Evidence map›Paper›PMID 42491757›Full record

ReviewCureus2026

Bicycle and Electric Scooter Fatalities: A Systematic Review of Micromobility-Related Deaths.

Athina Tousia, Nikolaos Kalogrias, Konstantinos Katsos, Dimitrios Vlachodimitropoulos, Chara Spiliopoulou, Emmanouil I Sakelliadis

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Athina TousiaDepartment of Forensic Medicine and Toxicology, National and Kapodistrian University of Athens, School of Medicine, Athens, GRC.
Nikolaos KalogriasForensic Service of Athens, Ministry of Justice, Athens, GRC.
Konstantinos KatsosDepartment of Forensic Medicine and Toxicology, National and Kapodistrian University of Athens, School of Medicine, Athens, GRC.
Dimitrios VlachodimitropoulosDepartment of Forensic Medicine and Toxicology, National and Kapodistrian University of Athens, School of Medicine, Athens, GRC.
Chara SpiliopoulouDepartment of Forensic Medicine and Toxicology, National and Kapodistrian University of Athens, School of Medicine, Athens, GRC.
Emmanouil I SakelliadisDepartment of Forensic Medicine and Toxicology, National and Kapodistrian University of Athens, School of Medicine, Athens, GRC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Two-wheelers, including bicycles and electric scooters (e-scooters), account for a significant portion of road traffic fatalities. Although there are several measures, including alcohol and helmet legislation, mortality rates remain high, specifically in low- and middle-income countries. This systematic review aims to identify and synthesize factors associated with fatal outcomes in bicycle and e-scooter collisions. We conducted a systematic search across PubMed, Scopus, and Web of Science from 2014 to April 2026. The included studies were observational (cohort, case-control, and cross-sectional) and examined fatal bicycle and e-scooter crashes. Data extraction centered on helmet use, substance use involvement, injury patterns, and demographic variables. Study quality was assessed using the Joanna Briggs Institute (JBI) methodology for systematic reviews. Due to substantial heterogeneity in study design, populations, vehicle type, outcome definitions, and reported variables, a meta-analysis was not performed. Instead, findings were synthesized using a narrative approach. A total of 26 studies were included, including data from across the globe. Age, as well as sex distribution, was reported in 23 studies. Helmet use was reported in 14 studies. Injury patterns were described in 18 studies. Toxicological findings were reported in 14 studies. The lack of helmet use appeared to be linked to mortality. Alcohol use, although not frequently analyzed, was also significantly correlated with mortality. Elderly victims of male sex appear to demonstrate the highest mortality numbers. Fatalities from bicycle and e-scooter collisions result from several commonly modifiable behavioral and environmental factors. The establishment of intervention strategies, including helmet laws, substance abuse prevention, infrastructure improvements, and age- and gender-targeted education, is crucial to reducing mortality. Enhanced prehospital care and injury surveillance systems are also mandatory to improve survival outcomes.

Indexed as

bicycle accidentse-scooter accidentshelmet useinjury epidemiologyroad safetytoxicologytwo-wheeler fatalities

Identifiers

PMID42491757
PMCPMC13377580

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.