Comparing the characteristics of electric scooter and bicycle injuries: a retrospective cohort study

Abstract Electric scooters (e-scooters) and bicycles are used for similar purposes as transportation. Few studies have shown that e-scooter and bicycle accidents differ in terms of user-profiles and injury characteristics. Still, there is missing information comparing the specific injury types, the...

Full description

Saved in:
Bibliographic Details
Main Authors: Laura Seitakari, Oskari Pakarinen, Veli-Pekka Harjola, Maaret Castrén, Henri Vasara
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:Scientific Reports
Subjects:
Online Access:https://doi.org/10.1038/s41598-025-12627-x
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849345016533614592
author Laura Seitakari
Oskari Pakarinen
Veli-Pekka Harjola
Maaret Castrén
Henri Vasara
author_facet Laura Seitakari
Oskari Pakarinen
Veli-Pekka Harjola
Maaret Castrén
Henri Vasara
author_sort Laura Seitakari
collection DOAJ
description Abstract Electric scooters (e-scooters) and bicycles are used for similar purposes as transportation. Few studies have shown that e-scooter and bicycle accidents differ in terms of user-profiles and injury characteristics. Still, there is missing information comparing the specific injury types, the overall incidence, and the relative risk of these accidents. We aimed to compare the characteristics, severity, and rate of e-scooter and bicycle injuries and assess their relative risk. We conducted a retrospective register study comparing e-scooter and bicycle injuries treated in emergency departments in Helsinki between 1.1.2022 and 31.12.2023. Data was collected from the Helsinki University Hospital electronic data pool. We evaluated injury severity using the Abbreviated Injury Score. The incidence and relative risk for e-scooter accidents was assessed based on the usage data of all shared e-scooters, and the estimation of bicycle trips was made utilizing several travel surveys. There were 677 e-scooter accidents and 1889 bicycle accidents during the study period. E-scooter riders were younger, with a mean age of 33 (SD 13), compared to cyclists with a mean age of 47 (SD 17). The incidence of e-scooter accidents leading to ED care was 7.8 per 100,000 trips, whereas the estimated incidence of bicycle accidents was 2.2 per 100,000 trips. The relative risk for e-scooter accidents leading to ED care was 3.6 (CI 3.3–3.9), compared to bicycle accidents, E-scooter riders were more likely to ride intoxicated (incidence 29% vs. 8%) and less likely to wear a helmet (4% vs. 28%) compared with cyclists. Head injuries occurred more often with e-scooter riders (46% vs. 31%) compared to cyclists, whereas torso injuries were more common among cyclists (11% vs. 5%) than e-scooter riders. A higher proportion of e-scooter accidents happened during the nighttime, between 10 PM and 8 AM, compared to cyclists (40% vs. 31%). Intoxicated riding was also more common among e-scooter riders during the nighttime (50% vs. 22%). E-scooter and bicycle accidents differ in terms of patient characteristics and injury types. The high incidence of head injuries and intoxicated riders among e-scooter riders suggests that preventive measures on e-scooters are warranted. E-scooter riding very likely poses a higher risk for injuries than cycling.
format Article
id doaj-art-3c2a5a60526d46df92103f5c4cef60ee
institution Kabale University
issn 2045-2322
language English
publishDate 2025-07-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj-art-3c2a5a60526d46df92103f5c4cef60ee2025-08-20T03:42:31ZengNature PortfolioScientific Reports2045-23222025-07-011511910.1038/s41598-025-12627-xComparing the characteristics of electric scooter and bicycle injuries: a retrospective cohort studyLaura Seitakari0Oskari Pakarinen1Veli-Pekka Harjola2Maaret Castrén3Henri Vasara4Department of Emergency Medicine and Services, Helsinki University Hospital and University of HelsinkiDepartment of Emergency Medicine and Services, Helsinki University Hospital and University of HelsinkiDepartment of Emergency Medicine and Services, Helsinki University Hospital and University of HelsinkiDepartment of Emergency Medicine and Services, Helsinki University Hospital and University of HelsinkiDepartment of Emergency Medicine and Services, Helsinki University Hospital and University of HelsinkiAbstract Electric scooters (e-scooters) and bicycles are used for similar purposes as transportation. Few studies have shown that e-scooter and bicycle accidents differ in terms of user-profiles and injury characteristics. Still, there is missing information comparing the specific injury types, the overall incidence, and the relative risk of these accidents. We aimed to compare the characteristics, severity, and rate of e-scooter and bicycle injuries and assess their relative risk. We conducted a retrospective register study comparing e-scooter and bicycle injuries treated in emergency departments in Helsinki between 1.1.2022 and 31.12.2023. Data was collected from the Helsinki University Hospital electronic data pool. We evaluated injury severity using the Abbreviated Injury Score. The incidence and relative risk for e-scooter accidents was assessed based on the usage data of all shared e-scooters, and the estimation of bicycle trips was made utilizing several travel surveys. There were 677 e-scooter accidents and 1889 bicycle accidents during the study period. E-scooter riders were younger, with a mean age of 33 (SD 13), compared to cyclists with a mean age of 47 (SD 17). The incidence of e-scooter accidents leading to ED care was 7.8 per 100,000 trips, whereas the estimated incidence of bicycle accidents was 2.2 per 100,000 trips. The relative risk for e-scooter accidents leading to ED care was 3.6 (CI 3.3–3.9), compared to bicycle accidents, E-scooter riders were more likely to ride intoxicated (incidence 29% vs. 8%) and less likely to wear a helmet (4% vs. 28%) compared with cyclists. Head injuries occurred more often with e-scooter riders (46% vs. 31%) compared to cyclists, whereas torso injuries were more common among cyclists (11% vs. 5%) than e-scooter riders. A higher proportion of e-scooter accidents happened during the nighttime, between 10 PM and 8 AM, compared to cyclists (40% vs. 31%). Intoxicated riding was also more common among e-scooter riders during the nighttime (50% vs. 22%). E-scooter and bicycle accidents differ in terms of patient characteristics and injury types. The high incidence of head injuries and intoxicated riders among e-scooter riders suggests that preventive measures on e-scooters are warranted. E-scooter riding very likely poses a higher risk for injuries than cycling.https://doi.org/10.1038/s41598-025-12627-xE-scooterElectric scooterBicycleBikeCyclingInjury
spellingShingle Laura Seitakari
Oskari Pakarinen
Veli-Pekka Harjola
Maaret Castrén
Henri Vasara
Comparing the characteristics of electric scooter and bicycle injuries: a retrospective cohort study
Scientific Reports
E-scooter
Electric scooter
Bicycle
Bike
Cycling
Injury
title Comparing the characteristics of electric scooter and bicycle injuries: a retrospective cohort study
title_full Comparing the characteristics of electric scooter and bicycle injuries: a retrospective cohort study
title_fullStr Comparing the characteristics of electric scooter and bicycle injuries: a retrospective cohort study
title_full_unstemmed Comparing the characteristics of electric scooter and bicycle injuries: a retrospective cohort study
title_short Comparing the characteristics of electric scooter and bicycle injuries: a retrospective cohort study
title_sort comparing the characteristics of electric scooter and bicycle injuries a retrospective cohort study
topic E-scooter
Electric scooter
Bicycle
Bike
Cycling
Injury
url https://doi.org/10.1038/s41598-025-12627-x
work_keys_str_mv AT lauraseitakari comparingthecharacteristicsofelectricscooterandbicycleinjuriesaretrospectivecohortstudy
AT oskaripakarinen comparingthecharacteristicsofelectricscooterandbicycleinjuriesaretrospectivecohortstudy
AT velipekkaharjola comparingthecharacteristicsofelectricscooterandbicycleinjuriesaretrospectivecohortstudy
AT maaretcastren comparingthecharacteristicsofelectricscooterandbicycleinjuriesaretrospectivecohortstudy
AT henrivasara comparingthecharacteristicsofelectricscooterandbicycleinjuriesaretrospectivecohortstudy