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Boschetti CE, Montella E, Magliulo R, Molo E, Canet López E, Guida D, Borrelli S, Gargiulo M, Mattarocci M, Carotenuto A, Facciuto E, Petrocelli M, Norino G, Cristofaro MG, Barca I, Nastro Siniscalchi E, Lo Giudice G, Chirico F, Santagata M, Tartaro G. New generation vehicles: the impact of electric scooter trauma on the severity of facial fractures assessed by FISS score. A multicentre study. Br J Oral Maxillofac Surg 2024; 62:626-631. [PMID: 39019685 DOI: 10.1016/j.bjoms.2024.05.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2024] [Revised: 05/05/2024] [Accepted: 05/18/2024] [Indexed: 07/19/2024]
Abstract
With the increasing use of sustainable energy sources, the electric scooter has become a widely used vehicle. The aim of the study is to analyse the types of facial fracture related to road traffic accidents to outline the need for dedicated road rules. An observational, retrospective, multicentre study was carried out at the Maxillofacial Surgery Units of six Italian hospitals. Fifty patients (mean age was 34.76 years) from January 2020 to January 2024 were enrolled. The severity of trauma was evaluated by the Facial Injury Severity Scale (FISS) by Bagheri et al. Most of the accidents occurred during the day and the weekend in spring or summer; 24 drivers collided with infrastructures or pedestrians, while 26 involved other vehicles. A total of 33 vehicles were rented, and 17 were privately owned. A total of 43 subjects were not wearing helmets, five patients were drunk, and three patients took drugs. In order of frequency, the facial fractures involved: zygomatico-maxillary-orbital complex (ZMOC) (n = 16), mandibular condyle (n = 13), nasal bone (n = 11), orbit floor (n = 8), and mandibular body (n = 7). Fractures such as Le Fort I (n = 4), naso-orbito-ethmoidal NOE (n = 4) and mandibular ramus (n = 4) were less common. Other types of facial fracture were rare. Thirty patients reported multiple facial fractures. The vast majority of the cases showed a low severity grade FISS score. Fifteen patients suffered polytrauma. The mean hospitalisation time was 8.3 days. As accidents with electric scooters are increasing, it is important to characterise the most frequent facial fractures to improve patient management and encourage the introduction of new road rules.
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Affiliation(s)
- Ciro Emiliano Boschetti
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, Oral and Maxillofacial Surgery Unit, University of Campania "Luigi Vanvitelli", Naples, Italy
| | | | - Roberta Magliulo
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, Oral and Maxillofacial Surgery Unit, University of Campania "Luigi Vanvitelli", Naples, Italy.
| | - Elena Molo
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, Oral and Maxillofacial Surgery Unit, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - Emilio Canet López
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, Oral and Maxillofacial Surgery Unit, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - David Guida
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, Oral and Maxillofacial Surgery Unit, University of Campania "Luigi Vanvitelli", Naples, Italy
| | | | | | | | | | - Enzo Facciuto
- Maxillofacial Surgery Unit, "Ospedale del mare" Hospital, Naples, Italy
| | - Marzia Petrocelli
- Oral and Maxillofacial Surgery Unit, "Bellaria-Maggiore" Hospital, Bologna, Italy
| | - Giovanna Norino
- Oral and Maxillofacial Surgery Unit, "Bellaria-Maggiore" Hospital, Bologna, Italy
| | - Maria Giulia Cristofaro
- Department of Experimental and Clinical Medicine, Maxillofacial Surgery Unit, "Magna Graecia" University, Catanzaro, Italy
| | - Ida Barca
- Department of Experimental and Clinical Medicine, Maxillofacial Surgery Unit, "Magna Graecia" University, Catanzaro, Italy
| | - Enrico Nastro Siniscalchi
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, "G. Martino" University Hospital, University of Messina, Messina, Italy
| | - Giorgio Lo Giudice
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, "G. Martino" University Hospital, University of Messina, Messina, Italy
| | - Fabrizio Chirico
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, Oral and Maxillofacial Surgery Unit, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - Mario Santagata
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, Oral and Maxillofacial Surgery Unit, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - Gianpaolo Tartaro
- Multidisciplinary Department of Medical-Surgical and Dental Specialties, Oral and Maxillofacial Surgery Unit, University of Campania "Luigi Vanvitelli", Naples, Italy
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Rzepczyk S, Pawlas K, Borowska-Solonynko A, Karnecki K, Cywka T, Moskała A, Skowronek R, Majdanik S, Szeremeta M, Dropiewska-Nowak A, Jurczyk A, Żaba C, Jurek T. Fatal traffic accidents involving electric scooters in Poland in 2019-2023. Injury 2024; 55:111836. [PMID: 39208682 DOI: 10.1016/j.injury.2024.111836] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/01/2024] [Revised: 08/05/2024] [Accepted: 08/18/2024] [Indexed: 09/04/2024]
Abstract
With the introduction of mobile applications that allow short-term rentals, electric scooters (e-scooters) are gaining popularity as a means of micromobility in urban areas. The aim of the study was to assess the circumstances and causes of death in traffic accidents involving electric scooters in Poland. The inclusion criteria for the study were met by 9 cases (7 M,2F; mean age: 40.3 years). Accidents usually occur during working days during the warm months, especially during the morning traffic rush hour. Usually, these accidents involved another vehicle (4/9 cases). In addition, the victim was most often the driver (8/9 cases) and rarely uses a helmet (1/9 cases). In only two cases did the test reveal the presence of alcohol in the blood at the time of the accident. In studied cases, head injuries occurred in every case, and injuries to the limbs and chest occurred in more than half of the cases. Within the head, in addition to minor injuries like bruises and epidermal abrasions, skull fractures, and intracranial bleedings predominated. Similar minor injuries were also observed in the extremities, with significant fractures observed only in the lower extremities. Among chest injuries, lung contusions predominated. The most common cause of death was craniocerebral injury (6/9 cases), but there were two deaths each from chest injuries and polytrauma. To increase the safety of e-scooter users, it is recommended that measures be taken to educate users about the potential risks of using the vehicle and that measures be taken to increase the use of helmets, e.g. through legislative action. Further studies involving larger study groups are needed to assess the correlation between potential risk factors and the fatal outcome of the accident.
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Affiliation(s)
- Szymon Rzepczyk
- Department of Forensic Medicine, Poznan University of Medical Sciences, Rokietnicka 10 60-806 Poznań, Poland.
| | - Ksenia Pawlas
- Department of Forensic Medicine, Faculty of Medicine, Wroclaw Medical University, Jana Mikulicza-Radeckiego 4 50-345 Wrocław, Poland
| | | | - Karol Karnecki
- Department of Forensic Medicine, Medical University of Gdańsk, Marii Skłodowskiej-Curie 3a 80-210 Gdańsk, Poland
| | - Tomasz Cywka
- Department of Forensic Medicine, Medical University of Lublin, Jaczewskiego 8B 20-090 Lublin, Poland
| | - Artur Moskała
- Department of Forensic Medicine, Jagiellonian University, Grzegórzecka 16 31-531, Kraków, Poland
| | - Rafał Skowronek
- Department of Forensic Medicine, Medical University of Silesia in Katowice, Medyków 18 40-752 Katowice, Poland
| | - Sławomir Majdanik
- Department of Forensic Medicine Pomeranian Medical University in Szczecin, Powstanców Wielkopolskich 72 70-111, Szczecin, Poland
| | - Michał Szeremeta
- Department of Forensic Medicine, Medical University of Bialystok, Waszyngtona 13 15-269 Białystok, Poland
| | - Anna Dropiewska-Nowak
- Department of Forensic Medicine, Ludwik Rydygier Collegium Medicum, Curie Skłodowskiej 9 85-094 Bydgoszcz, Poland
| | - Agnieszka Jurczyk
- Department of Forensic Medicine, Medical University of Lodz, Sędziowska 18a 91-304 Łódź, Poland
| | - Czesław Żaba
- Department of Forensic Medicine, Poznan University of Medical Sciences, Rokietnicka 10 60-806 Poznań, Poland
| | - Tomasz Jurek
- Department of Forensic Medicine, Faculty of Medicine, Wroclaw Medical University, Jana Mikulicza-Radeckiego 4 50-345 Wrocław, Poland
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Fort E, Connesson N, Brière J, Ndiaye A, Gadegbeku B, Charbotel B. Work-related road traffic accidents: emergence of new modes of personal journey - analysis based on data from a register of road traffic accidents in France. Inj Prev 2024:ip-2023-045102. [PMID: 39089869 DOI: 10.1136/ip-2023-045102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2023] [Accepted: 05/26/2024] [Indexed: 08/04/2024]
Abstract
INTRODUCTION According to the 2018-2019 People Mobility Survey, work-related journeys (commuting and on-duty journeys) account for approximately 25% of all journeys. The use of non-motorised (nm) and motorised (m) personal mobility devices (PMDs) has steadily increased since their introduction into the French market in the last decade. OBJECTIVE This study aimed to describe the characteristics of work-related road accidents and their evolution since the introduction of new PMDs in France and the increase in the use of scooters. MATERIALS AND METHODS This was a retrospective, cross-sectional study using data from the Rhône Road Trauma Registry. Data were collected from 2015 to 2020. We included the data for the victims aged 18-70 years who were injured in work-related road accidents. RESULTS We identified 11 296 individuals aged 18-70 years who experienced work-related road accidents. An injury report was provided for a total of 11 277 patients. A total of 546 passengers and 78 drivers of other motorised vehicles (buses/trams, construction equipment and tractors) were excluded from the analysis. Seven patients died at the time of the accident and seven died after hospitalisation. Of the 10 653 (94.4%) victims, there were pedestrians (5.1%) or riders of bicycles (16.9%), scooters (3.8%), other PMDs (roller blades, skateboards, monowheels, gyropods and hoverboards; 0.4%) and motorised two wheelers (21.4%), or drivers of car (45.3%), and truck (1.5%). More than half of the scooter riders and 80% of other PMD riders were men. More than 60% of other PMD riders and 53% of scooter riders were under 34 years of age. Most scooter road accidents occurred during commuting (95.6%). 65% of the scooter accidents and 50% of other PMD accidents did not have opponents. Overall, one-quarter of the victims experienced accidents without opponents. Most scooter riders had injuries to their upper limbs (59.2%), lower limbs (46.8%), face (21.2%) or head (17.9%). DISCUSSION This original study on work-related road accidents allowed us to characterise the increase in work-related road accidents associated with new modes of travel, particularly scooters. The results observed for users of scooters and other PMDs in this study were generally consistent with those found in the scientific literature. Despite limited data, the results suggest that accidents involving scooters or other PMDs are of low severity. CONCLUSION Many head injuries could be prevented with more widespread use of helmets, among scooter and other PMD users and bicycle users.
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Affiliation(s)
- Emmanuel Fort
- UMRESTTE UMR T 9405, University Claude Bernard Lyon 1, Villeurbanne, France
| | - Nicolas Connesson
- UMRESTTE UMR T 9405, University Claude Bernard Lyon 1, Villeurbanne, France
| | - Julien Brière
- Department of Environmental and Occupational Health, Santé publique France, French National Public Health Agency, Saint-Maurice, France
| | - Amina Ndiaye
- UMRESTTE UMR T 9405, Gustave Eiffel University, Marne-la-Vallee, France
| | | | - Barbara Charbotel
- CRPPE de Lyon (Regional Center for Occupational and Environmental Pathologies), Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, Pierre-Bénite, France
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Sada-Urmeneta A, Tousidonis M, Navarro-Cuellar C, Ochandiano S, Navarro-Cuellar I, Khayat S, Ruiz-de-León G, Benito-Anguita M, Alvarez-Mokthari S, Olavarria E, Sanchez-Aniceto G, Herrero-Alvarez S, de la Sen-Corcuera O, Simon-Flores AM, Almeida-Parra F, Aragon-Niño I, del-Castillo JL, Salmeron JI. Dynamic Trends in Surgical Oromaxillofacial Trauma Epidemiology: A Comparative Study of Pre-COVID-19 and COVID-19 Periods in Tertiary Referral Hospitals in Madrid. J Clin Med 2024; 13:1947. [PMID: 38610713 PMCID: PMC11012342 DOI: 10.3390/jcm13071947] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2024] [Revised: 03/17/2024] [Accepted: 03/19/2024] [Indexed: 04/14/2024] Open
Abstract
Introduction: The COVID-19 pandemic has induced profound societal and healthcare transformations globally. Material and methods: This multicenter retrospective study aimed to assess potential shifts in the epidemiology and management of oromaxillofacial trauma requiring surgical intervention over a 1-year period encompassing the onset of the COVID-19 pandemic, in comparison to the preceding year. The parameters investigated included age, sex, injury mechanisms, fractured bones, and treatment modalities. The statistical significance was set at p < 0.05. Results: A notable 39.36% reduction in oromaxillofacial fractures was identified (p < 0.001), with no significant alterations in sex distribution, types of fractured bones, or treatment modalities. An appreciable increase in mean age was observed (35.92 vs. 40.26) (p = 0.006). Analysis of the causes of oromaxillofacial trauma revealed diminished incidents of interpersonal violence (41% vs. 35%) and sports-related injuries (14% vs. 8%), alongside an escalation in cases attributed to falls (27% vs. 35%), precipitation events (2% vs. 5%), and traffic accidents (12% vs. 13%). The mandible emerged as the most frequently fractured bone. Conclusion: In conclusion, the COVID-19 pandemic has decreased the number of maxillofacial fractures treated surgically and has changed the epidemiology and the etiology of facial traumas.
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Affiliation(s)
- Angela Sada-Urmeneta
- Department of Oral and Maxillofacial Surgery, Hospital General Universitario Gregorio Marañón, 28009 Madrid, Spain (S.O.); (M.B.-A.)
| | - Manuel Tousidonis
- Department of Oral and Maxillofacial Surgery, Hospital General Universitario Gregorio Marañón, 28009 Madrid, Spain (S.O.); (M.B.-A.)
| | - Carlos Navarro-Cuellar
- Department of Oral and Maxillofacial Surgery, Hospital General Universitario Gregorio Marañón, 28009 Madrid, Spain (S.O.); (M.B.-A.)
| | - Santiago Ochandiano
- Department of Oral and Maxillofacial Surgery, Hospital General Universitario Gregorio Marañón, 28009 Madrid, Spain (S.O.); (M.B.-A.)
| | - Ignacio Navarro-Cuellar
- Department of Oral and Maxillofacial Surgery, Hospital General Universitario Gregorio Marañón, 28009 Madrid, Spain (S.O.); (M.B.-A.)
| | - Saad Khayat
- Department of Oral and Maxillofacial Surgery, Hospital General Universitario Gregorio Marañón, 28009 Madrid, Spain (S.O.); (M.B.-A.)
| | - Gonzalo Ruiz-de-León
- Department of Oral and Maxillofacial Surgery, Hospital General Universitario Gregorio Marañón, 28009 Madrid, Spain (S.O.); (M.B.-A.)
| | - Marta Benito-Anguita
- Department of Oral and Maxillofacial Surgery, Hospital General Universitario Gregorio Marañón, 28009 Madrid, Spain (S.O.); (M.B.-A.)
| | - Sara Alvarez-Mokthari
- Department of Oral and Maxillofacial Surgery, Hospital General Universitario Gregorio Marañón, 28009 Madrid, Spain (S.O.); (M.B.-A.)
| | - Eduardo Olavarria
- Department of Oral and Maxillofacial Surgery, Hospital Universitario Doce de Octubre, 28041 Madrid, Spain
| | - Gregorio Sanchez-Aniceto
- Department of Oral and Maxillofacial Surgery, Hospital Universitario Doce de Octubre, 28041 Madrid, Spain
| | - Sonia Herrero-Alvarez
- Department of Oral and Maxillofacial Surgery, Hospital Universitario Clínico San Carlos, 28040 Madrid, Spain (O.d.l.S.-C.)
| | - Oscar de la Sen-Corcuera
- Department of Oral and Maxillofacial Surgery, Hospital Universitario Clínico San Carlos, 28040 Madrid, Spain (O.d.l.S.-C.)
| | - Anna-Maria Simon-Flores
- Department of Oral and Maxillofacial Surgery, Hospital Universitario Ramón y Cajal, 28034 Madrid, Spain
| | - Fernando Almeida-Parra
- Department of Oral and Maxillofacial Surgery, Hospital Universitario Ramón y Cajal, 28034 Madrid, Spain
| | - Iñigo Aragon-Niño
- Department of Oral and Maxillofacial Surgery, Hospital Universitario La Paz, 28046 Madrid, Spain; (I.A.-N.)
| | - Jose-Luis del-Castillo
- Department of Oral and Maxillofacial Surgery, Hospital Universitario La Paz, 28046 Madrid, Spain; (I.A.-N.)
| | - Jose-Ignacio Salmeron
- Department of Oral and Maxillofacial Surgery, Hospital General Universitario Gregorio Marañón, 28009 Madrid, Spain (S.O.); (M.B.-A.)
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Xu J, Ji C, Li B, Jiang P, Qin K, Ni Z, Huang X, Zhong R, Fang L, Zhao M. Riding practices of e-bike riders after the implementation of electric bike management regulations: An observational study in Hangzhou, China. Heliyon 2024; 10:e26263. [PMID: 38434321 PMCID: PMC10907736 DOI: 10.1016/j.heliyon.2024.e26263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2023] [Revised: 02/02/2024] [Accepted: 02/09/2024] [Indexed: 03/05/2024] Open
Abstract
Objective This study aimed to understand the riding behaviors of electric bike (e-bike) users in Hangzhou after the "Regulations of Zhejiang Province on the Administration of Electric Bicycles". Methods The study consisted of two parts, including a questionnaire survey of local e-bike users in Shangcheng District and Jiande County in Hangzhou City, and a cross-sectional observational study of 16 intersections. Results A total of 789 e-bike riders participated in the questionnaire survey, and the riding behavior of 99,407 e-bike users was observed. The main purpose of using e-bike was work and daily life, 46.0% of them used e-bikes more than 5 days a week, and 58.5% used e-bikes for less than 30 min each time. A vast majority (81.7%) of e-bike riders believe that the implementation of Zhejiang Regulations has significantly improved the safety level of e-bike riding in the region. The field survey found that the correct rates of helmet wearing by e-bike riders and passengers were 78.83% and 42.27%. The main violations were invalid/non-helmet wearing (21.17%), followed by carrying passengers and running red lights (7.94% and 4.26%). The rates of invalid/non-helmet wearing and running red lights were significantly higher during non-morning rush hour, weekends, and roads without separate non-motorized vehicle lanes than in other conditions (all P < 0.05). Additionally, sunny days and crossroads were risk factors for passenger-carrying and invalid/non-helmet wearing compared to rainy/cloudy days and T-intersections. Conclusions The phenomenon that e-bike users' correct practice lags far behind the awareness of various violations has shown some improvement. To further enhance safety measures for e-bike riders, it is necessary to promote education, improve infrastructure, and strengthen law enforcement, in support of the "Zhejiang Regulations" and behavioral interventions.
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Affiliation(s)
- Jue Xu
- Hangzhou Center for Disease Control and Prevention, Hangzhou, 310021, China
| | - Cuirong Ji
- Division of Injury Prevention and Mental Health, National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, 100050, China
| | - Biao Li
- Hangzhou Center for Disease Control and Prevention, Hangzhou, 310021, China
| | - Peng Jiang
- Hangzhou Center for Disease Control and Prevention, Hangzhou, 310021, China
| | - Kang Qin
- Hangzhou Center for Disease Control and Prevention, Hangzhou, 310021, China
| | - Zhimin Ni
- Shangcheng Center for Disease Control and Prevention, Hangzhou, 310043, China
| | - Xuyun Huang
- Shangcheng Center for Disease Control and Prevention, Hangzhou, 310043, China
| | - Rongwan Zhong
- Jiande Center for Disease Control and Prevention, Hangzhou, 311600, China
| | - Lian Fang
- Jiande Center for Disease Control and Prevention, Hangzhou, 311600, China
| | - Ming Zhao
- Department of Non-Communicable Disease Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, 310051, China
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Piccolino P, Buonaccorsi S, Cerulli G, Corbetta C, Pitino F, Tedaldi M, Marini Balestra FM, Vetrano S. E-Scooter-Related Maxillofacial Fractures: A New Emerging Epidemic During the COVID-19 Period in the Province of Rome, Lazio, Italy: A Monocentric Study Review of 843 Patients Compared With the Pre-COVID-19 Two-Year Period. J Craniofac Surg 2023:00001665-990000000-01146. [PMID: 37916809 DOI: 10.1097/scs.0000000000009795] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Accepted: 08/25/2023] [Indexed: 11/03/2023] Open
Abstract
INTRODUCTION Shared vehicles, such as e-scooters and electric bicycles, could potentially accelerate the transition toward sustainable mobility. Focusing on e-scooters, the aim of this study is to show, compared with previous years when e-scooter use was significantly reduced, the increased incidence of maxillofacial bone injuries from e-scooters and the most frequent type of fractures. METHODS We conducted a monocentric observational retrospective and prospective analysis during the pandemic, from January 1, 2020, until December 31, 2022, on patients' access for maxillofacial traumas at the San Giovanni Addolorata emergency department, trauma hub center, for Lazio district. A total of 383 patients were included. Data on the causes of traumas, type of injury produced, age, gender, nationality, and helmet use were collected. Especially, we analyzed the e-scooter-related facial traumas that had gained a lot of popularity in this period due to the restriction in mobility because of Covid-19, subsequent reduced use of public transport, and the new benefits introduced by the government for e-scooters or bikes. We compared e-scooter facial trauma with all the other kinds of facial fracture etiologies during this period. RESULTS In our study, the most frequent causes of trauma were assaults (32.6%), accidental falls (24.2%), and sports activities (7.8%). The percentage of trauma among road traffic injuries was almost 24% of the total; in particular, motorcycle/e-scooter traumas was 7.1%, car crashes was 5.5%, pedestrian hits was 4.2%, and bike accidents was 3.1%. Other causes detected were syncope (5.5%), accidental traumas (1.8%), and epileptic crisis (1.1%). Focusing on road traffic injury access in our emergency department, compared with those between 2017 and 2019, it emerged that e-scooter-related facial traumas in the past two years have had a remarkable rise. In fact, there was a total of 27 patients (52% male and 48% female) instead of 5 between 2017 and 2019. The average age was 29 years. The most frequent types of e-scooter-related fractures were those to the nasal bones (29.7%), followed by mandibular fractures (unifocal 7.4%, bifocal 18.5%, trifocal 7.4%, and condylar 7.4%), zygomatic-maxillo fractures (18.4%), complex fractures (7.4%), and maxilla (3.7%). Among 27 observed electric scooter riders, nobody wore a helmet. CONCLUSIONS Injuries associated with the use of e-scooters are a new phenomenon and mainly affect the craniofacial region due to the dynamic nature of the trauma. Although these vehicles have become increasingly common over the years and accepted within regulatory frameworks, the traffic rules are not ready to integrate e-scooters into the transport systems due to the lack of adequate legislation, and the lack of implementation in the form of facial safety devices or safety skills training for e-scooter riders.
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Affiliation(s)
| | | | | | - Carola Corbetta
- University of Rome la Sapienza-Policlinico Umberto I hospital, Rome, Italy
| | - Francesca Pitino
- University of Rome la Sapienza-Policlinico Umberto I hospital, Rome, Italy
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Kowalczewska J, Rzepczyk S, Okła M, Nijakowski K, Słowik Ł, Makuch A, Hryniewicz O, Krasnoborska J, Żaba C, Osmola K. Characteristics of E-Scooter-Related Maxillofacial Injuries over 2019-2022-Retrospective Study from Poznan, Poland. J Clin Med 2023; 12:jcm12113690. [PMID: 37297885 DOI: 10.3390/jcm12113690] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2023] [Revised: 05/19/2023] [Accepted: 05/24/2023] [Indexed: 06/12/2023] Open
Abstract
Recently, there has been a considerable rise in the popularity and use of electric scooters. Because of this, the number of accidents involving them has also risen. Head and neck injuries are the most common. The aim of the study was to determine the most frequent craniofacial injuries resulting from accidents involving electric scooters, and to identify the risk factors directly related to their placement and severity. The study carried out a retrospective analysis of the medical records of patients of the Clinic of Maxillofacial Surgery over 2019-2022, in terms of craniofacial injuries suffered as a result of e-scooter-related accidents. In the study population (31 cases), of which 61.3% were men, the median age was 27 years. At the time of the accident, 32.3% patients were under the influence of alcohol. Accidents were most common in the 21-30 age group; more often than not, they occurred during warm months and on weekends. The study identified a total of 40 fractures in the patients. The most common craniofacial injuries were mandibular fractures (37.5%), zygomatic-orbital fractures (20%) and frontal bone fractures (10%). A multidimensional correspondence analysis was also performed, which showed that at an age of under 30, alcohol consumption and female gender were associated with a higher likelihood of mandibular fracture. Proper education on the risks associated with the use of e-scooters is essential, with particular emphasis on the impact of alcohol on the driver. It is important to develop diagnostic and therapeutic algorithms for doctors, both in ED and in specialised departments.
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Affiliation(s)
- Justyna Kowalczewska
- Department of Neurosurgery and Neurotraumatology, Poznan University of Medical Sciences, Przybyszewskiego 49, 60-355 Poznan, Poland
| | - Szymon Rzepczyk
- Department of Forensic Medicine, Poznan University of Medical Sciences, Rokietnicka 10, 60-806 Poznan, Poland
| | - Maciej Okła
- Department of Maxillofacial Surgery, Poznan University of Medical Sciences, Przybyszewskiego 49, 60-355 Poznan, Poland
| | - Kacper Nijakowski
- Department of Conservative Dentistry and Endodontics, Poznan University of Medical Sciences, Bukowska 70, 60-812 Poznan, Poland
| | - Łukasz Słowik
- Department of Maxillofacial Surgery, Poznan University of Medical Sciences, Przybyszewskiego 49, 60-355 Poznan, Poland
| | - Aleksandra Makuch
- Department of Maxillofacial Surgery, Poznan University of Medical Sciences, Przybyszewskiego 49, 60-355 Poznan, Poland
| | - Oliwia Hryniewicz
- Department of Maxillofacial Surgery, Poznan University of Medical Sciences, Przybyszewskiego 49, 60-355 Poznan, Poland
| | - Julia Krasnoborska
- Department of Maxillofacial Surgery, Poznan University of Medical Sciences, Przybyszewskiego 49, 60-355 Poznan, Poland
| | - Czesław Żaba
- Department of Forensic Medicine, Poznan University of Medical Sciences, Rokietnicka 10, 60-806 Poznan, Poland
| | - Krzysztof Osmola
- Department of Maxillofacial Surgery, Poznan University of Medical Sciences, Przybyszewskiego 49, 60-355 Poznan, Poland
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Mousavi-Shalmaei SMA, Hosseinnia M, Mohtasham-Amiri Z, Rad EH, Khodadadi-Hassankiadeh N. Helmet Use and Jaw and Tooth Injuries in Motorcyclists Admitted to a Referral Hospital. J Maxillofac Oral Surg 2023:1-6. [PMID: 37362880 PMCID: PMC10199431 DOI: 10.1007/s12663-023-01934-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2023] [Accepted: 05/01/2023] [Indexed: 06/28/2023] Open
Abstract
Background and Aim The use of helmets has been reported to reduce the incidence and severity of head injuries in motorcyclists. However, there remains a significant gap in knowledge regarding the effectiveness of helmets, especially in preventing jaw and tooth injuries. Patients and Methods In this retrospective analytical study record, all traffic accidents that occurred continuously from 2017 to 2019 in which the motorcyclists were on at least one side of the collision based on inclusion criteria. Data from injury variables in medical records were merged with data related to helmet use in the trauma registration system in Excel software. Then, the final analysis was performed with STATA software version 14 at a significance level of < 0.05. Results In total, 1807 people participated in the study, and 160 (9.37) people used helmets. The incidence rate of jaw and tooth injuries was 86 (5.04%). Logistic regression implied that the odds ratio for helmet use was 0.7, which considering the p value of 0.419, shows no significant relationship between wearing helmets and jaw and tooth injuries. Conclusion Helmets alone cannot prevent jaw and tooth injuries, and designers should design helmets that protect the head and the jaw and tooth. In prevention programs and campaigns for motorcyclists, every age, gender, job, grade group and marital status are target groups.
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Affiliation(s)
| | - Marjan Hosseinnia
- School of Pharmacy, Department of Clinical and Administrative Sciences, Notre Dame of Maryland University, Baltimore, USA
| | - Zahra Mohtasham-Amiri
- Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran
| | - Enayatollah Homaie Rad
- Social Determinants of Health Research Center, Guilan University of Medical Sciences, Rasht, Iran
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Huang J, Song Z, Xie L, Lin Z, Li L. Analysis of Risky Riding Behavior Characteristics of the Related Road Traffic Injuries of Electric Bicycle Riders. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:5352. [PMID: 37047969 PMCID: PMC10093939 DOI: 10.3390/ijerph20075352] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Revised: 03/22/2023] [Accepted: 03/29/2023] [Indexed: 06/19/2023]
Abstract
Electric bicycle (EB) riders, being vulnerable road users (VRUs), are increasingly becoming victims of road traffic injuries (RTIs). This study aimed to determine the current status and epidemiological characteristics of RTIs among EB riders through a questionnaire survey and roadside observations in Shantou to provide a scientific basis for the prevention and control of electric bicycle road traffic injuries (ERTIs). A total of 2412 EB riders were surveyed, and 34,554 cyclists were observed in the study. To analyze the relationship between riding habits and injuries among EB riders, chi-square tests and multi-factor logistic regression models were employed. The findings reveal that the prevalence of ERTIs in Shantou was 4.81%, and the most affected group was children under 16 years old, accounting for 9.84%. Risky behavior was widespread among EB riders, such as the infrequent wearing of safety helmets, carrying people on EBs, riding on sidewalks, and listening to music with headphones while bicycling. Notably, over 90% of those who wore headphones while bicycling engaged in this risky behavior. The logistic regression analysis showed that honking the horn (odds ratio (OR): 2.009, 95% CI: 1.245-3.240), riding in reverse (OR: 4.210, 95% CI: 2.631-6.737), and continuing to ride after a fault was detected (OR: 2.010, 95% CI: 1.188-3.402) all significantly increased the risk of ERTIs (all p < 0.05). Risky riding behavior was significantly less observed at traffic intersections with traffic officers than at those without (all p < 0.001).
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Affiliation(s)
- Jiayu Huang
- School of Public Health, Shantou University, Shantou 515041, China; (J.H.); (Z.S.); (L.X.); (Z.L.)
| | - Ziyi Song
- School of Public Health, Shantou University, Shantou 515041, China; (J.H.); (Z.S.); (L.X.); (Z.L.)
- Injury Prevention Research Center, Shantou University Medical College, Shantou 515041, China
| | - Linlin Xie
- School of Public Health, Shantou University, Shantou 515041, China; (J.H.); (Z.S.); (L.X.); (Z.L.)
| | - Zeting Lin
- School of Public Health, Shantou University, Shantou 515041, China; (J.H.); (Z.S.); (L.X.); (Z.L.)
- Injury Prevention Research Center, Shantou University Medical College, Shantou 515041, China
| | - Liping Li
- School of Public Health, Shantou University, Shantou 515041, China; (J.H.); (Z.S.); (L.X.); (Z.L.)
- Injury Prevention Research Center, Shantou University Medical College, Shantou 515041, China
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Bracher AI, Klingler S, Koba S, Jakob DA, Exadaktylos A, Klukowska-Rötzler J, Burkhard JP. Trauma Characteristics Associated with E-Scooter Accidents in Switzerland-A Case Series Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4233. [PMID: 36901244 PMCID: PMC10002011 DOI: 10.3390/ijerph20054233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/12/2023] [Revised: 02/16/2023] [Accepted: 02/23/2023] [Indexed: 06/18/2023]
Abstract
E-scooters have gained popularity worldwide in the last few years. Due to the increase in users, more accidents related to e-scooters can be observed. The present study aimed to analyse epidemiological data, characteristics, and severity of injuries in patients admitted to a Level I trauma centre in Switzerland (Inselspital Bern, University Hospital Bern) after accidents associated with e-scooters. This retrospective case series evaluated 23 patients who presented to the University Hospital of Bern between 1 of May 2019 and 31 of October 2021 after an e-scooter accident. Data were collected on patient demographics, time and cause of the accident, speed, alcohol consumption, helmet use, type and localisation of injury, number of injuries per patient, and outcome. Men were most frequently affected (61.9%). The mean age was 35.8 (STD 14.8) years. Slightly more than half (52.2%) of all accidents were self-inflicted. Most accidents were reported during the night (7 p.m. to 7 a.m., 60.9%) and in summer (43.5%). Alcohol consumption was reported in 43.5% of cases, with a mean blood alcohol level of 1.4 g/l. Most injuries were observed in the face (25.3%) and head/neck area (20.25%). Skin abrasions (56.5%) and traumatic brain injury (43.5%) were the most common types of traumata in terms of total number of patients. Only in one case it was reported that a protective helmet had been worn. Five patients required hospitalisation and four patients underwent surgery. Three patients underwent emergency orthopaedic surgery, and one patient underwent emergency neurosurgery. E-scooter accidents result in a significant number of facial and head/neck injuries. E-scooter riders would potentially benefit from a helmet to protect them in the event of an accident. Additionally, the results of this study indicate that a significant number of e-scooter accidents in Switzerland occurred under the influence of alcohol. Prevention campaigns to raise awareness of the risks of driving e-scooters under the influence of alcohol could help prevent future accidents.
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Affiliation(s)
- Ava Insa Bracher
- Department of Emergency Medicine, Inselspital, University Hospital Bern, University of Bern, 3010 Bern, Switzerland
| | - Samuel Klingler
- Department of Oral Surgery and Stomatology, School of Dental Medicine, University of Bern, 3010 Bern, Switzerland
| | - Sabine Koba
- Department of Emergency Medicine, Inselspital, University Hospital Bern, University of Bern, 3010 Bern, Switzerland
| | - Dominik Andreas Jakob
- Department of Emergency Medicine, Inselspital, University Hospital Bern, University of Bern, 3010 Bern, Switzerland
| | - Aristomenis Exadaktylos
- Department of Emergency Medicine, Inselspital, University Hospital Bern, University of Bern, 3010 Bern, Switzerland
| | - Jolanta Klukowska-Rötzler
- Department of Emergency Medicine, Inselspital, University Hospital Bern, University of Bern, 3010 Bern, Switzerland
| | - John-Patrik Burkhard
- Department of Emergency Medicine, Inselspital, University Hospital Bern, University of Bern, 3010 Bern, Switzerland
- Cleft and Craniofacial Center Professor J. A. Obwegeser, 8005 Zurich, Switzerland
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Pattern of associated brain injury in maxillofacial trauma: a retrospective study from a high-volume centre. Br J Oral Maxillofac Surg 2022; 60:1373-1378. [PMID: 36253321 DOI: 10.1016/j.bjoms.2022.09.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2022] [Revised: 08/20/2022] [Accepted: 09/21/2022] [Indexed: 12/31/2022]
Abstract
The incidence of head injury in maxillofacial trauma patients varies widely in the literature. A good understanding of the patterns of association between these injuries would aid in efficient multidisciplinary treatment. The aim of this study therefore was to understand the associations between head injury and facial trauma by retrospectively analysing the records of patients seen at a tertiary care trauma centre. Demographic data were also described. Records of 4350 facial trauma patients over a five-year period were reviewed. A total of 3564 (81.9%) patients were victims of motor vehicle accidents (MVA). Male patients predominated, comprising 3711 (85.3%), and 36.6% were in the third decade of life. Facial fractures were seen in 2120 (48.7%), the most common being zygomatic fractures (60%). At the time of trauma, 2383 (57.3%) patients were under the influence of alcohol, and 2821 (87.8%) victims of two-wheeler MVAs were not using their helmet. Of all patients, 29.75% sustained a traumatic brain injury (TBI). Midface fractures were strongly associated with TBI. Maxillofacial injury may be considered a risk factor for TBI, and as such should immediately be suspected and investigated in all patients. Prompt recognition and management can improve outcomes in these patients.
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12
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Arbel S, Zrifin E, Mahmoud R, Mijiritsky E, Groysman L, Shuster A, Rahima H, Kleinman S, Ianculovici C, Peleg O. Maxillofacial Injuries Sustained by Riders of Electric-Powered Bikes and Electric-Powered Scooters. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph192215183. [PMID: 36429918 PMCID: PMC9690219 DOI: 10.3390/ijerph192215183] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/20/2022] [Revised: 11/05/2022] [Accepted: 11/09/2022] [Indexed: 06/12/2023]
Abstract
OBJECTIVES The purpose of our study is to retrospectively analyze and compare the patterns of maxillofacial-related injuries among rides of electric-powered bikes (E-bikes) and electric-powered scooters (E-scooters), the associated risk factors, and the required treatment. MATERIALS AND METHODS The medical files of all riders presenting to the emergency department at the Tel Aviv Sourasky Medical Center between 2019 and 2020 with oral- and maxillofacial-related injuries due to E-bike and E-scooter accidents were reviewed. RESULTS A total of 320 riders sustained oral- and maxillofacial-related injuries due to trauma involving E-bikes and E-scooters during the study period. E-scooter riders were involved in 238 accidents (74.5%) while E-bike riders accounted for the remaining 82 accidents (27.5%). Eighty-four out of 320 riders (26.25%) were hospitalized and required surgical interventions. Most of the 232 riders (72.5%) who reported not wearing a protective helmet during the index accident were E-scooter riders. In addition, 39 riders (18.66%) were riding either of these electric-powered vehicles under the influence of alcohol. CONCLUSIONS E-bike riders are more likely to sustain a maxillofacial fracture than E-scooter riders. Not wearing a protective helmet and riding under the influence of alcohol are major risk factors for maxillofacial injuries.
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Affiliation(s)
- Shimrit Arbel
- Department of Otolaryngology Head and Neck Surgery and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Tel Aviv 6423906, Israel
| | - Elad Zrifin
- Department of Otolaryngology Head and Neck Surgery and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Tel Aviv 6423906, Israel
| | - Reema Mahmoud
- Department of Otolaryngology Head and Neck Surgery and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Tel Aviv 6423906, Israel
| | - Eitan Mijiritsky
- Department of Otolaryngology Head and Neck Surgery and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Tel Aviv 6423906, Israel
| | - Leonid Groysman
- Department of Otolaryngology Head and Neck Surgery and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Tel Aviv 6423906, Israel
| | - Amir Shuster
- Department of Otolaryngology Head and Neck Surgery and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Tel Aviv 6423906, Israel
- Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv 6423906, Israel
| | - Heled Rahima
- Department of Otolaryngology Head and Neck Surgery and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Tel Aviv 6423906, Israel
| | - Shlomi Kleinman
- Department of Otolaryngology Head and Neck Surgery and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Tel Aviv 6423906, Israel
| | - Clariel Ianculovici
- Department of Otolaryngology Head and Neck Surgery and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Tel Aviv 6423906, Israel
| | - Oren Peleg
- Department of Otolaryngology Head and Neck Surgery and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Tel Aviv 6423906, Israel
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Age as a Predictive Factor in Severity of Injuries in Riders of Electric Bikes and Powered Scooters: A Retrospective Cross-Sectional Study. Healthcare (Basel) 2022; 10:healthcare10091689. [PMID: 36141301 PMCID: PMC9498356 DOI: 10.3390/healthcare10091689] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2022] [Revised: 08/18/2022] [Accepted: 09/02/2022] [Indexed: 11/17/2022] Open
Abstract
The growth in worldwide popularity of electric bikes (E-bikes) and powered scooters (P-scooters) has been accompanied by an increase in injuries associated with their use. The aim of this study was to evaluate the contribution of rider age to injury severity, represented by need for hospitalization. A retrospective review of the database of a tertiary medical center yielded 1234 patients (75.7% male) who attended the emergency department (ED) in 2014−2020 for injuries sustained while riding an E-bike or P-scooter. Mean age was 31.52 ± 14.77 years: 23% were aged <20 years; 33%, 21−30 years; 23%, 31−40 years; 10%, 41−50 years; 11%, >51 years. Ninety patients (7.3%) were hospitalized. Older age was significantly associated with the need for hospitalization on univariate analysis (p <.001), but significance was not maintained on binary logistic regression (OR = 1.02, 95%CI 0.99−1.06; p = 0.11). Patients who underwent imaging evaluation in the ED were at lower risk of hospitalization, and patients who had surgery or a relatively long operative procedure were at higher risk of hospitalization. The study shows that older age (>51 years) is not associated with a significantly increased probability of severe injury in E-bike and P-scooter riders. This finding has important implications for insurers and healthcare administrators.
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14
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Imaging features of electric scooter trauma: what an emergency radiologist needs to know. Radiol Med 2022; 127:872-880. [DOI: 10.1007/s11547-022-01519-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2022] [Accepted: 06/13/2022] [Indexed: 10/17/2022]
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15
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Yahya BH, Demetriou H, Zelnik A, Cohen N, Drescher MJ, Chaushu G, Hamzani Y. Trends in the Incidence and Severity of Injuries Sustained by Riders of Electric Bikes and Powered Scooters: A Retrospective Cross-Sectional Study. Medicina (B Aires) 2022; 58:medicina58070934. [PMID: 35888653 PMCID: PMC9320054 DOI: 10.3390/medicina58070934] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2022] [Revised: 07/04/2022] [Accepted: 07/11/2022] [Indexed: 11/16/2022] Open
Abstract
Background and Objectives: The worldwide increase in electric bike (E-bike) and powered scooter (P-scooter) use in recent years has been accompanied by an increase in associated injuries to riders. The aim of this study was to evaluate trends in the incidence and types of E-bikes and P-scooter-related injuries in riders evacuated to a tertiary ED. Materials and Methods: A retrospective cross-sectional design was used. The cohort included 1234 patients referred to the emergency department (ED) of a tertiary medical center in 2014–2020 for injuries sustained while riding an E-bike or P-scooter. Demographic, clinical, and injury data were collected from the medical files, and injury rates were evaluated over time. Results: The results showed that the annual number of ED visits by injured E-bike and P-scooter riders increased steadily over the study period concomitant with an increase in ED referrals for hospitalization, indicating severe injury. The upper and lower extremities were the most frequent anatomic sites of injury in every year of the study, with variations among the different age groups. Conclusions: Our findings suggest a need for safety regulations for riders who operate two-wheel powered vehicles, such as licensing requirements and mandatory protective gear, especially for anatomic sites most at risk.
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Affiliation(s)
- Bahaa Haj Yahya
- Oral and Maxillofacial Private Clinic, Herzliya 4672211, Israel;
| | - Helena Demetriou
- Rabin Medical Center, Department of Oral and Maxillofacial Surgery, Beilinson Hospital, Petach Tikva 4941492, Israel; (H.D.); (G.C.)
| | | | - Nir Cohen
- Rabin Medical Center, Department of Orthopedic Surgery, Beilinson Hospital, Petach Tikva 4941492, Israel;
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel;
| | - Michael J. Drescher
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel;
- Rabin Medical Center, Department of Emergency Medicine, Beilinson Hospital, Petach Tikva 4941492, Israel
| | - Gavriel Chaushu
- Rabin Medical Center, Department of Oral and Maxillofacial Surgery, Beilinson Hospital, Petach Tikva 4941492, Israel; (H.D.); (G.C.)
- The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv 6997801, Israel
| | - Yafit Hamzani
- Rabin Medical Center, Department of Emergency Medicine, Beilinson Hospital, Petach Tikva 4941492, Israel
- Correspondence: ; Tel.: +972-3-9377207; Fax: +972-3-9377204
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16
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Impact of Drug and Alcohol Use on Hospitalization for Injuries in Riders of Electric Bikes or Powered Scooters: A Retrospective Cross-Sectional Study. Healthcare (Basel) 2022; 10:healthcare10061026. [PMID: 35742077 PMCID: PMC9222526 DOI: 10.3390/healthcare10061026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2022] [Revised: 05/28/2022] [Accepted: 05/31/2022] [Indexed: 12/10/2022] Open
Abstract
The growing popularity of E-bikes and P-scooters has led to their increasing involvement in injuries. This study sought to evaluate the impact of drug and alcohol consumption on hospitalization rates for electric-vehicle-associated injuries. A retrospective cross-sectional study design was used, including patients evacuated to the emergency department (ED) of a tertiary medical center in 2014−2020 for injuries sustained while riding E-bikes or P-scooters. Data on clinical characteristics were collected from the medical files, including pre-accident usage of alcohol or drugs. Of the 1234 patients (75.7% male) who met the inclusion criteria, 90 (7.3%) were hospitalized. The mean (SD) number of admission days was 5.44 (±0.12). Alcohol consumption was associated with 2.2% of injuries and drug use with 0.6%. Patients who rode under the influence of alcohol were significantly more likely to be hospitalized than discharged (6.7% vs. 1.8%, χ2 (2) =19.25, p < 0.001); the odds ratio was 14.1. A similar association with hospitalization was found for drug use (χ2 (2) = 7.83, p = 0.02). Riding an E-bike or P-scooter under the influence of alcohol or drugs increases the probability of severe injury requiring hospital admission. These results should prompt the relevant authorities to initiate effective legislation of alcohol and drug use.
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Hamzani Y, Demetriou H, Zelnik A, Cohen N, Drescher MJ, Chaushu G, Yahya BH. Impact of Comorbidities on Hospitalization for Injuries in Riders of Electric Bikes and Powered Scooters: A Retrospective Cross-Sectional Study. Medicina (B Aires) 2022; 58:medicina58050659. [PMID: 35630078 PMCID: PMC9145968 DOI: 10.3390/medicina58050659] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2022] [Revised: 05/11/2022] [Accepted: 05/12/2022] [Indexed: 11/16/2022] Open
Abstract
Background and Objectives: Injuries associated with electric bikes (E-bikes) and powered scooters (P-scooters) have increased yearly worldwide. We aimed to evaluate the impact of pre-existing comorbidities on the probability of hospitalization for injuries in riders of E-bikes and P-scooters. Materials and Methods: A retrospective cross-sectional study design was used. The cohort included patients referred to the emergency department (ED) of a tertiary medical center in 2014–2020 for injuries sustained while riding an E-bike or P-scooter. Data were collected from the medical files on demographics, clinical characteristics including pre-existing comorbidities and permanent use of medications, and injury characteristics. Findings were compared between patients referred for hospitalization from the ED and patients discharged home. Results: Of the 1234 patients who met the inclusion criteria, 202 (16.4%) had a prior medical condition and 167 (13.5%) were taking medication on a permanent basis. A significant relationship was found between hospitalization and having a medical condition (𝜒2(1) = 9.20, p = 0.002) or taking medication on a permanent basis (𝜒2(1) = 6.24, p = 0.01). Hospitalization for injuries was more likely in patients with a comorbidity (27.8%) than those without a comorbidity (15.5%), and in patients who were on permanent drug therapy (22.2%) than in patients who were not (12.9%). Surprisingly, anticoagulant intake specifically had no effect on the probability of hospital admission. Conclusions: Patients with comorbidities have a higher incidence of hospitalization for E-bike- and P-scooter-associated injuries. Therefore, physicians may take into account comorbidities for the effective management of this patient group’s injuries.
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Affiliation(s)
- Yafit Hamzani
- Department of Oral and Maxillofacial Surgery, Rabin Medical Center—Beilinson Hospital, Petach Tikva 4941492, Israel; (H.D.); (G.C.)
- Correspondence: ; Tel.: +972-3-9377207; Fax: +972-3-9377204
| | - Helena Demetriou
- Department of Oral and Maxillofacial Surgery, Rabin Medical Center—Beilinson Hospital, Petach Tikva 4941492, Israel; (H.D.); (G.C.)
| | | | - Nir Cohen
- Department of Orthopedic Surgery, Rabin Medical Center—Beilinson Hospital, Petach Tikva 4941492, Israel;
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel;
| | - Michael J. Drescher
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel;
- Department of Emergency Medicine, Rabin Medical Center—Beilinson Hospital, Petach Tikva 4941492, Israel
| | - Gavriel Chaushu
- Department of Oral and Maxillofacial Surgery, Rabin Medical Center—Beilinson Hospital, Petach Tikva 4941492, Israel; (H.D.); (G.C.)
- The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv 6997801, Israel
| | - Bahaa Haj Yahya
- Oral and Maxillofacial Private Clinic, Herzliya 4685107, Israel;
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18
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Chalathadka M, Dengody PK, Ram B, Pasha AK, Madala G, Rao C. Patterns of maxillofacial trauma in helmet vs. non helmet wearing two wheeler drivers in a tertiary care center. Dent Traumatol 2022; 38:314-318. [PMID: 35482898 DOI: 10.1111/edt.12752] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2022] [Revised: 03/26/2022] [Accepted: 03/26/2022] [Indexed: 12/01/2022]
Abstract
BACKGROUND/AIMS The frequency and patterns of maxillofacial fractures vary by country, based on demographic, socioeconomic, cultural and environmental factors. Wearing a helmet is an efficient form of head protection for two-wheeler drivers and is now required in the vast majority of countries. The aim of this study was to compare the patterns of maxillofacial trauma in patients who wore helmets and those who did not. MATERIALS AND METHODS The data were gathered from clinical records of patients presenting with maxillofacial trauma between January 2019 and February 2022. The inclusion criteria were met by subjects involved in two-wheeler accidents with comprehensive case records and radiological investigations. RESULTS A total of 177 people presented following maxillofacial trauma. The mean age was 34.2 ± 12.7 years. There were 151 (85.3%) males and 26 (14.6%) females. One hundred and two patients had not been wearing a helmet, while 75 patients were wearing a helmet at the time of the accident. Mandible fractures were the most common injury in both groups, followed by zygomatic arch fractures (which were more common in non-helmet users) and dentoalveolar fractures in helmet users. CONCLUSION There was a significant difference in the pattern and severity of maxillofacial trauma in helmet users and non-helmet users.
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Affiliation(s)
| | | | - Bhargav Ram
- Department of Oral and Maxillofacial Surgery, KVGDCH, Sullia, India
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