Head and Neck Injuries among Powered Scooter Users between 2010 and 2019

Abstract

Powered scooters, including electric scooters (e-scooters), have become an increasingly available and popular mode of personal transportation, but the health risks of these devices are poorly explored. We aim to quantify the increase in frequency of powered scooter–associated head and neck region injuries occurring yearly from 2010 to 2019, and to compare the frequency and severity of injury with those involving unpowered scooters. Here we present a retrospective cross-sectional study of all patients with head and neck injuries associated with powered and unpowered scooters seen in emergency departments reporting to the National Electronic Injury Surveillance System (NEISS) database from January 1, 2010 to December 31, 2019. During this time frame, a total of 1,620 injuries associated with powered scooters and a total of 5,675 injuries associated with unpowered scooters were reported to the NEISS. The database estimates these to reflect a nationwide total of 54,036 powered scooter–related injuries and 168,265 unpowered scooter–related injuries. Powered scooter injuries have increased for both children and adults since 2014, and estimated powered scooter injuries (16,243) surpassed estimated unpowered scooter injuries (14,124) when including all age groups for the first time in 2019. In 2019, adults are estimated to have nearly twice as many powered scooter–related head and neck injuries as children (10,884 vs. 5,359, respectively). In 2019, a higher proportion of powered scooter–related injuries involving adults were severe injuries when compared with those involving children (13.3 vs. 5.2%, respectively). Interestingly, unpowered scooters still cause many more estimated injuries in children than powered scooters did during 2019 (11,953 vs. 5,083). We find that powered scooters are now associated with a greater number and severity of head and neck injuries among the adult population than the pediatric population. But unpowered scooters still cause more head and neck injuries than powered scooters in the pediatric population.

Keywords

head and neck injury - e-scooter - trauma

• References

• 1 Nisson PL, Ley E, Chu R. Electric scooters: case reports indicate a growing public health concern. Am J Public Health 2020; 110 (02) 177-179
• 2 Mathew JK, Liu M, Seeder S, Li H, Bullock DM. Analysis of e-scooter trips and their temporal usage patterns. ITE J 2019; 89 (06) 44-49
• 3 Lyft, Inc. Lyft Scooters. Accessed Jun 21, 2022 at: https://www.lyft.com/scooters
• 4 Bird. FAQ: What is the max speed of a Bird? Accessed Jun 21, 2022 at: https://help.bird.co/hc/en-us/articles/360030667812-What-is-the-max-speed-of-a-Bird-
• 5 Badeau A, Carman C, Newman M, Steenblik J, Carlson M, Madsen T. Emergency department visits for electric scooter-related injuries after introduction of an urban rental program. Am J Emerg Med 2019; 37 (08) 1531-1533
• 6 Farley KX, Aizpuru M, Wilson JM. et al. Estimated incidence of electric scooter injuries in the US from 2014 to 2019. JAMA Netw Open 2020; 3 (08) e2014500
• 7 Namiri NK, Lui H, Tangney T, Allen IE, Cohen AJ, Breyer BN. Electric scooter injuries and hospital admissions in the United States, 2014-2018. JAMA Surg 2020; 155 (04) 357-359
• 8 Lee KC, Naik K, Wu BW, Karlis V, Chuang SK, Eisig SB. Are motorized scooters associated with more severe craniomaxillofacial injuries?. J Oral Maxillofac Surg 2020; 78 (09) 1583-1589
• 9 Razor A. Razor USA LLC. Accessed February 19, 2022 at: https://razor.com/about-us/
• 10 Schlaff CD, Sack KD, Elliott RJ, Rosner MK. Early experience with electric scooter injuries requiring neurosurgical evaluation in District of Columbia: a case series. World Neurosurg 2019; 132: 202-207
• 11 Kobayashi LM, Williams E, Brown CV. et al. The e-merging e-pidemic of e-scooters. Trauma Surg Acute Care Open 2019; 4 (01) e000337
• 12 Trivedi B, Kesterke MJ, Bhattacharjee R, Weber W, Mynar K, Reddy LV. Craniofacial injuries seen with the introduction of bicycle-share electric scooters in an urban setting. J Oral Maxillofac Surg 2019; 77 (11) 2292-2297
• 13 Liew YK, Wee CPJ, Pek JH. New peril on our roads: a retrospective study of electric scooter-related injuries. Singapore Med J 2020; 61 (02) 92-95
• 14 Bresler AY, Hanba C, Svider P, Carron MA, Hsueh WD, Paskhover B. Craniofacial injuries related to motorized scooter use: a rising epidemic. Am J Otolaryngol 2019; 40 (05) 662-666
• 15 Aizpuru M, Farley KX, Rojas JC, Crawford RS, Moore Jr TJ, Wagner ER. Motorized scooter injuries in the era of scooter-shares: a review of the national electronic surveillance system. Am J Emerg Med 2019; 37 (06) 1133-1138
• 16 Zou Z, Younes H, Erdogan S, Jia W. Exploratory analysis of real-time e-scooter trip data in Washington, D.C. Transp Res Rec 2020; 2674 (08) 285-299
• 17 US – Rules to Ride Scooters. Lime, held by Neutron Holdings LLC. 2021 Accessed June 21, 2022 at: https://www.li.me/en-us/legal/scooter-rules/
• 18 UNAGI Inc. The 2021 Comprehensive Guide to Electric Scooter Laws. Accessed July 13, 2022 at: https://unagiscooters.com/news/2021/03/30/the-2021-comprehensive-guide-to-electric-scooter-laws/
• 19 Trivedi TK, Liu C, Antonio ALM. et al. Injuries associated with standing electric scooter use. JAMA Netw Open 2019; 2 (01) e187381
• 20 Blomberg SNF, Rosenkrantz OCM, Lippert F, Collatz Christensen H. Injury from electric scooters in Copenhagen: a retrospective cohort study. BMJ Open 2019; 9 (12) e033988
• 21 Siracuse BL, Ippolito JA, Gibson PD, Beebe KS. Hoverboards: a new cause of pediatric morbidity. Injury 2017; 48 (06) 1110-1114