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The Escalating Burden of E-Scooter-Related Injuries: A Two-Year Comparative Analysis.

M Ni Mhiochain de Grae, B Rigney, R Mahony

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    Electric scooter (e-scooter) injuries are increasing in frequency and complexity, leading to higher physiotherapy and wound care needs. While hospital admission and surgery rates remain stable, the overall burden on healthcare services is escalating.

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    Area of Science:

    • Trauma and Injury Research
    • Public Health
    • Orthopaedic Surgery

    Background:

    • Electric scooter (e-scooter) injuries present a growing challenge to emergency departments.
    • Previous research indicated a high rate of orthopaedic referral for e-scooter injuries.
    • This study examines trends and outcomes of e-scooter related trauma over a two-year period.

    Purpose of the Study:

    • To analyze trends in e-scooter related injuries presenting to a tertiary referral center.
    • To evaluate clinical outcomes and management strategies for e-scooter injuries.
    • To compare the service impact of e-scooter injuries over two distinct two-year periods.

    Main Methods:

    • Retrospective analysis of patient data from August 1, 2023, to July 31, 2024.
    • Comparison with a previous study cohort from August 1, 2021, to July 31, 2022.
    • Data collected included injury mechanism, type, safety equipment use, emergency presentation outcomes, admission length, surgery, and follow-up.

    Main Results:

    • Patient numbers increased from 105 to 201 between the two study phases.
    • Fractures occurred in 43% of presentations, with 8.9% requiring emergency fixation.
    • Physiotherapy referrals significantly increased (4.8% to 34.3%), as did wound care needs (6.7% to 14.4%).

    Conclusions:

    • E-scooter trauma has increased in frequency and complexity over two years.
    • Outpatient and allied health service demands have escalated, despite stable admission and surgical rates.
    • Targeted public health interventions are needed to reduce e-scooter injury severity and harm.