Recreational helmet use as a predictor of noncranial injury

Amro Al-Habib, Najmedden Attabib, R. John Hurlbert

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

BACKGROUND: The effect of helmet use in the prevention of head injury has been clearly shown. However, the relationship between helmet compliance and other bodily (noncranial) injury has not been explored, yet may have important impact on strategies for injury prevention. The purpose of this study was to examine helmet use in an injured population to evaluate its association with noncranial trauma. METHODS: All entries in the Canadian National Trauma Registry were surveyed from 2000 to 2004 and limited to injuries sustained in recreational sports associated with helmet use. RESULTS: Over the 5-year period, 2,205 injuries met inclusion criteria. Cycling-related injuries were most frequent (43.5%). Alcohol consumption correlated significantly with lack of helmet use. Nonhelmeted individuals suffered significantly more noncranial injuries (85% vs. 68%, p < 0.0001) and had twice as many severe head injuries (Glasgow Coma Scale score ≤8) (odds ratio [OR]: 2.13, 95% confidence interval [CI]: 1.35-3.37) or any abnormal Glasgow Coma Scale score (OR: 1.96, 95% CI: 1.55-2.47). While controlling for age, sex, or type of sport activity performed, multivariate regression confirmed a reduction in associated noncranial injuries when helmets were used (OR: 0.86, 95% CI: 0.83- 0.89). CONCLUSIONS: Within an injured population from sports-related activities, helmet use is associated with fewer noncranial injuries of all types suggesting reduced overall risk of injury in this group. In addition, use of helmets is associated with less frequent and less severe head injury. Alcohol consumption is related to increased risk of injury and is more prevalent in injured individuals who abstain from helmet use.

Original languageEnglish (US)
Pages (from-to)1356-1362
Number of pages7
JournalJournal of Trauma and Acute Care Surgery
Volume72
Issue number5
DOIs
StatePublished - May 1 2012
Externally publishedYes

Fingerprint

Head Protective Devices
Wounds and Injuries
Craniocerebral Trauma
Sports
Glasgow Coma Scale
Odds Ratio
Confidence Intervals
Alcohol Drinking
Population
Registries

Keywords

  • Head protection
  • Helmet
  • Prevention
  • Trauma
  • Traumatic brain injury

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

Cite this

Recreational helmet use as a predictor of noncranial injury. / Al-Habib, Amro; Attabib, Najmedden; Hurlbert, R. John.

In: Journal of Trauma and Acute Care Surgery, Vol. 72, No. 5, 01.05.2012, p. 1356-1362.

Research output: Contribution to journalArticle

Al-Habib, Amro ; Attabib, Najmedden ; Hurlbert, R. John. / Recreational helmet use as a predictor of noncranial injury. In: Journal of Trauma and Acute Care Surgery. 2012 ; Vol. 72, No. 5. pp. 1356-1362.
@article{47c0f2063dca4d5e8239a38cc9b694c4,
title = "Recreational helmet use as a predictor of noncranial injury",
abstract = "BACKGROUND: The effect of helmet use in the prevention of head injury has been clearly shown. However, the relationship between helmet compliance and other bodily (noncranial) injury has not been explored, yet may have important impact on strategies for injury prevention. The purpose of this study was to examine helmet use in an injured population to evaluate its association with noncranial trauma. METHODS: All entries in the Canadian National Trauma Registry were surveyed from 2000 to 2004 and limited to injuries sustained in recreational sports associated with helmet use. RESULTS: Over the 5-year period, 2,205 injuries met inclusion criteria. Cycling-related injuries were most frequent (43.5{\%}). Alcohol consumption correlated significantly with lack of helmet use. Nonhelmeted individuals suffered significantly more noncranial injuries (85{\%} vs. 68{\%}, p < 0.0001) and had twice as many severe head injuries (Glasgow Coma Scale score ≤8) (odds ratio [OR]: 2.13, 95{\%} confidence interval [CI]: 1.35-3.37) or any abnormal Glasgow Coma Scale score (OR: 1.96, 95{\%} CI: 1.55-2.47). While controlling for age, sex, or type of sport activity performed, multivariate regression confirmed a reduction in associated noncranial injuries when helmets were used (OR: 0.86, 95{\%} CI: 0.83- 0.89). CONCLUSIONS: Within an injured population from sports-related activities, helmet use is associated with fewer noncranial injuries of all types suggesting reduced overall risk of injury in this group. In addition, use of helmets is associated with less frequent and less severe head injury. Alcohol consumption is related to increased risk of injury and is more prevalent in injured individuals who abstain from helmet use.",
keywords = "Head protection, Helmet, Prevention, Trauma, Traumatic brain injury",
author = "Amro Al-Habib and Najmedden Attabib and Hurlbert, {R. John}",
year = "2012",
month = "5",
day = "1",
doi = "10.1097/TA.0b013e318250b537",
language = "English (US)",
volume = "72",
pages = "1356--1362",
journal = "Journal of Trauma and Acute Care Surgery",
issn = "2163-0755",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

TY - JOUR

T1 - Recreational helmet use as a predictor of noncranial injury

AU - Al-Habib, Amro

AU - Attabib, Najmedden

AU - Hurlbert, R. John

PY - 2012/5/1

Y1 - 2012/5/1

N2 - BACKGROUND: The effect of helmet use in the prevention of head injury has been clearly shown. However, the relationship between helmet compliance and other bodily (noncranial) injury has not been explored, yet may have important impact on strategies for injury prevention. The purpose of this study was to examine helmet use in an injured population to evaluate its association with noncranial trauma. METHODS: All entries in the Canadian National Trauma Registry were surveyed from 2000 to 2004 and limited to injuries sustained in recreational sports associated with helmet use. RESULTS: Over the 5-year period, 2,205 injuries met inclusion criteria. Cycling-related injuries were most frequent (43.5%). Alcohol consumption correlated significantly with lack of helmet use. Nonhelmeted individuals suffered significantly more noncranial injuries (85% vs. 68%, p < 0.0001) and had twice as many severe head injuries (Glasgow Coma Scale score ≤8) (odds ratio [OR]: 2.13, 95% confidence interval [CI]: 1.35-3.37) or any abnormal Glasgow Coma Scale score (OR: 1.96, 95% CI: 1.55-2.47). While controlling for age, sex, or type of sport activity performed, multivariate regression confirmed a reduction in associated noncranial injuries when helmets were used (OR: 0.86, 95% CI: 0.83- 0.89). CONCLUSIONS: Within an injured population from sports-related activities, helmet use is associated with fewer noncranial injuries of all types suggesting reduced overall risk of injury in this group. In addition, use of helmets is associated with less frequent and less severe head injury. Alcohol consumption is related to increased risk of injury and is more prevalent in injured individuals who abstain from helmet use.

AB - BACKGROUND: The effect of helmet use in the prevention of head injury has been clearly shown. However, the relationship between helmet compliance and other bodily (noncranial) injury has not been explored, yet may have important impact on strategies for injury prevention. The purpose of this study was to examine helmet use in an injured population to evaluate its association with noncranial trauma. METHODS: All entries in the Canadian National Trauma Registry were surveyed from 2000 to 2004 and limited to injuries sustained in recreational sports associated with helmet use. RESULTS: Over the 5-year period, 2,205 injuries met inclusion criteria. Cycling-related injuries were most frequent (43.5%). Alcohol consumption correlated significantly with lack of helmet use. Nonhelmeted individuals suffered significantly more noncranial injuries (85% vs. 68%, p < 0.0001) and had twice as many severe head injuries (Glasgow Coma Scale score ≤8) (odds ratio [OR]: 2.13, 95% confidence interval [CI]: 1.35-3.37) or any abnormal Glasgow Coma Scale score (OR: 1.96, 95% CI: 1.55-2.47). While controlling for age, sex, or type of sport activity performed, multivariate regression confirmed a reduction in associated noncranial injuries when helmets were used (OR: 0.86, 95% CI: 0.83- 0.89). CONCLUSIONS: Within an injured population from sports-related activities, helmet use is associated with fewer noncranial injuries of all types suggesting reduced overall risk of injury in this group. In addition, use of helmets is associated with less frequent and less severe head injury. Alcohol consumption is related to increased risk of injury and is more prevalent in injured individuals who abstain from helmet use.

KW - Head protection

KW - Helmet

KW - Prevention

KW - Trauma

KW - Traumatic brain injury

UR - http://www.scopus.com/inward/record.url?scp=84864568829&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84864568829&partnerID=8YFLogxK

U2 - 10.1097/TA.0b013e318250b537

DO - 10.1097/TA.0b013e318250b537

M3 - Article

C2 - 22673266

AN - SCOPUS:84864568829

VL - 72

SP - 1356

EP - 1362

JO - Journal of Trauma and Acute Care Surgery

JF - Journal of Trauma and Acute Care Surgery

SN - 2163-0755

IS - 5

ER -