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Urban drinking and driving:comparison of electric scooter and bicycle related accidents in facial fracture patients

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Urban drinking and driving:comparison of electric scooter and bicycle related accidents in facial fracture patients

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dc.contributor.author Murros, Olli-Jussi es
dc.contributor.author Puolakkainen, Tero es
dc.contributor.author Abio, Anne es
dc.contributor.author Thorén, Hanna es
dc.contributor.author Snäll, Johanna es
dc.date.accessioned 2023-06-16T08:36:54Z
dc.date.available 2023-06-16T08:36:54Z
dc.date.issued 2023 es
dc.identifier.citation Murros, O., Puolakkainen, T., Abio, A., Thorén, H., & Snäll, J. (2023). Urban drinking and driving: comparison of electric scooter and bicycle related accidents in facial fracture patients. En Medicina Oral Patología Oral y Cirugia Bucal (pp. e238-e246). Medicina Oral, S.L. https://doi.org/10.4317/medoral.25662 es
dc.identifier.uri https://hdl.handle.net/10550/88195
dc.description.abstract In recent years, electric scooters (e-scooter) have emerged as an alternative mode of urban transport due to their availability and effortless use. However, e-scooter-related trauma and injuries, especially to the head, have received wide media coverage and raised public concern about their safety. We aim to determine and compare clinically relevant variables, incidence, and severity between bicycle and e-scooter-related facial fractures and potential protective measures for injury prevention. This retrospective study comprised all patients admitted to a tertiary trauma center with bicycle or e-scooter-related facial fractures between January 2019 and October 2020. Patient- and injury-related variables, including demographics, injury mechanisms, helmet use, influence of alcohol, types of facial injuries, types of other injuries, given treatment, and hospital stay, were collected, analysed, and compared between bicycle and e-scooter injuries. Altogether 169 patients with facial fractures, 124 bicycle-related injuries (73.4%) and 45 e-scooter-related injuries (26.6%) were included. Alcohol involvement was significantly higher in e-scooter patients (88.9%) than in bicycle patients (31.5%) (p<0.001). Driving under the influence of alcohol was associated with driving without a helmet in both groups (p<0.001). In multivariate analyses, e-scooter accidents were 18 times more likely to occur under the influence of alcohol (OR 17.85, p<0.001) and were more likely to involve collision with a stationary object (OR 3.81, p=0.028). E-scooter patients were significantly younger (OR 0.95, p<0.001) and had significantly more cranial fractures (OR 10.15, p=0.014) than bicycle patients. Compared with patients in bicycle accidents, facial fracture patients injured in e-scooter accidents are younger, are more likely under the influence of alcohol, and sustain more severe craniofacial skeleton fractures. Our results for both groups of patients advocate stricter adherence to helmet and road safety legislation as well as public education for injury prevention. es
dc.subject the study was developed following the criteria of the prisma guideline (2020). the literature review was conducted in pubmed es
dc.subject medline complete es
dc.subject and scopus. the search algorithms used the following key words: stem cells es
dc.subject bone regeneration es
dc.subject and alveolar ridge augmentation. to assess the risk of bias es
dc.subject the caspe methodology was used es
dc.subject stem cells es
dc.subject bone rehabilitation es
dc.subject alveolar bone atrophy es
dc.subject tissue engineering es
dc.title Urban drinking and driving:comparison of electric scooter and bicycle related accidents in facial fracture patients es
dc.type journal article es_ES
dc.subject.unesco UNESCO:CIENCIAS MÉDICAS es
dc.identifier.doi 10.4317/medoral.25662 es
dc.type.hasVersion VoR es_ES
dc.identifier.url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10181023/

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