression showed a statistically significant increase in injuries related to motorized scooter use between 2012 and 2017 (annual percent change of 18.4%). CONCLUSION Study findings indicate the need for continued preventive efforts and improved educational messages on safe riding and the importance of the use of protective equipment to prevent injuries among riders.
Collapse
Affiliation(s)
- Sofiia Desiateryk
- Department of Health Sciences, Carleton University, Ottawa, Ontario, Canada
| | - Sarah Zutrauen
- Department of Health Sciences, Carleton University, Ottawa, Ontario, Canada
| | - Ze Wang
- Department of Health Sciences, Carleton University, Ottawa, Ontario, Canada
| | | | - Lina Ghandour
- Consumer and Hazardous Products Safety Directorate, Health Canada, Ottawa, Ontario, Canada
| | | | - Greg Butler
- Public Health Agency of Canada, Ottawa, Ontario, Canada
| | | | | | - Minh T. Do
- Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
| |
Collapse
|
2
|
Slow and Steady Wins the Race: A Comparative Analysis of Standing Electric Scooters’ European Regulations Integrated with the Aspect of Forensic Traumatology. SUSTAINABILITY 2022. [DOI: 10.3390/su14106160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Fuel-driven cars are widely considered unsustainable and contrary to the new paradigm of smart growth planning. The need to reform transport behavior, policies, and infrastructure is among the priorities in urban policies around the world. Electric vehicles are an emerging technology that could advance sustainability programs. In the past year, there has been a rapid increase in the diffusion of electric scooters in several European cities, but various states have been unprepared for the rapid spread of green micro-mobility from a regulatory point of view. In addition, in parallel with the spread, there have been numerous road collisions involving standing electric scooters. The aim of this study was to obtain a detailed view of this phenomenon. We focused on the current legislation on electric micro-mobility at the European level to study and summarize the different attitudes adopted by various states whose regulations are present on the web. (It was not possible to evaluate the regulations of all European countries because they are not all available on online platforms.) The elements assessed in the various regulation were age limits, speed limits, compulsory use of helmets, administrative penalties, and the obligation to insure the new e-vehicle (standing scooter). In this study, we analyze the state of the art in electric micro-mobility, highlight the current situation’s limits, and propose new strategies to adequately integrate this new smart vehicle into the urban transport network.
Collapse
|
3
|
Ferro V, Nacca R, Boccuzzi E, Federici T, Ossella C, Merenda A, Toniolo RM, Musolino AM, Reale A, Raucci U. Trend of hoverboard related injuries at a pediatric emergency department. Ital J Pediatr 2022; 48:54. [PMID: 35365202 PMCID: PMC8973941 DOI: 10.1186/s13052-022-01227-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/13/2021] [Accepted: 01/26/2022] [Indexed: 11/10/2022] Open
Abstract
INTRODUCTION Understanding how the use of hoverboards (HBs) can affect a child's safety is crucial. We describe the characteristics of HB related injuries and provide key messages about child prevention when using these leisure devices. METHODS This was a retrospective study at an emergency department (ED) of a level-III-trauma center from 2016 to 2019. We tested the differences in children presenting for injury associated with HBs between 2016-2017 and 2018-2019 to better describe the temporal trend of the phenomenon. RESULTS The rate of Injury associated with HBs / Total injury per 1,000 increased from 0.84 in 2016 to 7.7 in 2017, and then there was a gradual decline. The likelihood of injury was more common in younger children, increasing by 17% with decreasing age in 2018-2019 compared with 2016-2017 (OR: 0.83; 95%CI: 0.71-0.97; p = 0.021). The occurrence of injury in the April-June period was over twice as common in 2018-2019 (OR: 2.05; 95%CI: 1.0-2.05; p = 0.05). Patients were over 4 times more likely to have injured the lower extremity during the 2018-2019 period rather than other body regions (OR: 4.58; 95%CI: 1.23-4.58; p = 0.02). The odds of the indoor injury were more than twice as high in 2018-2019 (OR: 2.04; 95%CI: 1.077-2.04; p = 0.03). CONCLUSION Despite a decrease in the frequency of HB related injuries after 2017, during the 2018-2019 period, the younger the children, the more they were exposed to injury risk, in addition to a greater occurrence of indoor injuries from HBs compared with 2016-2017. The enhancement of preventive measures is necessary to ensure child safety when using HBs.
Collapse
Affiliation(s)
- Valentina Ferro
- Pediatric Emergency, Department of Emergency and General Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
| | - Raffaella Nacca
- Pediatric Emergency, Department of Emergency and General Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - Elena Boccuzzi
- Pediatric Emergency, Department of Emergency and General Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - Tatiana Federici
- Pediatric Emergency, Department of Emergency and General Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - Chiara Ossella
- Emergency Department, Bambino Gesù Children Hospital, IRCCS, Palidoro, Italy
| | - Alessandra Merenda
- U.O.C. of Orthopedics and Traumatology, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - Renato Maria Toniolo
- U.O.C. of Orthopedics and Traumatology, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - Anna Maria Musolino
- Pediatric Emergency, Department of Emergency and General Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - Antonino Reale
- Pediatric Emergency, Department of Emergency and General Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - Umberto Raucci
- Pediatric Emergency, Department of Emergency and General Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| |
Collapse
|
4
|
Kim JY, Lee SC, Lee S, Lee CA, Ahn KO, Park JO. Characteristics of injuries according to types of personal mobility devices in a multicenter emergency department from 2011 to 2017: A cross-sectional study. Medicine (Baltimore) 2021; 100:e24642. [PMID: 33578587 PMCID: PMC7886398 DOI: 10.1097/md.0000000000024642] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/21/2020] [Accepted: 01/15/2021] [Indexed: 01/05/2023] Open
Abstract
Personal mobility devices (PMDs) have emerged as new factors in motor vehicle accidents, and related injuries are increasing. We aimed to describe the characteristics of PMD-related injuries presented to emergency departments (EDs) through a cross-sectional study for 7 years.This study is a multicenter cross-sectional study using the Emergency Department-based Injury In-Depth Surveillance database in South Korea. We identified all PMD-related injuries from 2011 to 2017 based on text searching. We categorized them into 3 groups based on their distinguishable characteristics: electric standing scooter (E-scooter), electric self-balancing wheel (E-wheel), and electronic board (E-board).A total of 448 PMD-related injuries were observed during the observation period. E-scooter-, E-wheel-, and E-board-related injuries occurred in 284, 138, and 26 cases, respectively. Most patients were between the ages of 19 and 59 years (69.2%), men (66.3%), and injured because of leisure activity (61.2%). The mechanism of injury was mostly traffic accidents (75.2%), but regarding injuries involving E-wheel and E-board, 25.4% and 30.8% of patients slipped from the device. The most commonly injured body part was the head, which accounted for 58.1% of E-scooter injuries, 38.4% of E-wheel injuries, and 53.9% of E-board injuries. Only 6 of all patients wore a helmet at the time of accident.PMD users and PMD-sharing programs are increasing, and more accidents are expected in the future. As PMDs are convenient to move and more people are willing to use them, proper riding and safety rules based on the type of PMD are needed to reduce the risk of injury. The results of this study can be used as basic data for developing safety policies.
Collapse
Affiliation(s)
- Joo Yeong Kim
- Department of Emergency Medicine, Korea University Ansan Hospital
| | - Seung Chul Lee
- Department of Emergency Medicine, Dongguk University College of Medicine, Dongguk University Ilsan Hospital
| | - Sanghun Lee
- Department of Emergency Medicine, Dongguk University College of Medicine, Dongguk University Ilsan Hospital
| | - Choung Ah Lee
- Department of Emergency Medicine, Hallym University College of Medicine, Dongtan Sacred Heart Hospital
| | - Ki Ok Ahn
- Department of Emergency Medicine, Hanyang University College of Medicine, Myoungji Hospital, Gyeonggi-do, Republic of Korea
| | - Ju Ok Park
- Department of Emergency Medicine, Hallym University College of Medicine, Dongtan Sacred Heart Hospital
| |
Collapse
|
5
|
Orthopedic Injuries Associated with Hoverboard Use in Children: A Multi-center Analysis. HSS J 2020; 16:221-225. [PMID: 33380950 PMCID: PMC7749912 DOI: 10.1007/s11420-019-09682-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/07/2018] [Accepted: 03/28/2019] [Indexed: 02/07/2023]
Abstract
BACKGROUND Since its release in 2015, the hoverboard has been associated with injuries in children and adolescents. However, its public health implications have yet to be explored in the orthopedic literature across multiple centers. PURPOSE/QUESTIONS We sought to assess the nature of orthopedic injuries and the use of clinical resources related to the hoverboard at four high-volume, regional pediatric hospitals. METHODS Departmental databases of emergency department (ED) consultations and urgent orthopedic clinic (UC) visits were queried for hoverboard injuries. A retrospective medical record review was performed for patients presenting over a 3-month period at four institutions. Data on demographics, injuries, clinical course, and resource use were analyzed. The frequency of hoverboard-related consultations was compared to those for monkey bar-related injuries at the primary study institution. RESULTS Eighty-nine patients with orthopedic hoverboard injuries presented to the ED and/or UC in the study period. Hoverboard injuries represented 2.2% of orthopedic ED consultations at the primary institution, compared to 1.5% for monkey bar injuries. Sixty-nine out of 89 (77.5%) total injuries involved the upper extremity, including 47 (52.8%) distal radius fractures, the most common hoverboard-related diagnosis. All but one injury (97.8%) underwent radiography, and eight (9%) required surgery. No patients reported wearing protective gear at the time of their injury. CONCLUSIONS Hoverboards were associated with a variety of pediatric orthopedic injuries and required the use of significant resources in the ED, UC, and operating room. These data may represent a starting point for further prospective multi-center studies and public health efforts toward prevention of hoverboard injuries.
Collapse
|
6
|
Lesko K, Deasy C. Low falls causing major injury: a retrospective study. Ir J Med Sci 2020; 189:1435-1443. [PMID: 32185749 DOI: 10.1007/s11845-020-02212-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2020] [Accepted: 03/11/2020] [Indexed: 11/26/2022]
Abstract
BACKGROUND Falling from a height of under 2 m (low fall) is the most common mechanism of injury causing major trauma in Ireland. This presentation encompasses a wide patient cohort, from paediatric sport injuries to elderly falls. AIMS Our aim is to characterise major trauma resulting from a low fall, and its various sub-populations, to identify preventative strategies and care pathways to improve outcomes for patients. METHODS The Trauma Audit and Research Network (TARN) which is used to provide Major Trauma Audit was used to retrospectively identify patients presenting to the Cork University Hospital Emergency Department with trauma resulting from a low fall from January 2015 to June 2018. RESULTS The database returned 1066 qualifying cases (49.3% of cases in the time period), with a mean age of 67.3 years (SD = 21) and a median age of 71.3 years (IQR = 23); 44% were male. 'Mechanical falls' accounted for n = 513 (48%) of low-fall injuries, followed by 'stationary falls' n = 265 (25%). Injuries occurred most often at home n = 515 (48%), followed by public places n = 208 (19.5%). The most severely injured body region was the limbs n = 526 (49.3%), followed by the head n = 253 (23.7%). A number of patients with Glasgow Outcome Scores of 4 (moderate disability) and 5 (good recovery) were n = 488 (45.8%) and n = 390 (36.6%). CONCLUSIONS Low falls occur in patients over 55 years of age; many do not return to independent living. Wait times to initial assessment, length of hospital stay and mortality increase with age. Mechanical falls at home are the most common cause of low-fall major trauma.
Collapse
Affiliation(s)
- Kathryn Lesko
- School of Medicine, University College Cork, Cork, Ireland.
| | - Conor Deasy
- School of Medicine, University College Cork, Cork, Ireland
- Cork University Hospital, Cork, Ireland
| |
Collapse
|
7
|
Alwani M, Jones AJ, Sandelski M, Bandali E, Lancaster B, Sim MW, Shipchandler T, Ting J. Facing Facts: Facial Injuries from Stand-up Electric Scooters. Cureus 2020; 12:e6663. [PMID: 32089971 PMCID: PMC7021242 DOI: 10.7759/cureus.6663] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Background Stand-up electric scooters (SES) are a popular public transportation method. Numerous safety concerns have arisen since their recent introduction. Methods A retrospective chart review was performed to identify patients presenting to the emergency departments in Indianapolis, who sustained SES-related injuries. Results A total of 89 patients were included in our study. The average patient age was 29 ± 12.9 years in a predominantly male cohort (65.2%). No patient was documented as wearing a helmet during the event of injury. Alcohol intoxication was noted in 14.6% of accidents. Falling constituted the leading trauma mechanism (46.1%). Injuries were most common on Saturday (24.7%) from 14h00 to 21h59 (55.1%). Injury types included: abrasions/contusions (33.7%), fractures (31.5%), lacerations (27.0%), or joint injuries (18.0%). The head and neck region (H&N) was the most frequently affected site (42.7%). Operative management under general anesthesia was necessary for 13.5% of injuries. Nonoperative management primarily included conservative orthopedic care (34.8%), pain management with nonsteroidal anti-inflammatory drugs (NSAIDs) (34.8%) and/or opioids (4.5%), bedside laceration repairs (27.0%), and wound dressing (10.1%). Individuals sustaining head and neck injuries were more likely to be older (33.8 vs. 25.7 years, p=0.003), intoxicated by alcohol (29.0% vs. 3.9%, p=0.002), and requiring CT imaging (60.5% vs. 9.8%, p <0.001). Conclusion Although SESs provide a convenient transportation modality, unregulated use raises significant safety concerns. More data need to be collected to guide future safety regulations.
Collapse
Affiliation(s)
| | - Alexander J Jones
- Otolaryngology - Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, USA
| | - Morgan Sandelski
- Otolaryngology, Indiana University School of Medicine, Indianapolis, USA
| | - Elhaam Bandali
- Public Health, Richard M. Fairbanks School of Public Health, Indianapolis, USA
| | - Benjamin Lancaster
- Otolaryngology - Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, USA
| | - Michael W Sim
- Otolaryngology - Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, USA
| | - Taha Shipchandler
- Otolaryngology, Indiana University School of Medicine, Indianapolis, USA
| | - Jonathan Ting
- Otolaryngology, Indiana University School of Medicine, Indianapolis, USA
| |
Collapse
|
8
|
Injuries associated with hoverboard use: A review of the National Electronic Injury Surveillance System. Am J Emerg Med 2019; 37:472-477. [DOI: 10.1016/j.ajem.2018.06.022] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2018] [Revised: 05/26/2018] [Accepted: 06/08/2018] [Indexed: 11/23/2022] Open
|
9
|
Kim YW, Park WB, Cho JS, Hyun SY, Lee G. The New Recreational Transportation on the Street: Personal Mobility, Is It Safe? JOURNAL OF TRAUMA AND INJURY 2018. [DOI: 10.20408/jti.2018.040] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Affiliation(s)
- Young Woo Kim
- Department of Emergency Medicine, Gachon University Gil Medical Center, Incheon, Korea
| | - Won Bin Park
- Department of Emergency Medicine, Gachon University Gil Medical Center, Incheon, Korea
| | - Jin Seong Cho
- Department of Emergency Medicine, Gachon University Gil Medical Center, Incheon, Korea
| | - Sung Youl Hyun
- Department of Trauma Surgery, Gachon University Gil Medical Center, Incheon, Korea
| | - Geun Lee
- Department of Emergency Medicine, Gachon University Gil Medical Center, Incheon, Korea
| |
Collapse
|