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"...e-bike injuries were far more serious than those sustained on conventional bikes. Maa says they were more like what’s seen in motorcycle crashes. A pelvic fracture, for example, was uncommon on a pedal bicycle — only about 6 percent of conventional cycling injuries. For e-bike crashes, though, it was 25 percent.
The most alarming difference was the fatality rate. “On a pedal bike, the chance of dying from an injury is about three-tenths of 1 percent,” Alfrey says. On an e-bike, the data indicated, it was 11 percent.
These findings signaled what was unfolding around the country. During the same four-year period when nationwide sales quadrupled, e-bike injuries increased by a factor of 10, to 23,493 from 2,215, according to the National Electronic Injury Surveillance System. A study by the University of California, San Francisco, found that from 2017 to 2022, head injuries from e-bike accidents increased 49-fold."