Association between helmets and facial injury after a motorcycle collision: An analysis of more than 40 000 patients from the National Trauma Data Bank

Department of Surgery, UCLA, Los Angeles, CA 90095, USA.
Archives of surgery (Chicago, Ill.: 1960) (Impact Factor: 4.3). 07/2012; 147(7):674-6. DOI: 10.1001/archsurg.2012.894
Source: PubMed

ABSTRACT Motorcycle collisions are increasing at a precipitous rate, and reliable and valid data regarding all aspects of helmet safety are needed to better inform ongoing debates on mandatory helmet laws. The objective of this study was to determine the effect of motorcycle helmets on the likelihood of a facial injury after motorcycle collisions, using data from the National Trauma Data Bank, version 7.0, on 46 362 patients from January 1, 2002, through December 31, 2006. Multiple logistic regression was used to analyze the independent association between helmets and facial injury with adjustment for potential confounders. Helmeted motorcyclists were less likely to suffer facial injuries after a motorcycle collision, with a lower adjusted odds ratio of facial injury (0.40; 95% CI, 0.37-0.43) and a lower prevalence of specific types of facial injury compared with their nonhelmeted counterparts.

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    • "Alcohol use is a risk factor for road traffic accidents and fatal injuries [11] [12] [13]. The use of protective devices, however, has been found to reduce the severity of injuries that may result from road traffic accidents considerably [12] [14] [15] [16]. Helmets, Goggles and Gloves are some of the personal protective devices that are readily available to the commercial motorcyclists. "
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    ABSTRACT: The occurrence of road traffic accidents and severe crash injuries involving commercial motorcyclist has risen significantly in recent times in Nigeria. Human factors, vehicular conditions and the state of Nigeri an roads are some of the reasons that have been adduced for this increase. Three hundred commercial motorcyclists in Sagamu , South West, Nigeria were recruited into the study. Wit h the aid of structured interviewer administered questionnaire s, the risk related behavio urs of motorcyclists were studied as it relates to the occurrence of road traffic crashes. A ll respondents were males, mostly young people , who had no formal training prior to riding. Three percent (3%) of the respondents use d crash helmet whereas, 62.7% take alcohol during work hours and 34.7% smoke cigarette. There was a high prevalence of high risk behaviour for road traffic accidents and severe crash injuries among the respondents due to a lack of safety consciousness and non - enforcement of regulations prohibiting high risk behaviours . A concerted effort should be made to create a safety consciousness among commercial motorcyclists while e nsuring strict enforcement of regulation concerning training before licensing and use of protective devices. Prohibition of psychoactive substance use during work hours is hereby recommended.
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    ABSTRACT: India records the maximum number of deaths from motorised two-wheeler vehicle (MTV) accidents in the world with mandatory helmet laws for males but not females. This study was designed to investigate injury patterns, severity, mortality, and helmet usage among hospital admitted victims of a MTV crash with a paired subgroup analyses on female victims. Hospital trauma registry from January 2011 to July 2012 for all adult victims of a MTV crash was analysed for outcomes of mortality, serious head injury, severe facial injury, and cervical spine injury while adjusting for age, gender, use of alcohol/drugs, injury severity score, and presence of shock by multivariable logistic regression model. Groups of helmeted victims (HV) and nonhelmeted victims (NHV) were identified. A total of 2,718 victims were included. HV suffered maximum injuries to the lower extremity (29.04 %) and had reduced adjusted odds of death (odds ratio (OR) 0.65; 95 % confidence interval (CI) 0.48-0.86), serious head injury (OR 0.34; CI 0.26-0.45), cervical spine injury (OR 0.74; CI 0.54-1.06), and serious facial injury (OR 0.87; CI 0.57-1.26) compared with NHV who suffered maximum injuries to the head (24.49 %). Compliance with helmet use was 52.91 and 7.94 % among males and females respectively. A total of 224 pairs of male driver and female pillion involved in same MTV crash were identified, and the predominantly helmeted male had reduced odds of death (OR 0.44; CI 0.21-0.84) and severe head injury (OR 0.42; CI 0.24-0.72) compared with overwhelmingly nonhelmeted females. Helmet laws must be strictly enforced, and society should think about the cost being born by its fairer counterpart by the gender-based differential law.
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    ABSTRACT: Here we describe the Systematically Tabulated Outcomes Research Matrix (STORM) method to generate research questions from pre-existing databases with the aim of improving patient outcomes. STORM can be applied to a database by tabulating its variables into a matrix of independent variables (y-axis) and dependent variables (x-axis) and then applying each unique pairing of an independent and dependent variable to a patient population to generate potentially meaningful research questions. To demonstrate this methodology and establish proof-of-principle, STORM was applied on a small scale to the National Trauma Data Bank and generated at least seven clinically meaningful research questions. When coupled with rigorous clinical judgment, the STORM approach complements the traditional method of hypothesis formation and can be generalized to outcomes research using registry databases across different medical specialties.
    Surgery 10/2013; 155(3). DOI:10.1016/j.surg.2013.10.018 · 3.11 Impact Factor
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