The full spectrum of handlebar injuries in children: A decade of experience

Nataraja, Ramesh M.; Palmer, Cameron S; Arul, G. Suren; Bevan, C; Crameri, Joe

doi:10.1016/j.injury.2013.07.022

Cited by 14 publications

(3 citation statements)

References 31 publications

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“…The frequency of lower limb fractures (42) and trunk injuries (52) was also in line with the literature [18]. Severe trunk injuries (four lacerations of the spleen or liver) were rare and seen when patients were struck in the abdomen by the handlebars of the scooter during a fall, comparable to the literature [4,23].…”

Section: Discussionsupporting

confidence: 75%

Consistently High Frequency of Scooter Injuries in Children—Retrospective Data Analysis in a Level I Trauma Centre

Schuller,

Hohensteiner,

Sator

et al. 2023

Children

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The aim of this retrospective study was to present an epidemiological overview of paediatric nonelectric-scooter-related injuries, focusing on changes in injury mechanism and frequency. A retrospective, descriptive data analysis at a Level I trauma centre, including patients aged from 0 to 18 years injured by riding nonelectric scooters, was performed. The observation period ranged from January 2015 to December 2022. The total study population consisted of 983 (mean age: 7.9 ± 4.0 years) children and adolescents, with most patients being male (800/983; 81.4%). The frequency of nonelectric scooter injuries was relatively consistent over the observation period. Patients sustained mostly minor injuries (lacerations, bone contusions, sprains) (527/983; 53.6%), followed by head injuries (238/983; 24.5%), limb fractures (166/983; 16.9%) and trunk injuries (52/983; 5.3%). However, a few patients sustained severe injuries, including skull fractures (7/238; 2.9%), intracranial haematoma (4/238; 1.7%) or lacerations of abdominal organs (4/52; 7.7%). This study presented a consistently high frequency of scooter injuries in children. Children under 15 years were the most affected by scooter-related injuries. Although most injuries were minor, serious injuries occurred that should not be underestimated. Hence, we emphasise the use of protection gear and recommend raising awareness among parents and children.

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Section: Discussionsupporting

confidence: 75%

Consistently High Frequency of Scooter Injuries in Children—Retrospective Data Analysis in a Level I Trauma Centre

Schuller,

Hohensteiner,

Sator

et al. 2023

Children

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“…Children have relatively larger abdominal solid organs (e.g., spleen, liver and kidneys) compared to adults, which protrude below a more compliant (and so less protective) rib cage. These and other age-specific anatomical differences make children particularly vulnerable to abdominal organ injuries, such as those caused by bicycle handlebars [41].…”

Section: Discussionmentioning

confidence: 99%

Identifying Homogeneous Patterns of Injury in Paediatric Trauma Patients to Improve Risk-Adjusted Models of Mortality and Functional Outcomes

Dipnall

Gabbe

Teague

et al. 2020

IJERPH

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Injury is a leading cause of morbidity and mortality in the paediatric population and exhibits complex injury patterns. This study aimed to identify homogeneous groups of paediatric major trauma patients based on their profile of injury for use in mortality and functional outcomes risk-adjusted models. Data were extracted from the population-based Victorian State Trauma Registry for patients aged 0–15 years, injured 2006–2016. Four Latent Class Analysis (LCA) models with/without covariates of age/sex tested up to six possible latent classes. Five risk-adjusted models of in-hospital mortality and 6-month functional outcomes incorporated a combination of Injury Severity Score (ISS), New ISS (NISS), and LCA classes. LCA models replicated the best log-likelihood and entropy > 0.8 for all models (N = 1281). Four latent injury classes were identified: isolated head; isolated abdominal organ; multi-trauma injuries, and other injuries. The best models, in terms of goodness of fit statistics and model diagnostics, included the LCA classes and NISS. The identification of isolated head, isolated abdominal, multi-trauma and other injuries as key latent paediatric injury classes highlights areas for emphasis in planning prevention initiatives and paediatric trauma system development. Future risk-adjusted paediatric injury models that include these injury classes with the NISS when evaluating mortality and functional outcomes is recommended.

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“…Unpowered scooters are not only a popular form of childhood recreation but also have become one of the main choices for transportation because they are light, portable, and easy to handle. The enormous increase in scooter popularity has led to an increase in the number of reported scooter-related injuries (1)(2)(3)(4)(5)(6). In 2001, 16 deaths were reported to the Consumer Product Safety Commission (CPSC)'s National Electronic Injury Surveillance System (NEISS) in the United States, 11 of which were in children (7).…”

Section: Introductionmentioning

confidence: 99%

Unpowered Scooter Injury in Children at a Korea Level I Trauma Center

Keum

Cho

2021

Front. Pediatr.

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Purpose: Unpowered scooters for recreation and transportation are popular among children. However, to date, there have been no studies on scooter-related injuries in Korea. This study aimed to assess the frequency and injury pattern with unpowered scooters and to propose prevention strategies.Methods: Medical records of children aged <16 years with unpowered scooter-related injuries who visited the emergency department (ED) from 2007 to 2018 were retrospectively reviewed.Results: A total of 109 children were included. The majority (78.9%) of injuries occurred during the last 3 years of the study. The mean age was 5.2 years, and 88% of children were <8 years of age. Most injuries (80.7%) occurred from a fall off a scooter. A total of 65.1% (n = 71) of injuries were to the head and face, followed by upper limb, lower limb, and torso injuries. Eight patients had an intracranial injury and skull fracture. Twenty children had limb fractures, and the most common site of fracture was the elbow. None of the patients wore any protective gear.Conclusions: Unpowered scooter-related injuries are on the increase and represent a serious problem among younger children. The head and face, where serious injuries can occur, are the most vulnerable. Public and parental awareness and education regarding protective gear and safety guidelines are essential to prevent injuries.

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The full spectrum of handlebar injuries in children: A decade of experience

Cited by 14 publications

References 31 publications

Consistently High Frequency of Scooter Injuries in Children—Retrospective Data Analysis in a Level I Trauma Centre

Consistently High Frequency of Scooter Injuries in Children—Retrospective Data Analysis in a Level I Trauma Centre

Identifying Homogeneous Patterns of Injury in Paediatric Trauma Patients to Improve Risk-Adjusted Models of Mortality and Functional Outcomes

Unpowered Scooter Injury in Children at a Korea Level I Trauma Center

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