The Effects of Helmet Use on the Severity of Head Injuries in Motorcycle Accidents: Comment on Maxwell and Delaney

1992 ◽  
Vol 87 (417) ◽  
pp. 57
Author(s):  
Janet Brody
1995 ◽  
Vol 27 (3) ◽  
pp. 363-369 ◽  
Author(s):  
Barbara Gabella ◽  
Kathy L. Reiner ◽  
Richard E. Hoffman ◽  
Magdalena Cook ◽  
Lorann Stallones

Trauma ◽  
2016 ◽  
Vol 19 (1) ◽  
pp. 39-45 ◽  
Author(s):  
El Yamani Fouda ◽  
Mohamed Youssef ◽  
Sameh H Emile ◽  
Hossam Elfeki ◽  
Waleed Thabet ◽  
...  

Background and aim Motorcycle accidents are one of the leading causes of road traffic injuries and mortality. The aim of this study was to determine the common patterns of major injuries associated with motorcycle accidents in patients attending Mansoura University Emergency Hospital in Egypt, and to measure the magnitude of the problem in our community. Patients and methods Patients involved in motorcycle crashes who were admitted to the hospital during August 2014 to April 2015 were retrospectively reviewed. All age groups and both genders were included. Results Two hundred patients (181 males) with a mean age of 30.7 ± 10.5 years were included with the majority of patients aged 20–40 years. Head injuries were the most frequent fatal injuries (9/61) patients; orthopedic injuries were the most common injuries, occurring in 78.5% of victims. Multisystem injuries occurred in 28% of patients. None of the motorcyclists involved in accidents wore helmets. Conclusion Motorcycle accidents are a common cause of road traffic injuries and mortalities in Egypt, occurring mainly in males aged 20–40 years. The majority of victims had an isolated trauma to single body system. Orthopedic injuries were the most common and least fatal type of injuries. The highest fatalities were among patients with chest injuries then patients with head injuries. None of the victims wore protective clothing or helmets at the time of accident.


PEDIATRICS ◽  
1993 ◽  
Vol 91 (5) ◽  
pp. 902-907
Author(s):  
Robert S. Thompson ◽  
Diane C. Thompson ◽  
Frederick P. Rivara ◽  
Angela A. Salazar

Objective. To examine the potential effects of bicycle safety helmet cost subsidy on bicycle head injury rates and costs. Design. Using empiric data on the incidence and costs of bicycle injuries to children, we examined the hypothetical effects of various bicycle helmet subsidies in a cost-effectiveness analysis. A hypothetical cohort of 100 000 5- through 9-year-olds was followed for 5 years after helmet cost subsidization. Sensitivity analyses were done of three different levels of safety helmet subsidy ($5, $10, $15), three discount rates (2%, 4%, 6%), 10 levels of safety helmet use ranging from 10% to 100%, and the occurrence or nonoccurrence of catastrophic head injuries. Patients. Forty-three children 5 through 9 years of age and 27 children 10 through 14 years of age with head injuries due to bicycling were identified through emergency department surveillance of a population of 29 533. Setting. Group Health Cooperative of Puget Sound, a large health maintenance organization. Outcome measures. Bicycle head injuries prevented and the savings or costs associated with various subsidy, safety helmet use, and discount rates. Results. Hypothetically, an increase in bicycle helmet use rates to 40% to 50% due to subsidies of $5 or $10 prevents 564 to 840 head injuries in a cohort of 100 000 5- through 9-year-olds over 5 years. Under these conditions and a 2% discount rate, cost savings ranging from $189 207 to $427 808 will result when catastrophic head injuries are included in the analysis. Conclusion. Subsidization of bicycle safety helmets to achieve a cost of $14 to $20 per helmet and use rates of 40% to 50% will likely prove cost-effective. Empirical evidence from a Seattle campaign suggests that such helmet use rates are achievable.


PEDIATRICS ◽  
1993 ◽  
Vol 91 (4) ◽  
pp. 772-777
Author(s):  
Patricia C. Parkin ◽  
Laura J. Spence ◽  
Xiaohan Hu ◽  
Katherine E. Kranz ◽  
Linda G. Shortt ◽  
...  

Bicycle-related head injuries are an important cause of death and disability, despite the availability of helmets. The objective of this study was to evaluate the effectiveness of a school-based bicycle helmet promotion program in increasing helmet use by children while controlling for secular trends. Two high-income and two low-income schools in an urban Canadian community were selected to receive a bicycle helmet promotion intervention, with the remaining 18 schools serving as controls. Approximately 1800 observations of bicycling children were made at randomly selected observational sites 2 to 5 months after the intervention to assess changes in behavior. Helmet use at all observation sites tripled from 3.4% (1990, preintervention) to 16% (1991, postintervention). In the high-income intervention area, observed helmet use rose dramatically from 4% to 36% in contrast to the more modest increase in the high-income control area from 4% to 15%. In the low-income intervention area, there was a modest increase from 1% to 7%, but it did not differ from the increase in the low-income control area from 3% to 13%. The program was highly successful in children of high-income families but not in children of low-income families. Developing strategies for low-income families remains a priority.


PEDIATRICS ◽  
1987 ◽  
Vol 79 (3) ◽  
pp. 487-488
Author(s):  
ALLEN R. CIASTKO

To the Editor.— Dr Weiss in his study of bicycle helmet use in Pediatrics (1986;77:677-679) makes a plea to pediatricians and family physicians to advocate bicycle helmet use based on the frequency and severity of head injuries reported in other studies of bicycle accidents. Unfortunately, most studies quoted either reviewed bicycle injuries in isolation from other types of injury or were national death report statistics which represent only the tip of the iceberg (ignoring relative morbidity statistics).


2019 ◽  
Vol 12 (4) ◽  
pp. 284-290
Author(s):  
Zeeshan Arif ◽  
B. R. Rajanikanth ◽  
Kavitha Prasad

Road traffic accidents are the leading cause of death among the Indian population. Motorcycle accidents are the most prominent type of injuries among road traffic accidents in India. In this prospective cross-sectional study, all the patients attending three centers in north Bangalore, with facial injuries occurring from a motorcycle accident, were included. The subjects were analyzed for the type of collision, helmet use, type of helmet use, and fastening status of the helmets. A total of 311 motorcyclists were included in this study for a period of 18 months (December 2015 to June 2017). There were 79.7% males and 20.3% females. The most prominent age group was 21 to 30 years. The percentage of riders sustaining facial injuries was significantly more in the non-helmeted group. The most common injuries in open face helmets were in the middle and lower third of the face, whereas in closed face helmets it was in the middle third of the face. The numbers of injuries were significantly higher in the nonfastened helmet group as compared with fastened helmet group. Helmet fixation is an important characteristic along with helmet type for the better effectiveness and safety of the helmets for the motorcyclists.


2018 ◽  
Vol 84 (2) ◽  
pp. 289-293
Author(s):  
George M. Testerman ◽  
Daniel C. Prior ◽  
Tamie D. Wells ◽  
Sarah E. Rollins ◽  
Stephen L. Oesch

All-terrain vehicle (ATV) safety laws, including helmet use, vary by state and are sporadically enforced. Kentucky state laws require safety helmets only for younger riders. We hypothesized that ATV riders injured in Kentucky and seen at a Tennessee trauma center would more likely be unhelmeted, have more severe head injuries, and have higher mortality rates than those injured in Virginia or Tennessee. A Trauma Registry review of 750 injured ATV riders from June 1, 2005, through June 1, 2015 examined state location of accident, helmet use, markers of injury severity, and outcomes. Multiple logistic regression analysis examined predictors of severe head injuries and death with P < 0.05 significant. Unhelmeted ATV rider status predicted more severe head injuries (relative risk 23.5, P < 0.001) and death (relative risk 4.6, P < 0.001). ATV riders injured in the state of Kentucky were twice as numerous. In addition, they were more likely than ATVriders injured in Tennessee or Virginia to be unhelmeted, to have severe head injuries, and to sustain fatal injuries (all P < 0.001). This single trauma center study lends support for maintaining and enforcing current universal helmet laws for ATVriders of all ages in states where they are in effect and highlights the need to upgrade helmet laws that apply only to some riders.


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