背景和目标:近年来,电子踏板车(e-sooter)已经普及,无论是供私人使用还是作为公共可用的运输方法。随着这些车辆的推出,有关电动踏板车相关事故的报告激增,引发公众辩论和关注。这项研究的目的是分析流行病学数据,特点,以及与电动踏板车事故相关的创伤性脑损伤(TBI)的严重程度。材料和方法:本回顾性病例系列评估了里加三个最大的神经外科诊所收治的患者,拉脱维亚,从4月到10月的两个单独的年份-2022年和2023年-在与电动踏板车相关的事故之后。数据是根据患者的人口统计信息收集的,事故发生的时间,酒精消费,头盔的使用,TBI的类型,其他相关伤害,以及出院时的治疗和评估。结果:共有28例患者因使用电动滑板车而发生TBI,年龄中位数为30岁(Q1-Q3,20.25-37.25),四名18岁以下的人,大多数(64%)是男性。在23个案例中,损伤机制下降,在5个案例中,碰撞。受伤时没有人戴头盔。超过一半的患者(51.5%)出现酒精中毒,其中75%的病例患有严重中毒(>1.2g/L)。50%的病例在入院时出现神经系统症状。所有患者均有颅内外伤:50%有脑挫伤,43%外伤性硬膜下血肿,还有30%的硬膜外血肿.71%的病例中颅面骨折明显,三名患者身体其他部位骨折。六名患者需要紧急神经外科介入治疗。在两名患者中发现了神经系统并发症;一名患者死亡。结论:与电动踏板车相关的事故会导致大量的脑部和其他相关伤害,与酒精影响和缺乏头盔使用有关的明显频率。应开展预防运动,以提高对潜在风险的认识,并实施更严格的法规。
Background and Objectives: In recent years, electronic scooters (e-scooters) have gained popularity, whether for private use or as a publicly available transportation method. With the introduction of these vehicles,
reports of e-scooter-related accidents have surged, sparking public debate and concern. The aim of this study was to analyze the epidemiological data, characteristics, and severity of traumatic brain injury (TBI) related to e-scooter accidents. Materials and Methods: This retrospective
case series evaluated patients who were admitted to the three largest neurosurgery clinics in Riga, Latvia, from the time period of April to October in two separate years-2022 and 2023-after e-scooter-related accidents. The data were collected on patient demographics, the time of the accident, alcohol consumption, helmet use, the type of TBI, other related injuries, and the treatment and assessment at discharge. Results: A total of 28 patients were admitted with TBI related to e-scooter use, with a median age of 30 years (Q1-Q3, 20.25-37.25), four individuals under the age of 18, and the majority (64%) being male. In 23 cases, the injury mechanism was falling, in 5 cases, collision. None were wearing a helmet at the time of the injury. Alcohol intoxication was evident in over half of the patients (51.5%), with severe intoxication (>1.2 g/L) in 75% of cases among them. Neurological symptoms upon admission were noted in 50% of cases. All patients had intracranial trauma: 50% had brain contusions, 43% traumatic subdural hematoma, and almost 30% epidural hematoma. Craniofacial fractures were evident in 71% of cases, and there were fractures in other parts of body in three patients. Six patients required emergency neurosurgical intervention. Neurological complications were noted in two patients; one patient died. Conclusions: e-scooter-related accidents result in a significant number of brain and other associated injuries, with notable frequency linked to alcohol influence and a lack of helmet use. Prevention campaigns to raise the awareness of potential risks and the implementation of more strict regulations should be conducted.