城市酒驾:电动滑板车与自行车相关事故在面部骨折患者中的比较。

O Murros, T Puolakkainen, A Abio, H Thorén, J Snäll
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引用次数: 3

摘要

背景:近年来,电动滑板车(e-scooter)因其可用性和使用方便而成为城市交通的一种替代方式。然而,与电动滑板车相关的创伤和伤害,特别是对头部的伤害,已经得到了媒体的广泛报道,并引起了公众对其安全性的关注。我们的目的是确定和比较与自行车和电动滑板车相关的面部骨折的临床相关变量、发生率和严重程度,以及预防伤害的潜在保护措施。材料和方法:本回顾性研究包括2019年1月至2020年10月期间在一家三级创伤中心收治的所有与自行车或电动滑板车相关的面部骨折患者。收集、分析和比较了与自行车和电动滑板车损伤相关的患者和损伤相关变量,包括人口统计学、损伤机制、头盔使用、酒精的影响、面部损伤类型、其他损伤类型、给予治疗和住院时间。结果:共纳入169例面部骨折,其中自行车相关损伤124例(73.4%),电动滑板车相关损伤45例(26.6%)。电动滑板车患者的酒精介入率(88.9%)明显高于自行车患者(31.5%)。(结论:与自行车事故患者相比,电动滑板车事故中面部骨折的患者年龄更小,更容易受到酒精的影响,并且发生更严重的颅面骨骼骨折。我们对两组患者的研究结果提倡更严格地遵守头盔和道路安全立法以及伤害预防的公共教育。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Urban drinking and driving: comparison of electric scooter and bicycle related accidents in facial fracture patients.

Background: In recent years, electric scooters (e-scooter) have emerged as an alternative mode of urban transport due to their availability and effortless use. However, e-scooter-related trauma and injuries, especially to the head, have received wide media coverage and raised public concern about their safety. We aim to determine and compare clinically relevant variables, incidence, and severity between bicycle and e-scooter-related facial fractures and potential protective measures for injury prevention.

Material and methods: This retrospective study comprised all patients admitted to a tertiary trauma center with bicycle or e-scooter-related facial fractures between January 2019 and October 2020. Patient- and injury-related variables, including demographics, injury mechanisms, helmet use, influence of alcohol, types of facial injuries, types of other injuries, given treatment, and hospital stay, were collected, analysed, and compared between bicycle and e-scooter injuries.

Results: Altogether 169 patients with facial fractures, 124 bicycle-related injuries (73.4%) and 45 e-scooter-related injuries (26.6%) were included. Alcohol involvement was significantly higher in e-scooter patients (88.9%) than in bicycle patients (31.5%) (p<0.001). Driving under the influence of alcohol was associated with driving without a helmet in both groups (p<0.001). In multivariate analyses, e-scooter accidents were 18 times more likely to occur under the influence of alcohol (OR 17.85, p<0.001) and were more likely to involve collision with a stationary object (OR 3.81, p=0.028). E-scooter patients were significantly younger (OR 0.95, p<0.001) and had significantly more cranial fractures (OR 10.15, p=0.014) than bicycle patients.

Conclusions: Compared with patients in bicycle accidents, facial fracture patients injured in e-scooter accidents are younger, are more likely under the influence of alcohol, and sustain more severe craniofacial skeleton fractures. Our results for both groups of patients advocate stricter adherence to helmet and road safety legislation as well as public education for injury prevention.

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来源期刊
CiteScore
4.50
自引率
0.00%
发文量
52
期刊介绍: 1. Oral Medicine and Pathology: Clinicopathological as well as medical or surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, as well as orofacial neurological disorders, and systemic conditions with an impact on the oral cavity. 2. Oral Surgery: Surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, teeth, implants, oral surgical procedures. Surgical management of diseases affecting head and neck areas. 3. Medically compromised patients in Dentistry: Articles discussing medical problems in Odontology will also be included, with a special focus on the clinico-odontological management of medically compromised patients, and considerations regarding high-risk or disabled patients. 4. Implantology 5. Periodontology
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