Bicycle helmets work when it matters the most - 18/04/17
, Asad Azim, M.D., Ansab A. Haider, M.D., Narong Kulvatunyou, M.D., Terence O'Keeffe, M.D., Ahmed Hassan, M.D., Lynn Gries, M.D., Emily Tran, B.S., Rifat Latifi, M.D., Peter Rhee, M.D.Abstract |
Background |
Helmets are known to reduce the incidence of traumatic brain injury (TBI) after bicycle-related accidents. The aim of this study was to assess the association of helmets with severity of TBI and facial fractures after bicycle-related accidents.
Methods |
We performed an analysis of the 2012 National Trauma Data Bank abstracted information of all patients with an intracranial hemorrhage after bicycle-related accidents. Regression analysis was also performed.
Results |
A total of 6,267 patients were included. About 25.1% (n = 1,573) of bicycle riders were helmeted. Overall, 52.4% (n = 3,284) of the patients had severe TBI, and the mortality rate was 2.8% (n = 176). Helmeted bicycle riders had 51% reduced odds of severe TBI (odds ratio [OR] .49, 95% confidence interval [CI] .43 to .55, P < .001) and 44% reduced odds of mortality (OR .56, 95% CI .34 to .78, P = .010). Helmet use also reduced the odds of facial fractures by 31% (OR .69, 95% CI .58 to .81, P < .001).
Conclusion |
Bicycle helmet use provides protection against severe TBI, reduces facial fractures, and saves lives even after sustaining an intracranial hemorrhage.
Le texte complet de cet article est disponible en PDF.Highlights |
• | The aim of this study was to assess the association of helmets with severity of traumatic brain injury and facial fractures after bicycle-related accidents. |
• | Results of our study strongly support our hypothesis that helmet use in bicycle riders with intracranial bleed is independently associated with reduction in overall facial fractures and severity of TBI. |
• | Injury prevention programs should advocate the use of helmets in bicycle riders especially in the teenage group where least compliance with bicycle helmet use was observed. |
Keywords : Bicycle, Helmets, Facial fracture, Head injury
Plan
| There were no relevant financial relationships or any sources of support in the form of grants, equipment, or drugs. |
|
| The authors declare no conflicts of interest. |
Vol 213 - N° 2
P. 413-417 - février 2017 Retour au numéro
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