Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Financial Impact of Personal Electric Transportation Platforms in an Urban Area: A Cohort of Injuries over 18 Months at a Level 1 Urban Trauma Center

Yuval Ran
* ORCID logo ,
Dana Niry
,
Genady Shendler
,
Itay Blum
,
Aviad Rabinowich
,
Dana Stav
,
Zmira Silman
,
Amit Benady
,
Jacob Chen
ORCID logo ,
Adi Brenner
ORCID logo
Version 1 : Received: 7 May 2024 / Approved: 8 May 2024 / Online: 8 May 2024 (11:21:56 CEST)

How to cite: Ran, Y.; Niry, D.; Shendler, G.; Blum, I.; Rabinowich, A.; Stav, D.; Silman, Z.; Benady, A.; Chen, J.; Brenner, A. Financial Impact of Personal Electric Transportation Platforms in an Urban Area: A Cohort of Injuries over 18 Months at a Level 1 Urban Trauma Center. Preprints 2024, 2024050448. https://doi.org/10.20944/preprints202405.0448.v1 Ran, Y.; Niry, D.; Shendler, G.; Blum, I.; Rabinowich, A.; Stav, D.; Silman, Z.; Benady, A.; Chen, J.; Brenner, A. Financial Impact of Personal Electric Transportation Platforms in an Urban Area: A Cohort of Injuries over 18 Months at a Level 1 Urban Trauma Center. Preprints 2024, 2024050448. https://doi.org/10.20944/preprints202405.0448.v1

Abstract

The use of e-scooters and e-bicycles has been on the rise with an increased medical and financial burden. Our purpose was to identify risk factors for increased medical charges and recommend appropriate steps. We studied a retrospective cohort presenting to a level 1 urban trauma center from January 2018 through July 2019 due to micro-mobility platforms. The primary outcome for comparison was total billing cost and a regression analysis was performed to identify variables associated with higher cost. A total of 4073 patients were identified. The majority of which were males (67%), aged 20-30 years (41%). Helmet use reported in only 39.8%. Radiologic studies were performed more often in the e-bicycle group. Total billing charges amounted to 28.3 million New Israeli Shekels ($7.9 million). Average total cost was higher for e-bicycle injuries and in non-helmet users. Other factors associated with higher cost were age, and time of day 12:00-18:00. We recommend that urban cities invest in infrastructure in advance to micro-mobility introduction, regulate the use of e-platforms, designate resources for education on personal protective equipment and prepare medical centers in advance.

Keywords

Financial; policy; planning; injury-prevention; cost; micro-mobility; e-bicycle; e-scooter

Subject

Public Health and Healthcare, Health Policy and Services

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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