Bicycle helmets work when it matters the most

Bellal Joseph, Asad Azim, Ansab A. Haider, Narong Kulvatunyou, Terence O'Keeffe, Ahmed Hassan, Lynn Gries, Emily Tran, Rifat Latifi, Peter Rhee

Research output: Research - peer-reviewArticle

  • 1 Citations

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.

LanguageEnglish (US)
Pages413-417
Number of pages5
JournalAmerican Journal of Surgery
Volume213
Issue number2
DOIs
StatePublished - Feb 1 2017

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Head Protective Devices
Traumatic Brain Injury
Accidents
Intracranial Hemorrhages
Mortality
Odds Ratio
Regression Analysis
Databases
Confidence Intervals
Incidence
Wounds and Injuries

Keywords

  • Bicycle
  • Facial fracture
  • Head injury
  • Helmets

ASJC Scopus subject areas

  • Surgery

Cite this

Bicycle helmets work when it matters the most. / Joseph, Bellal; Azim, Asad; Haider, Ansab A.; Kulvatunyou, Narong; O'Keeffe, Terence; Hassan, Ahmed; Gries, Lynn; Tran, Emily; Latifi, Rifat; Rhee, Peter.

In: American Journal of Surgery, Vol. 213, No. 2, 01.02.2017, p. 413-417.

Research output: Research - peer-reviewArticle

Joseph, B, Azim, A, Haider, AA, Kulvatunyou, N, O'Keeffe, T, Hassan, A, Gries, L, Tran, E, Latifi, R & Rhee, P 2017, 'Bicycle helmets work when it matters the most' American Journal of Surgery, vol 213, no. 2, pp. 413-417. DOI: 10.1016/j.amjsurg.2016.05.021
Joseph B, Azim A, Haider AA, Kulvatunyou N, O'Keeffe T, Hassan A et al. Bicycle helmets work when it matters the most. American Journal of Surgery. 2017 Feb 1;213(2):413-417. Available from, DOI: 10.1016/j.amjsurg.2016.05.021
Joseph, Bellal ; Azim, Asad ; Haider, Ansab A. ; Kulvatunyou, Narong ; O'Keeffe, Terence ; Hassan, Ahmed ; Gries, Lynn ; Tran, Emily ; Latifi, Rifat ; Rhee, Peter. / Bicycle helmets work when it matters the most. In: American Journal of Surgery. 2017 ; Vol. 213, No. 2. pp. 413-417
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