Will the road traffic act reduce electric scooter injuries?: an observational study in Republic of Korea
1Department of Emergency of Medicine, Inha University College of Medicine, 22232 Incheon, Republic of Korea
DOI: 10.22514/sv.2022.079 Vol.19,Issue 5,September 2023 pp.97-103
Submitted: 15 June 2022 Accepted: 26 July 2022
Published: 08 September 2023
† These authors contributed equally.
This study investigated changes in clinical characteristics, including the severity of electric scooter-related damage, before and after revision of the Road Traffic Act that became effective on 13 May 2021. This retrospective single-center observational study was conducted at the Emergency Department (ED) of a tertiary university hospital in Incheon, Republic of Korea. The pre-revision period was set from 13 May 2020, to 30 November 2020, and the post-revision period from 13 May 2021, to 30 November 2021. Patients who visited the ED with E-scooter injuries during the study period were included. Data on patients’ demographics, helmet use, alcohol use, Korean Triage and Acuity Scale, diagnosis and location of the injury, stay duration at ED and ED outcomes were collected and analyzed. The primary outcome was a change in Injury Severity Score between the pre-and post-revision periods. A total of 100 patients were included, and the results showed no significant difference between the two periods in Injury Severity Score (3.00 vs. 2.50, p = 0.607), helmet use (1.9% vs. 2.1%, p = 1), alcohol use (5.8%vs. 8.3%, p = 0.708) and stay duration at ED (157.00 vs. 183.00, p = 0.964). The facial area was the most common area of injury during both periods. Despite revision of the Road Traffic Act since May 2021, no significant difference was observed before and after the revision in the behavior of E-scooter users and severity of injuries. We believe that continuing public campaigns, encouraging the use of personal protective gear, promoting responsible attitudes and implementing stricter traffic laws might help reduce E-scooter-related injuries.
Electric scooter; Emergency; Injury severity score; Road traffic act; Hemelts; Alcohol
Yong Wook Jeong,Young Ho Seo,Soo Kang. Will the road traffic act reduce electric scooter injuries?: an observational study in Republic of Korea. Signa Vitae. 2023. 19(5);97-103.
 State of California VEHICLE CODE Section 407.5. 2017. Available at: https://leginfo.legislature.ca.gov/faces/codes_ displaySection.xhtml?lawCode=VEH§ionNum=407.5 (Accessed: 22 May 2022).
 Jun-tae K. Driver’s licence to be required for electric scooter users. The Korea Herald. 2021. Available at: https://www.koreaherald.com/view.php?ud=20210511000713 (Accessed: 22 May 2022).
 Current status of E-scooter in Incheon. 2021. Available at: http://www. incheonnews.com/news/articleView.html?idxno=404133 (Accessed: 22 May 2022).
 Park J, Lim T. Korean triage and acuity scale (KTAS). Journal of The Korean Society of Emergency Medicine. 2017; 28: 547–551.
 Association for the Advancement of Automotive Medicine. AIS. 2022. Available at: https://www.aaam.org/abbreviated-injury-scale-ais/ (Accessed: 16 January 2022).
 Jung K, Lee JC, Kim J. Injury severity scoring system for trauma patients and trauma outcomes research in Korea. Journal of Acute Care Surgery. 2016; 6: 11–17.
 Tavakkoli M, Torkashvand-Khah Z, Fink G, Takian A, Kuenzli N, de Savigny D, et al. Evidence from the decade of action for road safety: a systematic review of the effectiveness of interventions in low and middle-income countries. Public Health Reviews. 2022; 43: 1604499.
 DiMaggio CJ, Bukur M, Wall SP, Frangos SG, Wen AY. Injuries associated with electric-powered bikes and scooters: analysis of us consumer product data. Injury Prevention. 2020; 26: 524–528.
 Kim JY, Lee SC, Lee S, Lee CA, Ahn KO, Park JO. Characteristics of injuries according to types of personal mobility devices in a multicenter emergency department from 2011 to 2017. Medicine. 2021; 100: e24642.
 Haworth NL, Schramm A. Illegal and risky riding of electric scooters in Brisbane. Medical Journal of Australia. 2019; 211: 412–413.
 Sone JY, Kondziolka D, Huang JH, Samadani U. Helmet efficacy against concussion and traumatic brain injury: a review. Journal of Neurosurgery. 2017; 126: 768–781.
 Chikritzhs T, Livingston M. Alcohol and the risk of injury. Nutrients. 2021;13: 2777.
 Romano E, Fell J, Li K, Simons-Morton BG, Vaca FE. Alcohol-related deaths among young passengers: an analysis of national alcohol-related fatal crashes. Journal of Safety Research. 2021; 79: 376–382.
 Asgarian FS, Namdari M, Soori H. Worldwide prevalence of alcohol in fatally injured motorcyclists: a meta-analysis. Traffic Injury Prevention. 2019; 20: 685–689.
Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.
Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.
Chemical Abstracts Service Source Index The CAS Source Index (CASSI) Search Tool is an online resource that can quickly identify or confirm journal titles and abbreviations for publications indexed by CAS since 1907, including serial and non-serial scientific and technical publications.
Index Copernicus The Index Copernicus International (ICI) Journals database’s is an international indexation database of scientific journals. It covered international scientific journals which divided into general information, contents of individual issues, detailed bibliography (references) sections for every publication, as well as full texts of publications in the form of attached files (optional). For now, there are more than 58,000 scientific journals registered at ICI.
Geneva Foundation for Medical Education and Research The Geneva Foundation for Medical Education and Research (GFMER) is a non-profit organization established in 2002 and it works in close collaboration with the World Health Organization (WHO). The overall objectives of the Foundation are to promote and develop health education and research programs.
Scopus: CiteScore 1.0 (2022) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.
Embase Embase (often styled EMBASE for Excerpta Medica dataBASE), produced by Elsevier, is a biomedical and pharmacological database of published literature designed to support information managers and pharmacovigilance in complying with the regulatory requirements of a licensed drug.