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

Title: Comparison of Injuries Associated With Electric Scooters, Motorbikes, and Bicycles in France, 2019-2022
Authors: James, Arthur; Harrois, Anatole; Abback, Paer-Selim; Moyer, Jean Denis; Jeantrelle, Caroline; Hanouz, Jean-Luc; Boutonnet, Mathieu; Geeraerts, Thomas; Godier, Anne; Pottecher, Julien; Garrigue-Huet, Delphine; Cotte, Jean; Pasqueron, Jean; Foucrier, Arnaud; Gauss, Tobias; Raux, Mathieu; Audibert, Gérard; Bounes, Fanny; Clavier, Thomas; Cloche, Regis; Cohen, Benjamin; Couturier, Christophe; Delhaye, Nathalie; Duranteau, Jacques; Dussau, Leslie; Floch, Thierry; Gatulle, Nicolas; Gettes, Sébastien; Gosset, Pierre; Langeron, Olivier; Leone, Marc; Meaudre, Eric; Moisan, Marie; Pujo, Jean; Ramonda, Véronique; Rotival, Julie; Werner, Marie; Willig, Mathieu
Contributors: Groupe de Recherche Clinique en Anesthésie Réanimation médecine PEriopératoire (GRC 29 - ARPE); Sorbonne Université (SU); CHU Pitié-Salpêtrière AP-HP; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU); Centre Hospitalier Régional Universitaire de Tours (CHRU Tours); Université de Tours (UT); Hôpital Beaujon AP-HP; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP); Université de Caen Normandie (UNICAEN); Normandie Université (NU); École du Val de Grâce (EVDG); Service de Santé des Armées; Toulouse NeuroImaging Center (ToNIC); Université Toulouse III - Paul Sabatier (UT3); Communauté d'universités et établissements de Toulouse (Comue de Toulouse)-Communauté d'universités et établissements de Toulouse (Comue de Toulouse)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Toulouse Mind & Brain Institut (TMBI); Université Toulouse - Jean Jaurès (UT2J); Communauté d'universités et établissements de Toulouse (Comue de Toulouse)-Communauté d'universités et établissements de Toulouse (Comue de Toulouse)-Université Toulouse III - Paul Sabatier (UT3); Communauté d'universités et établissements de Toulouse (Comue de Toulouse)-Université Toulouse - Jean Jaurès (UT2J); Communauté d'universités et établissements de Toulouse (Comue de Toulouse)-Université Toulouse III - Paul Sabatier (UT3); Communauté d'universités et établissements de Toulouse (Comue de Toulouse); Pôle Anesthésie Réanimation CHU de Toulouse; Centre Hospitalier Universitaire de Toulouse (CHU Toulouse); Université Paris Cité (UPCité); Innovations thérapeutiques en hémostase = Innovative Therapies in Haemostasis (IThEM - U1140); Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité); Hôpital de Hautepierre Strasbourg; Hôpitaux Universitaires de Strasbourg (HUS); Centre Hospitalier Régional Universitaire CHU Lille (CHRU Lille); Hopital d'instruction des armées Sainte-Anne Toulon (HIA); Hôpital Henri Mondor; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-CHU Henri Mondor Créteil; Groupe Henri Mondor-Albert Chenevier-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Groupe Henri Mondor-Albert Chenevier-Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12); CHU de Grenoble-Alpes - Centre Hospitalier Universitaire CHU Grenoble (CHUGA); Université Grenoble Alpes (UGA); Neurophysiologie Respiratoire Expérimentale et Clinique (UMRS 1158); Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU); Comité d'éthique de la Société française d’anesthésie et de réanimation (Comité éthique de la SFAR); Société française d’anesthésie et de réanimation = French Society of Anaesthesia and Intensive Care (SFAR); Service d'Anesthésie et Soins intensifs CHU Rouen; CHU Rouen; Normandie Université (NU)-Normandie Université (NU)-Université de Rouen Normandie (UNIROUEN)
Source: EISSN: 2574-3805 ; JAMA Network Open ; https://hal.science/hal-04832681 ; JAMA Network Open, 2023, 6 (6), pp.e2320960. ⟨10.1001/jamanetworkopen.2023.20960⟩
Publisher Information: CCSD; American Medical Association
Publication Year: 2023
Collection: Université François-Rabelais de Tours: HAL
Subject Terms: MESH: Off-Road Motor Vehicles; MESH: Male; MESH: Humans; MESH: France / epidemiology; MESH: Female; MESH: Cohort Studies; MESH: Brain Injuries; Traumatic; MESH: Bicycling; MESH: Adult; [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology
Description: International audience ; Importance Electric 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. Objective To describe characteristics and outcomes of major trauma involving e-scooters. Design, Setting, and Participants A 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. Exposure Included patients were compared according to the 3 mechanisms. Main Outcomes and Measures The 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. Results A 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 ...
Document Type: article in journal/newspaper
Language: English
Relation: info:eu-repo/semantics/altIdentifier/pmid/37389873; PUBMED: 37389873
DOI: 10.1001/jamanetworkopen.2023.20960
Availability: https://hal.science/hal-04832681; https://hal.science/hal-04832681v1/document; https://hal.science/hal-04832681v1/file/james_2023.pdf; https://doi.org/10.1001/jamanetworkopen.2023.20960
Rights: https://creativecommons.org/licenses/by/4.0/ ; info:eu-repo/semantics/OpenAccess
Accession Number: edsbas.39063CBF
Database: BASE