Trauma & major bleeding

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

JAMA Netw OpenPublished Multicentre cohort study

Authors' conclusion

The findings of this study suggest that trauma involving e-scooters in France has significantly increased over the past 4 years. These patients presented with injury profiles as severe as those of individuals who experienced bicycle or motorbike RTCs, with a higher proportion of severe traumatic brain injury.

Study context

Population
Patients admitted to a participating major trauma centre after a road traffic crash involving an e-scooter, bicycle or motorbike, France, 2019–2022
Participants
5,233 patients
Exposure
E-scooter vs motorbike vs bicycle road traffic crashes
  • E-scootern = 229reference
  • Motorbiken = 4,094
  • Bicyclen = 910
Outcome
Trauma severity by Injury Severity Score (ISS)
Methodological detailsnational major trauma registry
  • National major trauma registry

Main finding

As reported in the abstract

ISS of 16 or higher

Motorbike vs E-scooter: P = 0.10 · Bicycle vs E-scooter: P = 0.69

Observational data: associations, not effects.

Secondary outcomes

Severe TBI (GCS ≤8)

Mortality — Motorbike vs E-scooter

P = 0.02

OutcomeP value
MortalityBicycle vs E-scooterP = 0.82

Number of patients per year with e-scooter road traffic crash (RTCs) · 2019 to 2022

Bicycle RTCs increased
1.2-fold
Motorbike RTCs decreased
0.9-fold
E-scooter RTCs increased 2.8-fold (31 in 2019 to 88 in 2022)

E-scooter users at admission: blood alcohol above legal threshold; helmet worn

Blood alcohol above legal threshold (n = 84)
36.7%
Protective helmet worn (n = 32)
22.5%

Original publication

Comparison of Injuries Associated With Electric Scooters, Motorbikes, and Bicycles in France, 2019-2022. JAMA Netw Open. Published 1 June 2023. doi:10.1001/jamanetworkopen.2023.20960

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