PDF(Pubmed)
Abstract：
UNASSIGNED: Trauma remains the leading cause of death for children over a year old. Motorized recreational conveyances (RCs) adds another potential cause of pediatric trauma. This study aims to determine the impact of adding electric motors to RCs on the severity and frequency of pediatric injuries and craniofacial fractures.
UNASSIGNED: Pediatric trauma information was obtained from the National Electronic Injury Surveillance System (NEISS) database between 2012 and 2021. Demographics, injury cause, diagnoses, and incident narrative were collected. Bivariate and multivariate regression analyses were used to determine injury factors associated with serious injuries.
UNASSIGNED: One million five hundred ninety-six thousand five hundred fifty-nine encounters were examined; 113,905 (7.1%) were related to pediatric RCs and 5354 (5.4%) of those involved RCs with electric motors. 14.3% of injuries were related to scooters, 18.6% to skateboards, 54.2% to bicycles, and 12.9% to other RCs. There were significant differences in age, sex, race, helmet use, serious injuries, and craniofacial fractures between RC modalities. RC users were more likely to develop facial fractures (OR 2.12; 95%CI 2.01, 2.23; p < .001) and be involved in serious injuries (OR 1.42; 95%CI 1.38, 1.46; p < .001). Compared to their self-propelled counterparts, motorized scooters (OR 2.24; 95%CI 1.86, 2.69; p < .001) but not motorized skateboards (OR 1.01; 95%CI 0.88, 1.17; p = 0.88) were more likely to cause serious injuries. Helmet use was associated with fewer serious injuries (OR 0.5; 95%CI 0.46, 0.54; p < .001), facial fractures (OR 0.48; 95%CI 0.41, 0.55; p < .001), and skull fractures (OR 0.13; 95%CI 0.09, 0.17; p < .001).
UNASSIGNED: The addition of electric motors to RCs significantly increases the risk of pediatric craniofacial fractures and serious injuries.
UNASSIGNED: 3.
UNASSIGNED: Pediatric trauma information was obtained from the National Electronic Injury Surveillance System (NEISS) database between 2012 and 2021. Demographics, injury cause, diagnoses, and incident narrative were collected. Bivariate and multivariate regression analyses were used to determine injury factors associated with serious injuries.
UNASSIGNED: One million five hundred ninety-six thousand five hundred fifty-nine encounters were examined; 113,905 (7.1%) were related to pediatric RCs and 5354 (5.4%) of those involved RCs with electric motors. 14.3% of injuries were related to scooters, 18.6% to skateboards, 54.2% to bicycles, and 12.9% to other RCs. There were significant differences in age, sex, race, helmet use, serious injuries, and craniofacial fractures between RC modalities. RC users were more likely to develop facial fractures (OR 2.12; 95%CI 2.01, 2.23; p < .001) and be involved in serious injuries (OR 1.42; 95%CI 1.38, 1.46; p < .001). Compared to their self-propelled counterparts, motorized scooters (OR 2.24; 95%CI 1.86, 2.69; p < .001) but not motorized skateboards (OR 1.01; 95%CI 0.88, 1.17; p = 0.88) were more likely to cause serious injuries. Helmet use was associated with fewer serious injuries (OR 0.5; 95%CI 0.46, 0.54; p < .001), facial fractures (OR 0.48; 95%CI 0.41, 0.55; p < .001), and skull fractures (OR 0.13; 95%CI 0.09, 0.17; p < .001).
UNASSIGNED: The addition of electric motors to RCs significantly increases the risk of pediatric craniofacial fractures and serious injuries.
UNASSIGNED: 3.
摘要：
创伤仍然是一岁以上儿童死亡的主要原因。机动休闲交通工具（RC）增加了小儿创伤的另一个潜在原因。这项研究旨在确定在RC中添加电动机对小儿损伤和颅面骨折的严重程度和频率的影响。
■儿科创伤信息是在2012年至2021年之间从国家电子伤害监测系统（NEISS）数据库获得的。人口统计,受伤原因,诊断,并收集了事件叙述。使用双变量和多变量回归分析来确定与严重损伤相关的损伤因素。
■检查了一百五十万五十九次相遇；113,905（7.1％）与儿科RC有关，其中5354（5.4％）与电动机有关。14.3％的伤害与踏板车有关，18.6%的滑板，自行车占54.2%，对其他RC的影响为12.9%。年龄差异显著,性别,种族,头盔的使用,重伤,RC模式之间的颅面骨折。RC使用者更容易发生面部骨折（OR2.12;95CI2.01,2.23;p<.001），并且涉及严重损伤（OR1.42;95CI1.38,1.46;p<.001）。与他们的自行同行相比，电动滑板车(OR2.24;95CI1.86,2.69;p<.001)而非电动滑板(OR1.01;95CI0.88,1.17;p=0.88)更有可能造成严重伤害。头盔使用与较少的严重伤害相关（OR0.5;95CI0.46,0.54;p<.001），面部骨折（OR0.48；95CI0.41，0.55；p<.001），颅骨骨折（OR0.13；95CI0.09，0.17；p<.001）。
■在RC中增加电动机会大大增加小儿颅面骨折和严重受伤的风险。
■3.
■儿科创伤信息是在2012年至2021年之间从国家电子伤害监测系统（NEISS）数据库获得的。人口统计,受伤原因,诊断,并收集了事件叙述。使用双变量和多变量回归分析来确定与严重损伤相关的损伤因素。
■检查了一百五十万五十九次相遇；113,905（7.1％）与儿科RC有关，其中5354（5.4％）与电动机有关。14.3％的伤害与踏板车有关，18.6%的滑板，自行车占54.2%，对其他RC的影响为12.9%。年龄差异显著,性别,种族,头盔的使用,重伤,RC模式之间的颅面骨折。RC使用者更容易发生面部骨折（OR2.12;95CI2.01,2.23;p<.001），并且涉及严重损伤（OR1.42;95CI1.38,1.46;p<.001）。与他们的自行同行相比，电动滑板车(OR2.24;95CI1.86,2.69;p<.001)而非电动滑板(OR1.01;95CI0.88,1.17;p=0.88)更有可能造成严重伤害。头盔使用与较少的严重伤害相关（OR0.5;95CI0.46,0.54;p<.001），面部骨折（OR0.48；95CI0.41，0.55；p<.001），颅骨骨折（OR0.13；95CI0.09，0.17；p<.001）。
■在RC中增加电动机会大大增加小儿颅面骨折和严重受伤的风险。
■3.
