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J Korean Soc Emerg Med > Volume 31(2); 2020 > Article
Journal of The Korean Society of Emergency Medicine 2020;31(2): 161-168.
자전거와 비교한 개인용 이동장치 사고의 손상 심각성 및 사고 유발 요인
전종복1 , 장재호1 , 임용수1 , 최재연1 , 조진성1 , 우재혁1 , 최우성1 , 양혁준1 , 현성열2
1가천대학교 의과대학 길병원 응급의학과
2가천대학교 의과대학 길병원 외상외과
Severity of injury and related factors of personal mobility vehicle accidents compared with bicycle accidents
Jong Bok Jeon1 , Jae Ho Jang1 , Yong Su Lim1 , Jea Yeon Choi1 , Jin Seong Cho1 , Jae-Hyug Woo1 , Woo Sung Choi1 , Hyuk Jun Yang1 , Sung-Youl Hyun2
1Departments of Emergency Medicine, Gachon University Gil Medical Center, Incheon, Korea
2Departments of Traumatology, Gachon University Gil Medical Center, Incheon, Korea
Correspondence  Jae Ho Jang ,Tel: 032-460-3901, Fax: 032-460-3019, Email: jhjang@gilhospital.com,
Received: July 4, 2019; Revised: August 17, 2019   Accepted: August 20, 2019.  Published online: April 30, 2020.
ABSTRACT
Objective:
Personal mobility vehicles (PMV) have been used widely as a means of replacing bicycles in recent years because of their convenience and high economic efficiency. On the other hand, accidents related to PMV are also increasing, but there have been few studies in this area. This study examined the factors that increase the severity of damage and determine the characteristics of the PMV compared to the accidents on a bicycle.
Method:
Retrospective observational studies were performed. The variables related to the accident were collected and analyzed for patients who visited the emergency room due to a PMV and bicycle accident. Multivariate logistic regression analysis was used to determine the factors affecting the severity of the patients. The odds ratios were calculated and compared between injuries related to PMV and bicycles.
Results:
A total of 1,124 patients (bicycles 1,017, PMV 107) were enrolled in this study. In multivariate regression analysis, the severity of PMV was higher (odds ratio [OR], 1.73; 95% confidence interval [CI], 1.06-2.83) than that of a bicycle. The factors affecting the severity of the patients were age (OR, 1.02, 95% CI, 1.01-1.03), alcohol use (OR, 1,70; 95% CI, 1.04-2.70), ambulance transport (OR, 2.46; 95% CI, 1.78-3.40), and wearing a helmet (OR, 2.06; 95% CI, 1.36-3.13).
Conclusion:
PMV showed higher severity of damage than a bicycle. The PMV, which is a new transportation means, is insufficient for the prevention of safety compared to bicycles where driving regulations and wearing protective equipment are common. Additional studies on the precise mechanisms of injury and damage are expected to prevent accidents and reduce their severity.
Key words: Injury severity score; Accidents; Bicycling; Off-road motor vehicles
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