The impact of the repeal of Michigan's universal helmet law on traumatic brain injury: A statewide analysis
In April of 2012, Michigan repealed its 35-year-old universal motorcycle helmet law in favor of a partial helmet law, which permits motorcyclists older than 21 years old with sufficient insurance and experience to drive un-helmeted. We evaluated the clinical impact of the repeal. The Michigan Trauma...
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| Veröffentlicht in: | The American journal of surgery 2018-03, Vol.215 (3), p.424-427 |
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| creator | Saunders, Rachel N. Adams, Nicholas S. Chapman, Alistair J. Davis, Alan T. Koehler, Tracy J. Durling, Luke T. Iskander, Gaby A. Girotto, John A. |
| description | In April of 2012, Michigan repealed its 35-year-old universal motorcycle helmet law in favor of a partial helmet law, which permits motorcyclists older than 21 years old with sufficient insurance and experience to drive un-helmeted. We evaluated the clinical impact of the repeal.
The Michigan Trauma Quality Improvement Program's trauma database was queried for motorcycle crash patients between 1/1/09–4/12/12 and between 4/13/12–12/31/14.
There were 1970 patients in the pre-repeal analysis and 2673 patients in the post-repeal analysis. Following the repeal, patients were more likely to be un-helmeted (p |
| doi_str_mv | 10.1016/j.amjsurg.2017.09.033 |
| format | Article |
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The Michigan Trauma Quality Improvement Program's trauma database was queried for motorcycle crash patients between 1/1/09–4/12/12 and between 4/13/12–12/31/14.
There were 1970 patients in the pre-repeal analysis and 2673 patients in the post-repeal analysis. Following the repeal, patients were more likely to be un-helmeted (p < 0.001) and to have a traumatic brain injury (p < 0.001). Patients were also more likely to require neurosurgical interventions (relative risk 1.4, p = 0.011).
Following the repeal of the universal helmet law, there has been a significant increase in traumatic brain injuries and neurosurgical interventions. This analysis highlights another detrimental impact of the repeal of the universal helmet law.
•Michigan replaced a universal motorcycle helmet law with a partial helmet law.•Under the partial helmet law.•Patients were more likely to be un-helmeted.•Patients were more likely to have a traumatic brain injury.•Patients were more likely to require a neurosurgical procedure.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/j.amjsurg.2017.09.033</identifier><identifier>PMID: 29126593</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Accidents, Traffic ; Adult ; Brain ; Brain Injuries, Traumatic - epidemiology ; Brain Injuries, Traumatic - etiology ; Brain Injuries, Traumatic - prevention & control ; Brain Injuries, Traumatic - surgery ; Databases, Factual ; Female ; Head injuries ; Head Protective Devices - trends ; Helmet ; Helmet law ; Helmets ; Humans ; Injury analysis ; Male ; Michigan - epidemiology ; Middle Aged ; Mortality ; Motorcycle ; Motorcycles ; Motorcycles - legislation & jurisprudence ; Multivariate Analysis ; Neurosurgery ; Neurosurgical Procedures - trends ; Patients ; Protective equipment ; Quality control ; Retrospective Studies ; Risk Factors ; Traumatic brain injury ; Young Adult</subject><ispartof>The American journal of surgery, 2018-03, Vol.215 (3), p.424-427</ispartof><rights>2017 Elsevier Inc.</rights><rights>Copyright © 2017 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Mar 1, 2018</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c393t-5bf5099b1d09d1d9506059b3e0d138a50049473a6822f9ca3a0c256337b170f63</citedby><cites>FETCH-LOGICAL-c393t-5bf5099b1d09d1d9506059b3e0d138a50049473a6822f9ca3a0c256337b170f63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2012395041?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29126593$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Saunders, Rachel N.</creatorcontrib><creatorcontrib>Adams, Nicholas S.</creatorcontrib><creatorcontrib>Chapman, Alistair J.</creatorcontrib><creatorcontrib>Davis, Alan T.</creatorcontrib><creatorcontrib>Koehler, Tracy J.</creatorcontrib><creatorcontrib>Durling, Luke T.</creatorcontrib><creatorcontrib>Iskander, Gaby A.</creatorcontrib><creatorcontrib>Girotto, John A.</creatorcontrib><title>The impact of the repeal of Michigan's universal helmet law on traumatic brain injury: A statewide analysis</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>In April of 2012, Michigan repealed its 35-year-old universal motorcycle helmet law in favor of a partial helmet law, which permits motorcyclists older than 21 years old with sufficient insurance and experience to drive un-helmeted. We evaluated the clinical impact of the repeal.
The Michigan Trauma Quality Improvement Program's trauma database was queried for motorcycle crash patients between 1/1/09–4/12/12 and between 4/13/12–12/31/14.
There were 1970 patients in the pre-repeal analysis and 2673 patients in the post-repeal analysis. Following the repeal, patients were more likely to be un-helmeted (p < 0.001) and to have a traumatic brain injury (p < 0.001). Patients were also more likely to require neurosurgical interventions (relative risk 1.4, p = 0.011).
Following the repeal of the universal helmet law, there has been a significant increase in traumatic brain injuries and neurosurgical interventions. This analysis highlights another detrimental impact of the repeal of the universal helmet law.
•Michigan replaced a universal motorcycle helmet law with a partial helmet law.•Under the partial helmet law.•Patients were more likely to be un-helmeted.•Patients were more likely to have a traumatic brain injury.•Patients were more likely to require a neurosurgical procedure.</description><subject>Accidents, Traffic</subject><subject>Adult</subject><subject>Brain</subject><subject>Brain Injuries, Traumatic - epidemiology</subject><subject>Brain Injuries, Traumatic - etiology</subject><subject>Brain Injuries, Traumatic - prevention & control</subject><subject>Brain Injuries, Traumatic - surgery</subject><subject>Databases, Factual</subject><subject>Female</subject><subject>Head injuries</subject><subject>Head Protective Devices - trends</subject><subject>Helmet</subject><subject>Helmet law</subject><subject>Helmets</subject><subject>Humans</subject><subject>Injury analysis</subject><subject>Male</subject><subject>Michigan - epidemiology</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Motorcycle</subject><subject>Motorcycles</subject><subject>Motorcycles - legislation & jurisprudence</subject><subject>Multivariate Analysis</subject><subject>Neurosurgery</subject><subject>Neurosurgical Procedures - trends</subject><subject>Patients</subject><subject>Protective equipment</subject><subject>Quality control</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Traumatic brain injury</subject><subject>Young Adult</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkUuP1DAQhC0EYoeFnwCyxAEuCd3x5GEuaLXiJS3ispytjtPZcchjsJ1dzb_Hoxk4cOFklfVVd6tKiJcIOQJW74acpiGs_i4vAOscdA5KPRIbbGqdYdOox2IDAEWmK4QL8SyEIUnErXoqLgqNRVVqtRE_b3cs3bQnG-XSy5iU5z3TeFTfnN25O5rfBLnO7p59SP87HieOcqQHucwyelonis7K1pObpZuH1R_eyysZIkV-cB1Lmmk8BBeeiyc9jYFfnN9L8ePTx9vrL9nN989fr69uMqu0ilnZ9iVo3WIHusNOl1BBqVvF0KFqqATY6m2tqGqKoteWFIEtykqpusUa-kpdirenuXu__Fo5RDO5YHkcaeZlDQZ1pYoaNOqEvv4HHZbVp3uDSbEWKi3fYqLKE2X9EoLn3uy9m8gfDII5tmEGc27jaKsNaJPaSL5X5-lrO3H31_Un_gR8OAGc4rh37E2wjmfLnfNso-kW958VvwG2HZyj</recordid><startdate>201803</startdate><enddate>201803</enddate><creator>Saunders, Rachel N.</creator><creator>Adams, Nicholas S.</creator><creator>Chapman, Alistair J.</creator><creator>Davis, Alan T.</creator><creator>Koehler, Tracy J.</creator><creator>Durling, Luke T.</creator><creator>Iskander, Gaby A.</creator><creator>Girotto, John A.</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>201803</creationdate><title>The impact of the repeal of Michigan's universal helmet law on traumatic brain injury: A statewide analysis</title><author>Saunders, Rachel N. ; Adams, Nicholas S. ; Chapman, Alistair J. ; Davis, Alan T. ; Koehler, Tracy J. ; Durling, Luke T. ; Iskander, Gaby A. ; Girotto, John A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c393t-5bf5099b1d09d1d9506059b3e0d138a50049473a6822f9ca3a0c256337b170f63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Accidents, Traffic</topic><topic>Adult</topic><topic>Brain</topic><topic>Brain Injuries, Traumatic - 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Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Saunders, Rachel N.</au><au>Adams, Nicholas S.</au><au>Chapman, Alistair J.</au><au>Davis, Alan T.</au><au>Koehler, Tracy J.</au><au>Durling, Luke T.</au><au>Iskander, Gaby A.</au><au>Girotto, John A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The impact of the repeal of Michigan's universal helmet law on traumatic brain injury: A statewide analysis</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>2018-03</date><risdate>2018</risdate><volume>215</volume><issue>3</issue><spage>424</spage><epage>427</epage><pages>424-427</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><abstract>In April of 2012, Michigan repealed its 35-year-old universal motorcycle helmet law in favor of a partial helmet law, which permits motorcyclists older than 21 years old with sufficient insurance and experience to drive un-helmeted. We evaluated the clinical impact of the repeal.
The Michigan Trauma Quality Improvement Program's trauma database was queried for motorcycle crash patients between 1/1/09–4/12/12 and between 4/13/12–12/31/14.
There were 1970 patients in the pre-repeal analysis and 2673 patients in the post-repeal analysis. Following the repeal, patients were more likely to be un-helmeted (p < 0.001) and to have a traumatic brain injury (p < 0.001). Patients were also more likely to require neurosurgical interventions (relative risk 1.4, p = 0.011).
Following the repeal of the universal helmet law, there has been a significant increase in traumatic brain injuries and neurosurgical interventions. This analysis highlights another detrimental impact of the repeal of the universal helmet law.
•Michigan replaced a universal motorcycle helmet law with a partial helmet law.•Under the partial helmet law.•Patients were more likely to be un-helmeted.•Patients were more likely to have a traumatic brain injury.•Patients were more likely to require a neurosurgical procedure.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>29126593</pmid><doi>10.1016/j.amjsurg.2017.09.033</doi><tpages>4</tpages></addata></record> |
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| ispartof | The American journal of surgery, 2018-03, Vol.215 (3), p.424-427 |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete; ProQuest Central UK/Ireland |
| subjects | Accidents, Traffic Adult Brain Brain Injuries, Traumatic - epidemiology Brain Injuries, Traumatic - etiology Brain Injuries, Traumatic - prevention & control Brain Injuries, Traumatic - surgery Databases, Factual Female Head injuries Head Protective Devices - trends Helmet Helmet law Helmets Humans Injury analysis Male Michigan - epidemiology Middle Aged Mortality Motorcycle Motorcycles Motorcycles - legislation & jurisprudence Multivariate Analysis Neurosurgery Neurosurgical Procedures - trends Patients Protective equipment Quality control Retrospective Studies Risk Factors Traumatic brain injury Young Adult |
| title | The impact of the repeal of Michigan's universal helmet law on traumatic brain injury: A statewide analysis |
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