{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T06:13:04Z","timestamp":1791871984201,"version":"4.3.4"},"reference-count":28,"publisher":"American Medical Association (AMA)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Netw Open"],"abstract":"Importance<\/jats:title>Electric scooter (e-scooter) use is increasing in France and in many urban environments worldwide. Yet little is known about injuries associated with use of e-scooters.<\/jats:p><\/jats:sec>Objective<\/jats:title>To describe characteristics and outcomes of major trauma involving e-scooters.<\/jats:p><\/jats:sec>Design, Setting, and Participants<\/jats:title>A multicenter cohort study was conducted in France using the national major trauma registry between January 1, 2019, and December 20, 2022. All patients admitted to a participating major trauma center following a road traffic crash (RTC) involving an e-scooter, a bicycle, or a motorbike were included.<\/jats:p><\/jats:sec>Exposure<\/jats:title>Included patients were compared according to the 3 mechanisms.<\/jats:p><\/jats:sec>Main Outcomes and Measures<\/jats:title>The primary outcome was trauma severity as defined by the Injury Severity Score (ISS). Secondary outcomes included the trends of the number of patients per year, a comparison of the RTC epidemiologic factors, injury severity, resources used, and in-hospital outcomes.<\/jats:p><\/jats:sec>Results<\/jats:title>A total of 5233 patients involved in RTCs were admitted (median age, 33 [IQR, 24-48] years; 4629 [88.5%] men; median ISS, 13 [IQR, 8-22]). The population included 229 e-scooter RTCs (4.4%), 4094 motorbike RTCs (78.2%), and 910 bicycle RTCs (17.4%). The number of patients treated following e-scooter RTCs increased by 2.8-fold in 4 years (from 31 in 2019 to 88 in 2022), while bicycle RTCs increased by 1.2-fold and motorbike RTCs decreased by 0.9-fold. At admission, 36.7% of e-scooter users had a blood alcohol content higher than the legal threshold (n\u2009=\u200984) and 22.5% wore a protective helmet (n\u2009=\u200932). Among e-scooter RTCs, 102 patients (45.5%) had an ISS of 16 or higher. This proportion was similar for patients with motorbike RTCs (1557 [39.7%]; P<\/jats:italic>\u2009=\u2009.10) and bicycle RTCs (411 [47.3%]; P<\/jats:italic>\u2009=\u2009.69). With a proportion of 25.9% (n\u2009=\u200950), patients with e-scooter RTCs had twice as many severe traumatic brain injuries (Glasgow Coma Scale \u22648) as motorbike RTCs (445 [11.8%]) and a proportion comparable to bicycle RTCs (174 [22.1%]). The mortality of e-scooter RTCs was 9.2% (n\u2009=\u200920), compared with 5.2% (n\u2009=\u2009196) (P<\/jats:italic>\u2009=\u2009.02) for motorbikes and 10.0% (n\u2009=\u200984) (P<\/jats:italic>\u2009=\u2009.82) for bicycles.<\/jats:p><\/jats:sec>Conclusions and Relevance<\/jats:title>The findings of this study suggest that trauma involving e-scooters in France has significantly increased over the past 4 years. These patients presented with injury profiles as severe as those of individuals who experienced bicycle or motorbike RTCs, with a higher proportion of severe traumatic brain injury.<\/jats:p><\/jats:sec>","DOI":"10.1001\/jamanetworkopen.2023.20960","type":"journal-article","created":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T15:31:26Z","timestamp":1688139086000},"page":"e2320960","source":"Crossref","is-referenced-by-count":52,"title":["Comparison of Injuries Associated With Electric Scooters, Motorbikes, and Bicycles in France, 2019-2022"],"prefix":"10.1001","volume":"6","author":[{"given":"Arthur","family":"James","sequence":"first","affiliation":[{"name":"Sorbonne University, GRC 29, AP-HP, DMU DREAM, Department of Anaesthesiology and Critical Care, Piti\u00e9-Salp\u00eatri\u00e8re Hospital, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anatole","family":"Harrois","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology 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