Injury patterns associated with personal mobility devices and electric bicycles: an analysis from an acute general hospital in Singapore

新加坡一家综合性急症医院对个人代步工具和电动自行车相关损伤模式的分析

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Abstract

INTRODUCTION: The increasing popularity of personal mobility devices (PMDs) and electric bicycles (e-bikes) in Singapore has met with growing public concern over safety. Following the passing of the Active Mobility Bill, there remains a gap in the local literature in terms of injury patterns arising from the use of these devices. METHODS: A retrospective study was conducted on the Singapore National Trauma Registry (SNTR) from the emergency department of an acute hospital from 1 January 2016 to 31 December 2016. All patients with injuries related to the use of PMDs and e-bikes were included. Data captured included demographic information, device used and injury severity score (ISS). RESULTS: The 259 patients identified had a mean age of 32.1 years and a male predominance. Most (83.4%) were injured from falling off their devices. Devices commonly associated with injury were scooters, skateboards and motorised bicycles. Most injuries were mild (94.6%, ISS < 9) and were mainly external wounds (89.2%) and upper and lower limb injuries (35.5%). There was no difference in ISS in terms of the device used (motorised vs. non-motorised). More severe injuries (ISS ≥ 9) were caused by e-bikes (42.9%) and electric scooters (28.6%). Factors associated with these injuries were older age, use of e-bikes, and injuries to the head, face and thorax. Most patients (86.1%) were discharged and one died. CONCLUSION: While most injuries associated with PMDs and e-bikes are minor, serious injuries could result from their use. The SNTR should be updated to include PMDs and e-bikes as a category.

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