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      Electric Scooter Injuries and Hospital Admissions in the United States, 2014-2018

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          Abstract

          This study investigates trends of injury and hospital admission associated with electric scooter use.

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          Injuries Associated With Standing Electric Scooter Use

          Tarak Trivedi, Charles Liu, Anna Liza M Antonio … (2019)
          Key Points Question What are the types of injuries associated with standing electric scooter use and the characteristics and behaviors of injured patients? Findings In this study of a case series, 249 patients presented to the emergency department with injuries associated with electric scooter use during a 1-year period, with 10.8% of patients younger than 18 years and only 4.4% of riders documented to be wearing a helmet. The most common injuries were fractures (31.7%), head injuries (40.2%), and soft-tissue injuries (27.7%). Meaning In this study, injuries associated with electric scooter use were common, ranged in severity, and suggest low rates of adherence to existing regulations around rider age and low rates of helmet use.
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            Emergency department visits for electric scooter-related injuries after introduction of an urban rental program

            Austin Badeau, Chad Carman, Michael Newman … (2019)
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              The e-merging e-pidemic of e-scooters

              Leslie M Kobayashi, Elliot Williams, Carlos Brown … (2019)
              Introduction Since their release in 2017, standing electric motorized scooters (eScooters) have risen in popularity as an alternative mode of transportation. We sought to examine the incidence of injury, injury patterns, prevalence of helmet and drug and alcohol use in eScooter trauma. Methods This was a multi-institutional retrospective case series of patients admitted for injuries related to operation of an eScooter following the widespread release of these devices in September 2017 (September 1, 2017 to October 31, 2018). Demographics, drug and alcohol use, helmet use, admission vitals, injuries, procedures, hospital and intensive care unit length of stay (LOS), death, and disposition were analyzed. Results 103 patients were admitted during the study period, and monthly admissions increased significantly over time. Patients were young men (mean age 37.1 years; 65% male), 98% were not wearing a helmet. Median LOS was 1 day (IQR 1–3). 79% of patients were tested for alcohol and 48% had a blood alcohol level >80 mg/dL. 60% of patients had a urine toxicology screen, of which 52% were positive. Extremity fractures were the most frequent injury (42%), followed by facial fractures (26%) and intracranial hemorrhage (18%). Median Injury Severity Score was 5.5 (IQR 5–9). One-third of patients (n=34) required an operative intervention, the majority of which were open fixations of extremity and facial fractures. No patients died during the study. The majority of patients were discharged home (86%). Conclusion eScooter-related trauma has significantly increased over time. Alcohol and illicit substance use among these patients was common, and helmet use was extremely rare. Significant injuries including intracranial hemorrhage and fractures requiring operative intervention were present in over half (51%) of patients. Interventions aimed at increasing helmet use and discouraging eScooter operation while intoxicated are necessary to reduce the burden of eScooter-related trauma. Level of evidence Level IV.
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                Author and article information

                Journal
                Title: JAMA Surgery
                Abbreviated Title: JAMA Surg
                Publisher: American Medical Association (AMA)
                ISSN (Print): 2168-6254
                Publication date (Electronic): January 08 2020
                Affiliations
                [1 ]Department of Urology, University of California, San Francisco
                [2 ]Department of Epidemiology and Biostatistics, University of California, San Francisco
                Article
                DOI: 10.1001/jamasurg.2019.5423
                PMC ID: 6990814
                PubMed ID: 31913417
                SO-VID: 3c946381-cd32-4b6b-93dc-ad3295538780
                Copyright © © 2020
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