E-scooter incidents in Berlin: an evaluation of risk factors and injury patterns

Emerg Med J. 2022 Apr;39(4):295-300. doi: 10.1136/emermed-2020-210268. Epub 2021 Jun 7.

Abstract

Background: E-scooters have emerged as a frequently used vehicle in German cities due to their high availability and easy access. However, investigations about the causes and mechanisms of E-scooter incidents and their trauma-specific consequences are rare.

Methods: We analysed all patients involved in E-scooter incidents from June to December 2019 who presented to four inner-city EDs in Berlin. The prospective data included patient-related and incident-related data, information on injury patterns and therapy, responses in a voluntary questionnaire concerning E-scooter use and general traffic experience.

Results: 248 patients (129 males; median age 29 years (5-81)) were included: 41% were tourists and 4% were children. Most incidents (71%) occurred between July and September 2019, the majority occurring at weekends (58%). The injury pattern was mostly multifocal, affecting the lower (42%) and upper limbs (37%) and the head (40%). Traumatic brain injury was associated with alcohol consumption. Inpatient admission was recorded in 25%, surgery in 23%.

Conclusion: This study has defined the incidence of injury related to E-scooter use in a major European city. Stricter laws governing the use of E-scooters, the wearing of helmets and technical modifications to the E-scooter platforms might decrease E-scooter-associated incidents and resulting injuries in the future.

Trial registration number: German Clinical Trials Registry (DRKS00018061).

Keywords: accidental; emergency department; musculoskeletal; trauma.

MeSH terms

  • Accidents, Traffic*
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Berlin / epidemiology
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Male
  • Middle Aged
  • Prospective Studies
  • Retrospective Studies
  • Risk Factors
  • Young Adult