Injuries Associated With Standing Electric Scooter Use
Since September 2017, standing electric scooters have proliferated rapidly as an inexpensive, easy mode of transportation. Although there are regulations for safe riding established by both electric scooter companies and local governments, public common use practices and the incidence and types of i...
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| creator | Trivedi, Tarak K Liu, Charles Antonio, Anna Liza M Wheaton, Natasha Kreger, Vanessa Yap, Anna Schriger, David Elmore, Joann G |
| description | Since September 2017, standing electric scooters have proliferated rapidly as an inexpensive, easy mode of transportation. Although there are regulations for safe riding established by both electric scooter companies and local governments, public common use practices and the incidence and types of injuries associated with these standing electric scooters are unknown.
To characterize injuries associated with standing electric scooter use, the clinical outcomes of injured patients, and common use practices in the first US metropolitan area to experience adoption of this technology.
This study of a case series used retrospective cohort medical record review of all patients presenting with injuries associated with standing electric scooter use between September 1, 2017, and August 31, 2018, at 2 urban emergency departments associated with an academic medical center in Southern California. All electric scooter riders at selected public intersections in the community surrounding the 2 hospitals were also observed during a 7-hour observation period in September 2018.
Incidence and characteristics of injuries and observation of riders' common use practices.
Two hundred forty-nine patients (145 [58.2%] male; mean [SD] age, 33.7 [15.3] years) presented to the emergency department with injuries associated with standing electric scooter use during the study period. Two hundred twenty-eight (91.6%) were injured as riders and 21 (8.4%) as nonriders. Twenty-seven patients were younger than 18 years (10.8%). Ten riders (4.4%) were documented as having worn a helmet, and 12 patients (4.8%) had either a blood alcohol level greater than 0.05% or were perceived to be intoxicated by a physician. Frequent injuries included fractures (79 [31.7%]), head injury (100 [40.2%]), and contusions, sprains, and lacerations without fracture or head injury (69 [27.7%]). The majority of patients (234 [94.0%]) were discharged home from the emergency department; of the 15 admitted patients, 2 had severe injuries and were admitted to the intensive care unit. Among 193 observed electric scooter riders in the local community in September 2018, 182 (94.3%) were not wearing a helmet.
Injuries associated with standing electric scooter use are a new phenomenon and vary in severity. In this study, helmet use was low and a significant subset of injuries occurred in patients younger than 18 years, the minimum age permitted by private scooter company regulations. These findings may inform public policy |
| doi_str_mv | 10.1001/jamanetworkopen.2018.7381 |
| format | Article |
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To characterize injuries associated with standing electric scooter use, the clinical outcomes of injured patients, and common use practices in the first US metropolitan area to experience adoption of this technology.
This study of a case series used retrospective cohort medical record review of all patients presenting with injuries associated with standing electric scooter use between September 1, 2017, and August 31, 2018, at 2 urban emergency departments associated with an academic medical center in Southern California. All electric scooter riders at selected public intersections in the community surrounding the 2 hospitals were also observed during a 7-hour observation period in September 2018.
Incidence and characteristics of injuries and observation of riders' common use practices.
Two hundred forty-nine patients (145 [58.2%] male; mean [SD] age, 33.7 [15.3] years) presented to the emergency department with injuries associated with standing electric scooter use during the study period. Two hundred twenty-eight (91.6%) were injured as riders and 21 (8.4%) as nonriders. Twenty-seven patients were younger than 18 years (10.8%). Ten riders (4.4%) were documented as having worn a helmet, and 12 patients (4.8%) had either a blood alcohol level greater than 0.05% or were perceived to be intoxicated by a physician. Frequent injuries included fractures (79 [31.7%]), head injury (100 [40.2%]), and contusions, sprains, and lacerations without fracture or head injury (69 [27.7%]). The majority of patients (234 [94.0%]) were discharged home from the emergency department; of the 15 admitted patients, 2 had severe injuries and were admitted to the intensive care unit. Among 193 observed electric scooter riders in the local community in September 2018, 182 (94.3%) were not wearing a helmet.
Injuries associated with standing electric scooter use are a new phenomenon and vary in severity. In this study, helmet use was low and a significant subset of injuries occurred in patients younger than 18 years, the minimum age permitted by private scooter company regulations. These findings may inform public policy regarding standing electric scooter use.</description><identifier>ISSN: 2574-3805</identifier><identifier>EISSN: 2574-3805</identifier><identifier>DOI: 10.1001/jamanetworkopen.2018.7381</identifier><identifier>PMID: 30681711</identifier><language>eng</language><publisher>United States: American Medical Association</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Alcohol Drinking - adverse effects ; California - epidemiology ; Child ; Contusions - epidemiology ; Craniocerebral Trauma - epidemiology ; Craniocerebral Trauma - prevention & control ; Emergency Medicine ; Emergency Service, Hospital ; Female ; Fractures, Bone - epidemiology ; Head injuries ; Head Protective Devices ; Humans ; Lacerations - epidemiology ; Male ; Middle Aged ; Motor Vehicles ; Online Only ; Original Investigation ; Retrospective Studies ; Sprains and Strains - epidemiology ; Urban Population ; Young Adult</subject><ispartof>JAMA network open, 2019-01, Vol.2 (1), p.e187381-e187381</ispartof><rights>2019. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright 2019 Trivedi TK et al. .</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a470t-5342b2c812fb7935487626d69efeef5b3aa83045e8d1be12af8402ec3518064c3</citedby><cites>FETCH-LOGICAL-a470t-5342b2c812fb7935487626d69efeef5b3aa83045e8d1be12af8402ec3518064c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,860,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30681711$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Trivedi, Tarak K</creatorcontrib><creatorcontrib>Liu, Charles</creatorcontrib><creatorcontrib>Antonio, Anna Liza M</creatorcontrib><creatorcontrib>Wheaton, Natasha</creatorcontrib><creatorcontrib>Kreger, Vanessa</creatorcontrib><creatorcontrib>Yap, Anna</creatorcontrib><creatorcontrib>Schriger, David</creatorcontrib><creatorcontrib>Elmore, Joann G</creatorcontrib><title>Injuries Associated With Standing Electric Scooter Use</title><title>JAMA network open</title><addtitle>JAMA Netw Open</addtitle><description>Since September 2017, standing electric scooters have proliferated rapidly as an inexpensive, easy mode of transportation. Although there are regulations for safe riding established by both electric scooter companies and local governments, public common use practices and the incidence and types of injuries associated with these standing electric scooters are unknown.
To characterize injuries associated with standing electric scooter use, the clinical outcomes of injured patients, and common use practices in the first US metropolitan area to experience adoption of this technology.
This study of a case series used retrospective cohort medical record review of all patients presenting with injuries associated with standing electric scooter use between September 1, 2017, and August 31, 2018, at 2 urban emergency departments associated with an academic medical center in Southern California. All electric scooter riders at selected public intersections in the community surrounding the 2 hospitals were also observed during a 7-hour observation period in September 2018.
Incidence and characteristics of injuries and observation of riders' common use practices.
Two hundred forty-nine patients (145 [58.2%] male; mean [SD] age, 33.7 [15.3] years) presented to the emergency department with injuries associated with standing electric scooter use during the study period. Two hundred twenty-eight (91.6%) were injured as riders and 21 (8.4%) as nonriders. Twenty-seven patients were younger than 18 years (10.8%). Ten riders (4.4%) were documented as having worn a helmet, and 12 patients (4.8%) had either a blood alcohol level greater than 0.05% or were perceived to be intoxicated by a physician. Frequent injuries included fractures (79 [31.7%]), head injury (100 [40.2%]), and contusions, sprains, and lacerations without fracture or head injury (69 [27.7%]). The majority of patients (234 [94.0%]) were discharged home from the emergency department; of the 15 admitted patients, 2 had severe injuries and were admitted to the intensive care unit. Among 193 observed electric scooter riders in the local community in September 2018, 182 (94.3%) were not wearing a helmet.
Injuries associated with standing electric scooter use are a new phenomenon and vary in severity. In this study, helmet use was low and a significant subset of injuries occurred in patients younger than 18 years, the minimum age permitted by private scooter company regulations. These findings may inform public policy regarding standing electric scooter use.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Alcohol Drinking - adverse effects</subject><subject>California - epidemiology</subject><subject>Child</subject><subject>Contusions - epidemiology</subject><subject>Craniocerebral Trauma - epidemiology</subject><subject>Craniocerebral Trauma - prevention & control</subject><subject>Emergency Medicine</subject><subject>Emergency Service, Hospital</subject><subject>Female</subject><subject>Fractures, Bone - epidemiology</subject><subject>Head injuries</subject><subject>Head Protective Devices</subject><subject>Humans</subject><subject>Lacerations - epidemiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Motor Vehicles</subject><subject>Online Only</subject><subject>Original Investigation</subject><subject>Retrospective Studies</subject><subject>Sprains and Strains - epidemiology</subject><subject>Urban Population</subject><subject>Young Adult</subject><issn>2574-3805</issn><issn>2574-3805</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkU1LAzEQhoMoKtW_ICtevLTme7MXQaR-gOBBxWPIZmdr6nZTk6zivzelWtTTBOaZl5k8CB0TPCEYk7O5WZge0ocPr34J_YRioiYlU2QL7VNR8jFTWGz_eu-hwxjnGONMskqKXbTHsFSkJGQfydt-PgQHsbiI0VtnEjTFs0svxUMyfeP6WTHtwKbgbPFgvU8QiqcIB2inNV2Ew-86Qk9X08fLm_Hd_fXt5cXd2PASp7FgnNbUKkLbuqyY4KqUVDayghagFTUzRjHMBaiG1ECoaRXHFCwTRGHJLRuh83XucqgX0FjoUzCdXga3MOFTe-P0307vXvTMv2vJFRdM5oDT74Dg3waISS9ctNB1-Q_9EDUlZcUlyRtm9OQfOvdD6PN5mkqpeEaVyFS1pmzwMQZoN8sQrFeC9D9BeiVIrwTl2aPf12wmf3SwL_PikK8</recordid><startdate>20190104</startdate><enddate>20190104</enddate><creator>Trivedi, Tarak K</creator><creator>Liu, Charles</creator><creator>Antonio, Anna Liza M</creator><creator>Wheaton, Natasha</creator><creator>Kreger, Vanessa</creator><creator>Yap, Anna</creator><creator>Schriger, David</creator><creator>Elmore, Joann G</creator><general>American Medical Association</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PIMPY</scope><scope>PKEHL</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20190104</creationdate><title>Injuries Associated With Standing Electric Scooter Use</title><author>Trivedi, Tarak K ; Liu, Charles ; Antonio, Anna Liza M ; Wheaton, Natasha ; Kreger, Vanessa ; Yap, Anna ; Schriger, David ; Elmore, Joann G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a470t-5342b2c812fb7935487626d69efeef5b3aa83045e8d1be12af8402ec3518064c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Alcohol Drinking - adverse effects</topic><topic>California - epidemiology</topic><topic>Child</topic><topic>Contusions - epidemiology</topic><topic>Craniocerebral Trauma - epidemiology</topic><topic>Craniocerebral Trauma - prevention & control</topic><topic>Emergency Medicine</topic><topic>Emergency Service, Hospital</topic><topic>Female</topic><topic>Fractures, Bone - epidemiology</topic><topic>Head injuries</topic><topic>Head Protective Devices</topic><topic>Humans</topic><topic>Lacerations - epidemiology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Motor Vehicles</topic><topic>Online Only</topic><topic>Original Investigation</topic><topic>Retrospective Studies</topic><topic>Sprains and Strains - epidemiology</topic><topic>Urban Population</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Trivedi, Tarak K</creatorcontrib><creatorcontrib>Liu, Charles</creatorcontrib><creatorcontrib>Antonio, Anna Liza M</creatorcontrib><creatorcontrib>Wheaton, Natasha</creatorcontrib><creatorcontrib>Kreger, Vanessa</creatorcontrib><creatorcontrib>Yap, Anna</creatorcontrib><creatorcontrib>Schriger, David</creatorcontrib><creatorcontrib>Elmore, Joann G</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>JAMA network open</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Trivedi, Tarak K</au><au>Liu, Charles</au><au>Antonio, Anna Liza M</au><au>Wheaton, Natasha</au><au>Kreger, Vanessa</au><au>Yap, Anna</au><au>Schriger, David</au><au>Elmore, Joann G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Injuries Associated With Standing Electric Scooter Use</atitle><jtitle>JAMA network open</jtitle><addtitle>JAMA Netw Open</addtitle><date>2019-01-04</date><risdate>2019</risdate><volume>2</volume><issue>1</issue><spage>e187381</spage><epage>e187381</epage><pages>e187381-e187381</pages><issn>2574-3805</issn><eissn>2574-3805</eissn><abstract>Since September 2017, standing electric scooters have proliferated rapidly as an inexpensive, easy mode of transportation. Although there are regulations for safe riding established by both electric scooter companies and local governments, public common use practices and the incidence and types of injuries associated with these standing electric scooters are unknown.
To characterize injuries associated with standing electric scooter use, the clinical outcomes of injured patients, and common use practices in the first US metropolitan area to experience adoption of this technology.
This study of a case series used retrospective cohort medical record review of all patients presenting with injuries associated with standing electric scooter use between September 1, 2017, and August 31, 2018, at 2 urban emergency departments associated with an academic medical center in Southern California. All electric scooter riders at selected public intersections in the community surrounding the 2 hospitals were also observed during a 7-hour observation period in September 2018.
Incidence and characteristics of injuries and observation of riders' common use practices.
Two hundred forty-nine patients (145 [58.2%] male; mean [SD] age, 33.7 [15.3] years) presented to the emergency department with injuries associated with standing electric scooter use during the study period. Two hundred twenty-eight (91.6%) were injured as riders and 21 (8.4%) as nonriders. Twenty-seven patients were younger than 18 years (10.8%). Ten riders (4.4%) were documented as having worn a helmet, and 12 patients (4.8%) had either a blood alcohol level greater than 0.05% or were perceived to be intoxicated by a physician. Frequent injuries included fractures (79 [31.7%]), head injury (100 [40.2%]), and contusions, sprains, and lacerations without fracture or head injury (69 [27.7%]). The majority of patients (234 [94.0%]) were discharged home from the emergency department; of the 15 admitted patients, 2 had severe injuries and were admitted to the intensive care unit. Among 193 observed electric scooter riders in the local community in September 2018, 182 (94.3%) were not wearing a helmet.
Injuries associated with standing electric scooter use are a new phenomenon and vary in severity. In this study, helmet use was low and a significant subset of injuries occurred in patients younger than 18 years, the minimum age permitted by private scooter company regulations. These findings may inform public policy regarding standing electric scooter use.</abstract><cop>United States</cop><pub>American Medical Association</pub><pmid>30681711</pmid><doi>10.1001/jamanetworkopen.2018.7381</doi><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Adolescent Adult Aged Aged, 80 and over Alcohol Drinking - adverse effects California - epidemiology Child Contusions - epidemiology Craniocerebral Trauma - epidemiology Craniocerebral Trauma - prevention & control Emergency Medicine Emergency Service, Hospital Female Fractures, Bone - epidemiology Head injuries Head Protective Devices Humans Lacerations - epidemiology Male Middle Aged Motor Vehicles Online Only Original Investigation Retrospective Studies Sprains and Strains - epidemiology Urban Population Young Adult |
| title | Injuries Associated With Standing Electric Scooter Use |
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