Pediatric E-Scooter and Traditional Scooter Injuries: Emergency Department Visits 2015-2024

escooter mva
Katherine E. Douglas, MD, Alexander W. Hirsch, MD,
Andrew M. Fine, MD, MPH, and Todd W. Lyons, MD, MPH

ABSTRACT: 

Objectives: Electronic scooters (e-scooters) are increasing in popularity. We sought to compare pediatric e-scooters to traditional
scooter injuries, analyze risk factors for non-home disposition, and
evaluate injury trends.
Methods: We performed a retrospective, cross-sectional study of
ED visits for scooter injuries from 2015 to 2024, utilizing the
National Electronic Injury Surveillance System, utilizing product
codes to identify mechanisms. We compared e-scooter to traditional scooter injuries, and home disposition to non-home disposition (resulting in hospitalization, transfer, or death), using
proportion differences and multivariable modeling adjusting for
age, sex, and injury characteristics. We described time trends in ED
visits for e-scooter injuries.
Results: We identified 18,254 (population estimate 502,324) ED
visits for scooter injuries, of which 3094 [population estimate
91,523 (18.2%)] were e-scooters. E-scooter injuries were more
common among males and in older children (age 12 to 18 y).
Compared with traditional scooter injuries, e-scooter injuries were
more likely to result in admission (adjusted OR: 1.73; 95% CI: 1.2-
2.42) and internal injuries (12.1% e-scooter, 9.0% traditional
scooter; P < 0.05). E-scooter injuries were associated with
increased odds of non-home disposition compared with traditional
scooters (adjusted OR: 2.99, 95% CI: 1.66, 5.41). Overall, e-scooter
injuries made up an increasing percentage of pediatric ED visits
over the study period (annualized OR: 1.22; 95% CI: 1.17-1.28).
Conclusions: E-scooter injuries, compared with traditional scooter
injuries, are associated with more non-home disposition and specific injury patterns, and are increasing as a proportion of ED
injury visits over the past 10 years. These findings inform providers
and the public of risks associated with pediatric e-scooter use.
Key Words: e-scooter, electric scooter, micromobility devices,
traum
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