Epidemiological and clinical features of an older high-risk population of skateboarders

Tominaga, Gail T.; Schaffer, Kathryn B.; Dandan, Imad S.; Kraus, Jess F.

doi:10.1016/j.injury.2012.01.022

Cited by 19 publications

(12 citation statements)

References 29 publications

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“…The rate of screening was not reported in the prior study and may have been significantly lower than our relatively high screening rate (79% for alcohol, 60% for other illicit substances). The rate of intoxicating substances present in the current study is also notably higher than other previous studies of bicycle (15% to 20%)10 11 and skateboard (18% to 28%)12 13 accidents.…”

Section: Discussioncontrasting

confidence: 80%

“…Similarities can be made to skateboards in terms of design and stability. Two analyses of skateboard-related injuries by Lustenberger et al and Tominaga et al both found extremity fractures and ICH to be common injuries 12 16. The injury pattern of eScooters in the current study appears similar to that of skateboards, with the most common injuries being extremity fractures (42%), and with ICH occurring in 18% of patients.…”

Section: Discussionsupporting

confidence: 63%

“…Compared with skateboard studies where 30% to 60% of patients were under 17 years of age, the majority of patients in our study were >20 years old. Interestingly, both prior skateboard studies found older patients to be more severely injured, less likely to wear a helmet, and more likely to have a traumatic brain injury compared with their younger counterparts 12 16…”

Section: Discussionmentioning

confidence: 97%

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The e-merging e-pidemic of e-scooters

Kobayashi

Williams

Brown

et al. 2019

Trauma Surg Acute Care Open

145

110

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IntroductionSince their release in 2017, standing electric motorized scooters (eScooters) have risen in popularity as an alternative mode of transportation. We sought to examine the incidence of injury, injury patterns, prevalence of helmet and drug and alcohol use in eScooter trauma.MethodsThis was a multi-institutional retrospective case series of patients admitted for injuries related to operation of an eScooter following the widespread release of these devices in September 2017 (September 1, 2017 to October 31, 2018). Demographics, drug and alcohol use, helmet use, admission vitals, injuries, procedures, hospital and intensive care unit length of stay (LOS), death, and disposition were analyzed.Results103 patients were admitted during the study period, and monthly admissions increased significantly over time. Patients were young men (mean age 37.1 years; 65% male), 98% were not wearing a helmet. Median LOS was 1 day (IQR 1–3). 79% of patients were tested for alcohol and 48% had a blood alcohol level >80 mg/dL. 60% of patients had a urine toxicology screen, of which 52% were positive. Extremity fractures were the most frequent injury (42%), followed by facial fractures (26%) and intracranial hemorrhage (18%). Median Injury Severity Score was 5.5 (IQR 5–9). One-third of patients (n=34) required an operative intervention, the majority of which were open fixations of extremity and facial fractures. No patients died during the study. The majority of patients were discharged home (86%).ConclusioneScooter-related trauma has significantly increased over time. Alcohol and illicit substance use among these patients was common, and helmet use was extremely rare. Significant injuries including intracranial hemorrhage and fractures requiring operative intervention were present in over half (51%) of patients. Interventions aimed at increasing helmet use and discouraging eScooter operation while intoxicated are necessary to reduce the burden of eScooter-related trauma.Level of evidenceLevel IV.

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Section: Discussioncontrasting

confidence: 80%

Section: Discussionsupporting

confidence: 63%

Section: Discussionmentioning

confidence: 97%

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The e-merging e-pidemic of e-scooters

Kobayashi

Williams

Brown

et al. 2019

Trauma Surg Acute Care Open

145

110

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“…Patients in their study were older (70% at least 18 years), and injuries tended to involve the head, with neurosurgical intervention frequently required [7]. While their study did not differentiate between skateboarders and longboarders, it raises the question as to whether the apparent increased frequency of head injury relates directly to patient age or if older patients are more likely to be longboarders.…”

Section: Discussionmentioning

confidence: 99%

Boarding Injuries: The Long and the Short of It

Fabian

Thygerson

Merrill

2014

Emergency Medicine International

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As the popularity of longboarding increases, trauma centers are treating an increased number of high severity injuries. Current literature lacks descriptions of the types of injuries experienced by longboarders, a distinct subset of the skateboarding culture. A retrospective review of longboarding and skateboarding injury cases was conducted at a level II trauma center from January 1, 2006, through December 31, 2011. Specific injuries in addition to high injury severity factors (hospital and intensive care unit (ICU) length of stay (LOS), Injury Severity Score (ISS), patient treatment options, disposition, and outcome) were calculated to compare longboarder to skateboarder injuries. A total of 824 patients met the inclusion criteria. Skull fractures, traumatic brain injuries (TBI), and intracranial hemorrhage (ICH) were significantly more common among longboard patients than skateboarders (P < 0.0001). All patients with an ISS above 15 were longboarders. Hospital and ICU LOS in days was also significantly greater for longboarders compared with skateboarders (P < 0.0001). Of the three patients that died, each was a longboarder and each experienced a head injury. Longboard injuries account for a higher incidence rate of severe head injuries compared to skateboard injuries. Our data show that further, prospective investigation into the longboarding population demographics and injury patterns is necessary to contribute to effective injury prevention in this population.

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“…7,8 Injuries associated with recreational wheeled devices such as scooters, skateboards, and roller skates across all ages are heavily documented within the literature. [9][10][11][12][13] Zalavras et al 13 found that 13.7% of fractures presenting to the emergency room were associated with these devices. The forearm, ankle, and face were the most common location for fractures and injuries in children.…”

Section: Introductionmentioning

confidence: 99%

Musculoskeletal Injuries Resulting from Use of Hoverboards: Safety Concerns With an Unregulated Consumer Product

Horn

Lin

et al. 2017

Clin Pediatr (Phila)

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Hoverboards were recently introduced to the US consumer market and experienced rapid popularity. Given the high frequency of musculoskeletal injury with other wheeled recreation devices, we sought to analyze hoverboard injuries in children. A retrospective review of patients with musculoskeletal injury related to hoverboard use was performed at a tertiary care children's hospital. From November 2015 to January 2016, 2.3% of all fractures were related to hoverboards. Common injury mechanisms were fall (79%) and finger entrapment between wheel and wheel-well (10%). The most frequently fractured sites included the distal radius (43%) and phalanx (17%). Common surgical procedures were nailbed repair and pinning for Seymour fracture and percutaneous pinning for distal radius fracture. There exists high risk for distal radius fractures from falls and phalanx fractures from finger entrapment between the wheel and wheel-well. Hoverboard safety can be improved with regular use of wrist guards and improved wheel-well design.

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Epidemiological and clinical features of an older high-risk population of skateboarders

Cited by 19 publications

References 29 publications

The e-merging e-pidemic of e-scooters

The e-merging e-pidemic of e-scooters

Boarding Injuries: The Long and the Short of It

Musculoskeletal Injuries Resulting from Use of Hoverboards: Safety Concerns With an Unregulated Consumer Product

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