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Two separate analyses reported by the American College of Surgeons point to a growing burden of e-scooter injuries in trauma data and a higher share of major injuries among younger injured riders. The findings are not interchangeable: one tracks trauma admissions from 2021 to 2023; the other compares injury severity among injured patients age 18 and younger. Neither establishes the risk per ride.
What the two analyses found
The American College of Surgeons (ACS) reported that both studies were selected for presentation at its Clinical Congress 2026. The abstracts had not yet been peer reviewed, and the ACS release does not include full methods, confidence intervals, or detailed limitations. Read the ACS release.
| Analysis | Population and data | What it measured | Key finding |
|---|---|---|---|
| National trauma-admission analysis | 10,151 e-scooter trauma admissions in national trauma data from 2021–2023; researchers from Howard University Hospital | Admission counts and share of all trauma admissions in the database | Admissions rose from 2,311 in 2021 to 4,430 in 2023, a reported increase of 92%; e-scooter cases rose from 0.19% to 0.34% of database trauma admissions. |
| Separate pediatric and young-patient analysis | 2,185 injured patients age 18 and younger in NEISS data; Mass General Brigham for Children research team | Injury severity by age among injured patients captured in that analysis | Major injuries were reported in 65.6% of patients under 16, compared with 53.7% among patients older than 16. |
Are e-scooter injuries increasing?
In the national trauma-admission analysis, the number of e-scooter admissions nearly doubled between 2021 and 2023, and their share of all trauma admissions in the database also increased. This indicates a larger burden within that database over the period studied.
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Were younger injured riders more likely to have major injuries?
In the separate NEISS analysis, patients under 16 had a higher reported proportion of major injuries than patients older than 16: 65.6% versus 53.7%. The comparison is among injured patients included in that study, not among all children and adults who ride e-scooters.
The younger group also had a lower average reported speed: 17.6 mph, compared with 20.3 mph among older patients. After adjustment, older age was associated with three times the odds of a minor injury and 58% lower odds of a major injury. These are associations reported in the release; they do not establish why injury severity differed.
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What the trauma-admission figures say about outcomes and helmets
Across the 10,151 admissions in the national trauma analysis, 16.2% required ICU admission and 11.3% underwent an operation. The release characterized 85% of injuries as minor or moderate. These figures describe this trauma-admission sample, not all e-scooter crashes or injuries.
Helmet use was documented in 12.1% of admissions. The ACS release says helmet use and obesity were associated with lower odds of ICU admission after adjustment, but gives no effect estimate. The association does not prove that helmet use caused a reduction in ICU admissions, and the release does not evaluate particular helmet models.
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What riders and families can reasonably take from this
The findings support taking e-scooter safety seriously, particularly for younger riders, while recognizing that these studies do not establish a per-ride risk or explain the age-related difference in severity. Quyen D. Chu, MD, MBA, FACS, senior author of the trauma analysis, said in the ACS release: “It’s important to recognize that e-scooters are not innocuous vehicles; there is danger to them,”
Cornelia L. Griggs, MD, MPH, FACS, senior author of the pediatric study, said in the release: “An e-scooter is not a toy. We know they’re convenient and many families enjoy them, but a child can get hurt far worse on one than on a regular bike.” The remarks are quoted by ACS, rather than independently obtained interview transcripts.
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Helmet use is a practical safety measure to consider, but the release does not establish a specific helmet’s effectiveness. Age limits, speed restrictions, and helmet requirements vary by state and locality; check the rules that apply where you ride rather than assuming a national standard.
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What remains uncertain
- The ACS release does not provide the underlying abstracts’ full methods, confidence intervals, or detailed limitations.
- The trauma-database increase cannot establish whether risk per ride changed, because the release reports no ride or rider exposure denominator.
- The pediatric percentages describe injured patients captured in a separate analysis; they do not estimate the chance that any child rider will be injured or seriously hurt.
- The release reports associations, not proof that helmets or age caused the observed outcome differences.
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