Historical and projected fractures associated with mobility scooters presenting to U.S. emergency departments: 2004-2025.

Introduction: The proportion of mobility scooter users in the United States continues to rise. However, these devices impart a substantial yet underappreciated risk of serious injury - namely, fractures - on users. Methods: The purpose of this cross-sectional, retrospective study was to use the Nati...

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Publicado en:Journal of Orthopaedics Vol. 16; no. 4; pp. 280 - 284
Autores principales: Pirruccio, Kevin, Sloan, Matthew, Sheth, Neil P.
Formato: research tables/charts Journal Article
Publicado: Professor PK Surendran Memorial Education Foundation Jul/Aug2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul/Aug2019
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      pub: Professor PK Surendran Memorial Education Foundation
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        10.1016/j.jor.2019.03.011
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        atl: Historical and projected fractures associated with mobility scooters presenting to U.S. emergency departments: 2004-2025.
      aug:
        au:
          Pirruccio, Kevin
          Sloan, Matthew
          Sheth, Neil P.
        affil: Perelman School of Medicine, University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA, 19104, USA
      sug:
        subj:
          Osteoarthritis Complications
          Motorized Mobility Scooters Adverse Effects
          Fractures Risk Factors
          Fractures Trends
          Emergency Care
          Risk Assessment
          Human
          United States
          Cross Sectional Studies
          Retrospective Design
          Linear Regression
          Confidence Intervals
          Aged
          Aged, 80 and Over
          White Persons
          Home Environment
          Public Spaces
          Fractures Epidemiology
          Aged: 65+ years
          Aged, 80 & over
      ab: Introduction: The proportion of mobility scooter users in the United States continues to rise. However, these devices impart a substantial yet underappreciated risk of serious injury - namely, fractures - on users. Methods: The purpose of this cross-sectional, retrospective study was to use the National Electronic Injury Surveillance System (NEISS) to quantify the national burden of these device-associated fractures between 2004 and 2017, analyzing in two-year intervals. We also projected estimates to 2025, and described the demographic characteristics of those injured. Results: We found that national estimates of device-associated fractures increased significantly between the 2004-2005 (N=2583; C.I. 1851 - 3316) and 2016-2017 (N=6553; C.I. 5026 - 8081) periods (p < 0.001). A linear regression model (R² =0.89; P=0.002) was applied to project 9824 such fractures (C.I. 8273-11,328) in the 2024-2025 period. Injured patients were commonly over age 65 (63.5%; C.I. 57.7%-69.4%) and white (61.4%; C.I. 50.7% - 72.1). Fractures often occurred at home (28.6%; C.I. 22.0%-35.3%) or in public (26.0%; C.I. 21.1%-30.9%). Conclusion: Our study suggests that osteoarthritic patients relying on mobility scooters to manage pain during ambulation should be considered candidates for total joint replacement procedures. This may help minimize the growing economic and health burden of mobility scooter fractures.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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