Rethinking bicycle helmets as a preventive tool: a 4-year review of bicycle injuries

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
Bellal JosephPeter Rhee

Abstract

Traumatic brain injury is a leading cause of disability in bicycle riders. Preventive measures including bicycle helmet laws have been highlighted; however, its protective role has always been debated. The aim of this study was to determine the utility of bicycle helmets in prevention of intra-cranial hemorrhage. We hypothesized that bicycle helmets are protective and prevent the development of intra-cranial hemorrhage. We performed a 4-year (2009-2012) retrospective cohort analysis of all the patients who presented with traumatic brain injury due to bicycle injuries to our level 1 trauma center. We compared helmeted and non-helmeted bicycle riders for differences in the patterns of injury, need for intensive care unit admissions and mortality. A total of 864 patients were reviewed of which, 709 patients (helmeted = 300, non-helmeted = 409) were included. Non-helmeted bicycle riders were more likely to be young (p < 0.001) males (p = 0.01). There was no difference in the median ISS between the two groups (p = 0.3). Non-helmeted riders were more likely to have a skull fracture (p = 0.01) and a scalp laceration (p = 0.01) compared to the helmeted riders. There was no difference in intra-cranial hemorrhage between the two groups (...Continue Reading

References

Jan 1, 1990·The American Journal of Sports Medicine·R C Wasserman, R V Buccini
Jun 1, 1987·Accident; Analysis and Prevention·M M DorschR L Somers
Jun 1, 1994·Accident; Analysis and Prevention·M H CameronS V Newstead
Jun 1, 1993·The Journal of Trauma·F T McDermottE A Debney
Mar 10, 2001·Accident; Analysis and Prevention·R G AttewellM McFadden
Oct 17, 2012·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Navindra PersaudDan Cass
Feb 5, 2013·Accident; Analysis and Prevention·M R BambachJ Olivier

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Citations

Apr 10, 2016·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·B JosephP Rhee
Jul 28, 2016·International Journal of Epidemiology·Jake Olivier, Prudence Creighton
Sep 7, 2016·American Journal of Surgery·Bellal JosephPeter Rhee
Feb 23, 2017·The Journal of Trauma and Acute Care Surgery·Bellal JosephPeter Rhee
Feb 15, 2019·JAMA Otolaryngology-- Head & Neck Surgery·Bellal Joseph, Kamil Hanna
Jan 24, 2016·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·J OlivierC T Mason
Sep 8, 2016·The Journal of Trauma and Acute Care Surgery·Bellal JosephPeter Rhee
Feb 29, 2020·British Journal of Neurosurgery·Paul S PageNathaniel P Brooks
Mar 10, 2016·The Journal of Trauma and Acute Care Surgery·Mazhar KhalilBellal Joseph
Jun 4, 2016·The Journal of Trauma and Acute Care Surgery·Tahereh Orouji JokarBellal Joseph
Oct 29, 2020·Acta neurochirurgica·Dominik BascheraRené Zellweger
Jul 6, 2021·Neurotrauma Reports·Crispijn L van den BrandKorné Jellema

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Brain Injury & Trauma

brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.

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