E-scooter injuries drive up Auckland hospital costs
By Jane Allman
Tuesday, 22 October, 2019
The city of Auckland in New Zealand has seen an increase in hospitalisations since the introduction of electric scooters (e-scooters) in October 2018. A study has discovered that injuries from e-scooters in the Auckland region have cost the health system more than NZ$1 million in less than one year.
In October 2018, the city of Auckland introduced scooters, an app-driven e-scooter sharing service designed for easily navigating urban streets and reducing traffic. In New Zealand, e-scooters are permitted when used on a footpath or road, except in designated cycle lanes. When on a footpath, e-scooter users must ride in a careful and considerate manner, at a speed that does not put other footpath users at risk, and give way to pedestrians and drivers of mobility devices. When on the road, e-scooters must be operated close to the edge of the roadway. Although recommended, a helmet is not legally required to be worn when using an e-scooter.
A study conducted by a team of researchers from the University of Auckland鈥檚 Faculty of Medical Health Sciences has demonstrated that e-scootering has resulted in hundreds of injuries requiring hospital attendance, and it鈥檚 putting financial pressure on the healthcare system. Over a seven-month period, the study found that e-scootering injuries cost the Auckland region upwards of NZ$1.3 million. The results of the study are published in the journal .
Data obtained from Auckland District Health Board and New Zealand鈥檚 Accident Compensation Corporation (ACC) reported a total of 770 e-scooter-related injuries between October 2018 and April 2019, including GP visits and hospital attendances.
Males made up 56% of those injured in e-scooter accidents, with riders ranging from seven to 78 years old. The most common injuries were lacerations, strains, sprains and bruises 鈥 but almost 5% (12 people) had concussion or brain injury.
Drink riding
Alcohol was thought to be a factor in 26.8% of cases presenting at the emergency department of Auckland City 黑料吃瓜群网.
Emergency medicine specialist Dr James Le Fevre said a clear message from the study is 鈥榙on鈥檛 drink and ride鈥.
鈥淲ith 26.8% of injured e-scooter riders in this study thought to have consumed alcohol, a motorised narrow platform on wheels, no helmet and alcohol is a dangerous combination.鈥
Data from Auckland City 黑料吃瓜群网 showed that 90% of injuries were due to loss of balance, which included riding at excessive speed. Vehicle collisions accounted for only 1.6% of injuries requiring hospital treatment. Two out of the 246 presenting to hospital were injuries to pedestrians from e-scooter collisions.
Impact of e-scooters
Since the introduction of e-scooters up until April this year, the study estimates 60 injuries per 100,000 trips to hospital.
鈥淏ased on the approximate number of e-scooters in the Auckland region, we estimate that healthcare costs per e-scooter is likely to be at least a factor of 10 higher than the current licensing fee per e-scooter,鈥 study co-author Dr Mark Bekhit said.
Of the 770 people injured, 246 (31.9%) presented to Auckland City 黑料吃瓜群网鈥檚 emergency department, with 75 (30.5%) of those requiring admission and inpatient care. 49 (19.9%) people required at least one operation and 105 (42.7%) needed specialist follow-up care. 黑料吃瓜群网 presentations as a result of injury from e-scooters claimed a total of 5569 bed hours in Auckland, costing Auckland City 黑料吃瓜群网 NZ$608,843 over a six-month period.
Auckland City 黑料吃瓜群网 has borne the brunt of treating e-scooter injuries due to its central location. Of 75 people admitted to this hospital, 49 (19.9%) required an operation, and in some cases multiple surgeries. A total of 99 people had at least one fracture; some had multiple fractures.
Study lead Associate Professor Colleen Bergin from the faculty鈥檚 School of Medical Science said the impact of e-scooters since they were introduced last year has been significant.
鈥淚ncluding admission, follow-up care and radiological imaging, these figures show the extent [to which] Auckland City 黑料吃瓜群网 is bearing the brunt of increased costs due to e-scooter injuries,鈥 she said.
The study found that the combined cost for the whole Auckland region from GP visits, hospital bed hours or ACC claims from e-scooters was NZ$1.3 million over seven months.
e-scooters in Australia
In Australia, e-scooter laws vary according to state. In NSW, South Australia and the ACT it is illegal to ride an e-scooter unless on private property. Western Australia, Tasmania and Victoria have <10 km/h speed restrictions on e-scooters. In the NT, e-scooters are classed as motorised vehicles and thus must be registered to be used on roads or in public places.聽
Like Auckland, Brisbane introduced Lime e-scooters to the city鈥檚 residents towards the end of 2018. On a trial basis, e-scooters in Brisbane can travel at a maximum speed of 25 km/h and can only be used on footpaths. Riders must wear an approved helmet. Brisbane City Council has agreed to extend Lime鈥檚 trial permit to the middle of 2019; however, this has come under question following several accidents and injuries.
e-scooter laws vary in other parts of Queensland, where Lime scooters are not currently legal.
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