Evaluation of Electric Scooter Head and Neck Injuries in Paris, 2017-2019

Hennocq, Quentin; Schouman, Thomas; Khonsari, Roman Hossein; Sigaux, N.; Descroix, Vianney; Bertolus, Chloé; Foy, Jean‐Philippe

doi:10.1001/jamanetworkopen.2020.26698

Cited by 28 publications

(53 citation statements)

References 7 publications

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“…Therefore, in the absence of other sources of information at a national level, we performed this analysis using news reports. Of note, despite this methodological issue, our findings are in line with other reports from other countries [ 3 , 4 , 6 , 7 , 9 , 18 ].…”

Section: Discussionsupporting

confidence: 93%

“…Despite the use of a helmet being associated with a lower risk of head injury, in our report, we observed that it was rarely used (2.1% of all cases) [ 17 ]. This finding is in line with a report from Paris and two from the United States reporting a rate of helmet use of 12%, 4.8%, and 2%, respectively [ 7 , 9 , 18 ].…”

Section: Discussionsupporting

confidence: 92%

“…In one out of three cases, the driver lost control of the e-scooter, and in the remaining cases, the accident was caused by a collision with a vehicle, mostly cars, or a pedestrian. The driver involved in e-scooter accidents shared the characteristics described in other studies: mostly males and aged 30 years old on average [ 5 , 9 ]. Although drivers of e-scooters in Italy are required to be at least 14 years old by national law, we found that 7.6% of e-scooter injuries occurred in patients younger than 14 years [ 10 ].…”

Section: Discussionmentioning

confidence: 71%

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Analysis of road traffic accidents involving standing electric scooters reported in newspapers in Italy

Scquizzato

Gamberini

Stella³

et al. 2022

Clin Exp Emerg Med

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Objective As the use of electric scooters increased in Italy in the last years, we aimed to estimate the burden of accidents caused by this micro-mobility vehicle and identify characteristics, severity, and type of injuries.Methods We conducted a case series analysis of news reports about electric scooter crashes occurring in Italy from January 1, 2019 to September 30, 2020. Events were included when a road traffic accident involved an electric scooter and caused damages or injuries to the driver or others.Results We identified 96 road accidents involving electric scooters in Italy. The mean age of patients was 30 ± 16 years, and 79% (n = 71/90) were male. Of the 96 patients, only two (2%) were driving an electric scooter with a helmet, and three (3%) were driving while intoxicated. In 68% (n = 62/94) of cases, the incident was caused by a collision with another vehicle or a pedestrian, and 30% (n = 18/96) were transported with life-threatening injuries to the emergency department. In 15% (n = 14/96), the emergency medical service physician was dispatched to the scene. Head trauma was the most common injury (60%, n = 32/53). Patients who had life-threatening conditions were more likely to have head trauma than those who did not (82% [n = 9/11] vs. 55% [n = 23/42], P = 0.10). Polytrauma was significantly more common in patients with life-threatening conditions than in patients with no life-threatening conditions (36% [n = 4/11] vs. 5% [n = 2/42], P < 0.01). Fifteen percent of patients (n = 12/81) were admitted to the intensive care unit; only one death was reported.Conclusion Road traffic accidents involving electric scooters often result in serious injuries, including head trauma and polytrauma, necessitating the involvement of an emergency medical service physician and intensive care unit admission in a non-negligible percentage of instances.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 71%

See 1 more Smart Citation

Analysis of road traffic accidents involving standing electric scooters reported in newspapers in Italy

Scquizzato

Gamberini

Stella³

et al. 2022

Clin Exp Emerg Med

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“…The most common injuries are head and facial trauma and extremity injuries. 1 , 2 , 3 , 4 , 5 Patients with these injuries are predominantly younger men, and substance use is also relatively common among the injured. 3 , 5 The characteristics of the injured and the prevalence of the sustained injuries have been reported by numerous authors.…”

Section: Introductionmentioning

confidence: 99%

“… 1 , 2 , 3 , 4 , 5 Patients with these injuries are predominantly younger men, and substance use is also relatively common among the injured. 3 , 5 The characteristics of the injured and the prevalence of the sustained injuries have been reported by numerous authors. We aimed to evaluate the incidence of e-scooter–related injuries.…”

Section: Introductionmentioning

confidence: 99%

Incidence of Electric Scooter–Associated Injuries in Finland From 2019 to 2021

et al. 2022

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Comparison of Injuries Associated With Electric Scooters, Motorbikes, and Bicycles in France, 2019-2022

et al. 2023

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ImportanceElectric scooter (e-scooter) use is increasing in France and in many urban environments worldwide. Yet little is known about injuries associated with use of e-scooters.ObjectiveTo describe characteristics and outcomes of major trauma involving e-scooters.Design, Setting, and ParticipantsA multicenter cohort study was conducted in France using the national major trauma registry between January 1, 2019, and December 20, 2022. All patients admitted to a participating major trauma center following a road traffic crash (RTC) involving an e-scooter, a bicycle, or a motorbike were included.ExposureIncluded patients were compared according to the 3 mechanisms.Main Outcomes and MeasuresThe primary outcome was trauma severity as defined by the Injury Severity Score (ISS). Secondary outcomes included the trends of the number of patients per year, a comparison of the RTC epidemiologic factors, injury severity, resources used, and in-hospital outcomes.ResultsA total of 5233 patients involved in RTCs were admitted (median age, 33 [IQR, 24-48] years; 4629 [88.5%] men; median ISS, 13 [IQR, 8-22]). The population included 229 e-scooter RTCs (4.4%), 4094 motorbike RTCs (78.2%), and 910 bicycle RTCs (17.4%). The number of patients treated following e-scooter RTCs increased by 2.8-fold in 4 years (from 31 in 2019 to 88 in 2022), while bicycle RTCs increased by 1.2-fold and motorbike RTCs decreased by 0.9-fold. At admission, 36.7% of e-scooter users had a blood alcohol content higher than the legal threshold (n = 84) and 22.5% wore a protective helmet (n = 32). Among e-scooter RTCs, 102 patients (45.5%) had an ISS of 16 or higher. This proportion was similar for patients with motorbike RTCs (1557 [39.7%]; P = .10) and bicycle RTCs (411 [47.3%]; P = .69). With a proportion of 25.9% (n = 50), patients with e-scooter RTCs had twice as many severe traumatic brain injuries (Glasgow Coma Scale ≤8) as motorbike RTCs (445 [11.8%]) and a proportion comparable to bicycle RTCs (174 [22.1%]). The mortality of e-scooter RTCs was 9.2% (n = 20), compared with 5.2% (n = 196) (P = .02) for motorbikes and 10.0% (n = 84) (P = .82) for bicycles.Conclusions and RelevanceThe findings of this study suggest that trauma involving e-scooters in France has significantly increased over the past 4 years. These patients presented with injury profiles as severe as those of individuals who experienced bicycle or motorbike RTCs, with a higher proportion of severe traumatic brain injury.

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Evaluation of Electric Scooter Head and Neck Injuries in Paris, 2017-2019

Abstract: This case series study evaluates head and neck injuries caused by electric scooters in Paris, 2017-2019, focusing on user behavior and injury types.

Cited by 28 publications

References 7 publications

Analysis of road traffic accidents involving standing electric scooters reported in newspapers in Italy

Analysis of road traffic accidents involving standing electric scooters reported in newspapers in Italy

Incidence of Electric Scooter–Associated Injuries in Finland From 2019 to 2021

Comparison of Injuries Associated With Electric Scooters, Motorbikes, and Bicycles in France, 2019-2022

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