More helmets fewer deaths: Motorcycle helmet legislation impacts traumatic brain injury-related mortality in young adults

Ahmed Hassan, Tahereh Orouji Jokar, Peter M Rhee, Kareem Ibraheem, Narong Kulvatunyou, Kathryn Tinsley Anderson, Lynn Gries, Zachary Thomas Roward, Bellal A Joseph

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

The aim of our study was to assess the impact of helmet legislations on the incidence and the mortality rate of motorcycle collision (MCC)-related traumatic brain injury (TBI) in young adult trauma patients. A 1-year (2011) retrospective analysis was performed of all patients under 21 years old with trauma-related hospitalization using the Nationwide Inpatient Sample database (representing 20% of all in-patient admissions). Patients withMCC were identified using E-codes. States were classified into three groups based on helmet legislations: universal age helmet legislation, <18 years helmet legislation, and <21 years helmet legislation. Outcome measures were the rates of TBI and mortality. Linear regression analysis was used to assess outcomes among the states. A total of 1,165,150 patients with trauma-related hospitalizations across 29 states were reviewed of which, 587 patients with MCC were included. Ten states had universal age legislation; 13 states had age <18 years legislation, and 6 states had age <21 years legislation. There was a lower incidence in the rate of TBI (P = 0.03) in states with universal helmet legislations compared with states with agerestricted helmet legislation. Universal helmet legislations lowered the rate of MCC-related TBI injures by a factor of 2.15 (β coefficient: 2.15; 95% confidence interval: 0.91-10.18; P = 0.04). States with age-restricted helmet legislations have a higher rate of traumatic brain injury and mortality compared with states with universal helmet legislations. Establishing universal helmet legislations across the states may provide a potential preventive strategy against traumatic brain injury.

Original languageEnglish (US)
Pages (from-to)541-546
Number of pages6
JournalAmerican Surgeon
Volume83
Issue number6
StatePublished - Jun 1 2017

ASJC Scopus subject areas

  • Surgery
  • Medicine(all)

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    Hassan, A., Jokar, T. O., Rhee, P. M., Ibraheem, K., Kulvatunyou, N., Anderson, K. T., Gries, L., Roward, Z. T., & Joseph, B. A. (2017). More helmets fewer deaths: Motorcycle helmet legislation impacts traumatic brain injury-related mortality in young adults. American Surgeon, 83(6), 541-546.