Gen�ler aras�nda kullan�m� giderek artan sessiz bir tehlike kayna�� olarak elektrikli scooter: Tek merkezli detayl� bir kaza analizi

Demir, Necdet; Dokur, Mehmet; Agdo�an, �zg�r; Koc, Suna; Karada�, Mehmet; Dokur, �brahim Fikri

Cilt : 30 Say� : 12 Y�l : 2024

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Gen�ler aras�nda kullan�m� giderek artan sessiz bir tehlike kayna�� olarak elektrikli scooter: Tek merkezli detayl� bir kaza analizi [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2023; 29(5): 596-604 | DOI: 10.14744/tjtes.2023.15507

Gen�ler aras�nda kullan�m� giderek artan sessiz bir tehlike kayna�� olarak elektrikli scooter: Tek merkezli detayl� bir kaza analizi

Necdet Demir¹, Mehmet Dokur², �zg�r Agdo�an³, Suna Koc⁴, Mehmet Karada�⁵, �brahim Fikri Dokur⁶
¹Biruni �niversitesi T�p Fak�ltesi, Ortopedi ve Travmatoloji Anabilim Dal�, �stanbul
²Biruni �niversitesi T�p Fak�ltesi, Acil T�p Anabilim Dal�, �stanbul
³Biruni �niversitesi T�p Fak�ltesi, Plastik ve Rekonstr�ktif Cerrahi Anabilim Dal�, �stanbul
⁴Biruni �niversitesi T�p Fak�ltesi, Anestezi ve Reanimasyon Anabilim Dal�, �stanbul
⁵Hatay Mustafa Kemal �niversitesi T�p Fak�ltesi, Biyoistatistik Anabilim Dal�, Hatay
⁶Bo�azi�i �niversitesi M�hendislik Fak�ltesi, Elektrik ve Elektronik M�hendisli�i B�l�m�, �stanbul

AMA�: Son y�llarda kullan�c� payla��ml�, ayakta durularak s�r�len e-scooter ili�kili kazalardaki art��n nedenleri �zellikle yo�un trafi�in oldu�u met-ropollerde gen�ler aras�nda e-scooter kullan�m�n�n yayg�nla�mas� ile birlikte trafik kurallar�na uyulmamas� ve yasal d�zenlemelerin yetersizli�i olabilir. Biz bu �al��mada, hastanemizin acil servisisine getirilen binici payla��ml� e-scooter ili�kili yaralanmalar�n tipik �zeliklerini g�ncel literat�r ��nda detayl� olarak analiz ettik.
GERE� VE Y�NTEM: 2020-2020 y�llar� aras�nda e-scooter kazas� nedeniyle hastanemizin acil servisine getirilen 60 hastan�n kaza ve klinik �zellikleri cerrahi gereksinimleriyle birlikte geriye d�n�k olarak istatistiksel y�ntemler kullan�larak incelendi.
BULGULAR: Kurbanlar�n �o�unlu�u �niversite ��rencisi iidi ve erkek cinsiyet hafif�e fazla ve ya� ortalamas� 25.3�13.0 olarak bulundu. E-scooter ile ilgili kaza ma�durlar�n�n �o�unlu�u min�r travma grubundayd� (ISS<9), a��rl�kl� olarak ekstremite ve yumu�ak doku yaralanmas� ve radyolojik muayene ihtiyac� (44 hasta, %73.3), sadece 8 kurban (%13.3) cerrahi operasyon gerektirdi ve ayr�ca t�m e-scooter kurbanlar� tamamen iyile�mi� olarak taburcu edildi.
TARTI�MA: Daha yayg�n g�r�len travma ciddiyet skoru daha d��k veya min�r olan �arp��mas�z e-scooter ili�kili kazalarda, tek organ yaralanmalar�, �oklu sistem yaralanmalar�ndan ve radial ve nazal kemik a��rl�kl� tekli k�r�klar ise �oklu k�r�klardan daha s�k g�r�l�r. Ayr�ca e-scooter ili�kili kazalar�n�n �nlemesi i�in yasal d�zenlemelerle birlikte etkili �nlemler al�nmal�d�r.

Anahtar Kelimeler: E-scooter, kaza; mikro-mobilite ara�lar�; tipik �zellikler; yaralanma.

Electric scooters as a silent source of danger in increasing use among young people: a single-center in-depth accident analysis

Necdet Demir¹, Mehmet Dokur², �zg�r Agdo�an³, Suna Koc⁴, Mehmet Karada�⁵, �brahim Fikri Dokur⁶
¹Department of Orthopaedics and Traumatology, Biruni University Faculty of Medicine, Istanbul-T�rkiye
²Department of Emergency Medicine, Biruni University Faculty of Medicine, Istanbul-T�rkiye
³Department of Plastic and Reconstructive Surgery, Biruni University Faculty of Medicine, Istanbul-T�rkiye
⁴Department of Anesthesiology and Reanimation, Biruni University Faculty of Medicine, Istanbul-T�rkiye
⁵Department of Biostatistics, Hatay Mustafa Kemal University, Faculty of Medicine, Hatay-T�rkiye
⁶Department of Electrical and Electronics Engineering, Bogazici University, Istanbul-T�rkiye

BACKGROUND: The reasons for the increase in accidents involving shared stand-up e-scooters in recent years may be the wide-spread use of e-scooters among young people, especially in metropolitan areas with heavy traffic, non-compliance with traffic rules, and insufficient legal regulations. In this study, we analyzed in detail the typical features of rider-sharing e-scooter-related injuries brought to the emergency department of our hospital in the light of current literature.
METHODS: The clinical and accident characteristics of 60 patients with surgical requirements who were brought to the emergency department of our hospital due to e-scooter-related accidents between 2020 and 2020 were analyzed using statistical methods ret-rospectively.
RESULTS: The majority of the victims were university students and the number of victims of the male gender was slightly higher and the mean age was 25.3�13.0 years. Most e-scooter accidents occur on weekdays. Most of the e-scooter-related accidents happen on weekdays and are non-collision type accidents. The majority of e-scooter-related accident victims were in the minor trauma group (injury severity score <9), predominantly had extremity and soft-tissue injuries and needed radiological examination (44 patients, 73.3%), and only eight victims (13.3%) required surgical operation and also all of the e-scooter victims were discharged fully healed.
CONCLUSION: Among the more common collision-free e-scooter-related accidents that have a lower trauma severity score or cause minor soft-tissue injury, mono-trauma occurs more commonly than multisystem trauma; likewise, radius and nasal-weighted monofractures occur more commonly than multiple fractures, according to this study. Besides, effective measures and legal regulations should be put in place to prevent e-scooter-related accidents.

Keywords: Accident, characteristics; E-scooter; injury, micromobility vehicles.

Sorumlu Yazar: Necdet Demir, T�rkiye
Makale Dili: �ngilizce

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