A prospective study of the impact of helmet usage on motorcycle trauma
To determine the effect of the use of a motorcycle helmet on reducing the mortality, morbidity, and health care costs resulting from motorcycle crashes. A prospective, multicenter study of all eligible motorcycle crash victims. The emergency departments of eight medical centers across the state of I...
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| Veröffentlicht in: | Annals of emergency medicine 1991-08, Vol.20 (8), p.852-856 |
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| container_title | Annals of emergency medicine |
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| creator | Kelly, Patrick Sanson, Tracy Strange, Gary Orsay, Elizabeth |
| description | To determine the effect of the use of a motorcycle helmet on reducing the mortality, morbidity, and health care costs resulting from motorcycle crashes.
A prospective, multicenter study of all eligible motorcycle crash victims.
The emergency departments of eight medical centers across the state of Illinois, including representatives from urban, rural, teaching, and community facilities.
All motorcycle crash victims presenting less than 24 hours after injury for whom helmet information was known. Data were collected from April 1 through October 31, 1988.
Fifty-eight of 398 patients (14.6%) were helmeted, and 340 (85.4%) were not. The nonhelmeted patients had higher Injury Severity Scores (11.9 vs 7.02), sustained head/neck injuries more frequently (41.7 vs 24.1%), and had lower Glasgow Coma Scores (13.73 vs 14.51). Twenty-five of the 26 fatalities were nonhelmeted patients. By logistic regression, the lack of helmet use was found to be a major risk factor for increased severity of injury. A 23% increase in health care costs was demonstrated for nonhelmeted patients (average charges $7, 208 vs $5, 852).
Helmet use may reduce the overall severity of injury and the incidence of head injuries resulting from motorcycle crashes. A trend toward higher health care costs was demonstrated in the nonhelmeted patients. |
| doi_str_mv | 10.1016/S0196-0644(05)81426-X |
| format | Article |
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A prospective, multicenter study of all eligible motorcycle crash victims.
The emergency departments of eight medical centers across the state of Illinois, including representatives from urban, rural, teaching, and community facilities.
All motorcycle crash victims presenting less than 24 hours after injury for whom helmet information was known. Data were collected from April 1 through October 31, 1988.
Fifty-eight of 398 patients (14.6%) were helmeted, and 340 (85.4%) were not. The nonhelmeted patients had higher Injury Severity Scores (11.9 vs 7.02), sustained head/neck injuries more frequently (41.7 vs 24.1%), and had lower Glasgow Coma Scores (13.73 vs 14.51). Twenty-five of the 26 fatalities were nonhelmeted patients. By logistic regression, the lack of helmet use was found to be a major risk factor for increased severity of injury. A 23% increase in health care costs was demonstrated for nonhelmeted patients (average charges $7, 208 vs $5, 852).
Helmet use may reduce the overall severity of injury and the incidence of head injuries resulting from motorcycle crashes. A trend toward higher health care costs was demonstrated in the nonhelmeted patients.</description><identifier>ISSN: 0196-0644</identifier><identifier>EISSN: 1097-6760</identifier><identifier>DOI: 10.1016/S0196-0644(05)81426-X</identifier><identifier>PMID: 1854068</identifier><identifier>CODEN: AEMED3</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Accidents, Traffic - statistics & numerical data ; Adult ; Biological and medical sciences ; Cost Control ; Craniocerebral Trauma - economics ; Craniocerebral Trauma - epidemiology ; Craniocerebral Trauma - etiology ; Craniocerebral Trauma - therapy ; Data Collection ; Emergency Service, Hospital - statistics & numerical data ; Female ; Head Protective Devices - statistics & numerical data ; helmet use, motorcycle ; Humans ; Illinois - epidemiology ; Injury Severity Score ; Male ; Medical sciences ; motorcycle, trauma ; Motorcycles ; Neck Injuries ; Patient Admission - statistics & numerical data ; Prospective Studies ; Public health. Hygiene-occupational medicine ; Risk Factors ; Wounds and Injuries - economics ; Wounds and Injuries - epidemiology ; Wounds and Injuries - etiology ; Wounds and Injuries - therapy</subject><ispartof>Annals of emergency medicine, 1991-08, Vol.20 (8), p.852-856</ispartof><rights>1991 American College of Emergency Physicians</rights><rights>1992 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c389t-637d889bbde44f3df3b9d562b3148c6dbc966ac563f15e6d1f262ffd0084abbb3</citedby><cites>FETCH-LOGICAL-c389t-637d889bbde44f3df3b9d562b3148c6dbc966ac563f15e6d1f262ffd0084abbb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S019606440581426X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4943284$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1854068$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kelly, Patrick</creatorcontrib><creatorcontrib>Sanson, Tracy</creatorcontrib><creatorcontrib>Strange, Gary</creatorcontrib><creatorcontrib>Orsay, Elizabeth</creatorcontrib><title>A prospective study of the impact of helmet usage on motorcycle trauma</title><title>Annals of emergency medicine</title><addtitle>Ann Emerg Med</addtitle><description>To determine the effect of the use of a motorcycle helmet on reducing the mortality, morbidity, and health care costs resulting from motorcycle crashes.
A prospective, multicenter study of all eligible motorcycle crash victims.
The emergency departments of eight medical centers across the state of Illinois, including representatives from urban, rural, teaching, and community facilities.
All motorcycle crash victims presenting less than 24 hours after injury for whom helmet information was known. Data were collected from April 1 through October 31, 1988.
Fifty-eight of 398 patients (14.6%) were helmeted, and 340 (85.4%) were not. The nonhelmeted patients had higher Injury Severity Scores (11.9 vs 7.02), sustained head/neck injuries more frequently (41.7 vs 24.1%), and had lower Glasgow Coma Scores (13.73 vs 14.51). Twenty-five of the 26 fatalities were nonhelmeted patients. By logistic regression, the lack of helmet use was found to be a major risk factor for increased severity of injury. A 23% increase in health care costs was demonstrated for nonhelmeted patients (average charges $7, 208 vs $5, 852).
Helmet use may reduce the overall severity of injury and the incidence of head injuries resulting from motorcycle crashes. A trend toward higher health care costs was demonstrated in the nonhelmeted patients.</description><subject>Accidents, Traffic - statistics & numerical data</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cost Control</subject><subject>Craniocerebral Trauma - economics</subject><subject>Craniocerebral Trauma - epidemiology</subject><subject>Craniocerebral Trauma - etiology</subject><subject>Craniocerebral Trauma - therapy</subject><subject>Data Collection</subject><subject>Emergency Service, Hospital - statistics & numerical data</subject><subject>Female</subject><subject>Head Protective Devices - statistics & numerical data</subject><subject>helmet use, motorcycle</subject><subject>Humans</subject><subject>Illinois - epidemiology</subject><subject>Injury Severity Score</subject><subject>Male</subject><subject>Medical sciences</subject><subject>motorcycle, trauma</subject><subject>Motorcycles</subject><subject>Neck Injuries</subject><subject>Patient Admission - statistics & numerical data</subject><subject>Prospective Studies</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Risk Factors</subject><subject>Wounds and Injuries - economics</subject><subject>Wounds and Injuries - epidemiology</subject><subject>Wounds and Injuries - etiology</subject><subject>Wounds and Injuries - therapy</subject><issn>0196-0644</issn><issn>1097-6760</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMlKBDEQQIMoOi6fIOQgoofWpJPOJCcRcQPBgwreQpaKRrqnxyQtzN_b4wx69FQU9Wp7CB1SckYJFedPhCpREcH5CWlOJeW1qF430IQSNa3EVJBNNPlFdtBuzh-EEMVruo22qWw4EXKCbi7xPPV5Dq7EL8C5DH6B-4DLO-DYzY0ry-wd2g4KHrJ5A9zPcNeXPrmFawGXZIbO7KOtYNoMB-u4h15urp-v7qqHx9v7q8uHyjGpSiXY1EuprPXAeWA-MKt8I2rLKJdOeOuUEMY1ggXagPA01KIOwRMiubHWsj10vJo7Hv05QC66i9lB25oZ9EPWkghFG8VGsFmBbvwuJwh6nmJn0kJTopf-9I8_vZSjSaN__OnXse9wvWCwHfi_rpWwsX60rpvsTBuSmbmYfzGuOKslH7GLFQajjK8ISWcXYebAxzSq1r6P_xzyDUbKjPo</recordid><startdate>19910801</startdate><enddate>19910801</enddate><creator>Kelly, Patrick</creator><creator>Sanson, Tracy</creator><creator>Strange, Gary</creator><creator>Orsay, Elizabeth</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><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>7X8</scope></search><sort><creationdate>19910801</creationdate><title>A prospective study of the impact of helmet usage on motorcycle trauma</title><author>Kelly, Patrick ; Sanson, Tracy ; Strange, Gary ; Orsay, Elizabeth</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-637d889bbde44f3df3b9d562b3148c6dbc966ac563f15e6d1f262ffd0084abbb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Accidents, Traffic - statistics & numerical data</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Cost Control</topic><topic>Craniocerebral Trauma - economics</topic><topic>Craniocerebral Trauma - epidemiology</topic><topic>Craniocerebral Trauma - etiology</topic><topic>Craniocerebral Trauma - therapy</topic><topic>Data Collection</topic><topic>Emergency Service, Hospital - statistics & numerical data</topic><topic>Female</topic><topic>Head Protective Devices - statistics & numerical data</topic><topic>helmet use, motorcycle</topic><topic>Humans</topic><topic>Illinois - epidemiology</topic><topic>Injury Severity Score</topic><topic>Male</topic><topic>Medical sciences</topic><topic>motorcycle, trauma</topic><topic>Motorcycles</topic><topic>Neck Injuries</topic><topic>Patient Admission - statistics & numerical data</topic><topic>Prospective Studies</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Risk Factors</topic><topic>Wounds and Injuries - economics</topic><topic>Wounds and Injuries - epidemiology</topic><topic>Wounds and Injuries - etiology</topic><topic>Wounds and Injuries - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kelly, Patrick</creatorcontrib><creatorcontrib>Sanson, Tracy</creatorcontrib><creatorcontrib>Strange, Gary</creatorcontrib><creatorcontrib>Orsay, Elizabeth</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kelly, Patrick</au><au>Sanson, Tracy</au><au>Strange, Gary</au><au>Orsay, Elizabeth</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A prospective study of the impact of helmet usage on motorcycle trauma</atitle><jtitle>Annals of emergency medicine</jtitle><addtitle>Ann Emerg Med</addtitle><date>1991-08-01</date><risdate>1991</risdate><volume>20</volume><issue>8</issue><spage>852</spage><epage>856</epage><pages>852-856</pages><issn>0196-0644</issn><eissn>1097-6760</eissn><coden>AEMED3</coden><abstract>To determine the effect of the use of a motorcycle helmet on reducing the mortality, morbidity, and health care costs resulting from motorcycle crashes.
A prospective, multicenter study of all eligible motorcycle crash victims.
The emergency departments of eight medical centers across the state of Illinois, including representatives from urban, rural, teaching, and community facilities.
All motorcycle crash victims presenting less than 24 hours after injury for whom helmet information was known. Data were collected from April 1 through October 31, 1988.
Fifty-eight of 398 patients (14.6%) were helmeted, and 340 (85.4%) were not. The nonhelmeted patients had higher Injury Severity Scores (11.9 vs 7.02), sustained head/neck injuries more frequently (41.7 vs 24.1%), and had lower Glasgow Coma Scores (13.73 vs 14.51). Twenty-five of the 26 fatalities were nonhelmeted patients. By logistic regression, the lack of helmet use was found to be a major risk factor for increased severity of injury. A 23% increase in health care costs was demonstrated for nonhelmeted patients (average charges $7, 208 vs $5, 852).
Helmet use may reduce the overall severity of injury and the incidence of head injuries resulting from motorcycle crashes. A trend toward higher health care costs was demonstrated in the nonhelmeted patients.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>1854068</pmid><doi>10.1016/S0196-0644(05)81426-X</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0196-0644 |
| ispartof | Annals of emergency medicine, 1991-08, Vol.20 (8), p.852-856 |
| issn | 0196-0644 1097-6760 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_80691593 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Accidents, Traffic - statistics & numerical data Adult Biological and medical sciences Cost Control Craniocerebral Trauma - economics Craniocerebral Trauma - epidemiology Craniocerebral Trauma - etiology Craniocerebral Trauma - therapy Data Collection Emergency Service, Hospital - statistics & numerical data Female Head Protective Devices - statistics & numerical data helmet use, motorcycle Humans Illinois - epidemiology Injury Severity Score Male Medical sciences motorcycle, trauma Motorcycles Neck Injuries Patient Admission - statistics & numerical data Prospective Studies Public health. Hygiene-occupational medicine Risk Factors Wounds and Injuries - economics Wounds and Injuries - epidemiology Wounds and Injuries - etiology Wounds and Injuries - therapy |
| title | A prospective study of the impact of helmet usage on motorcycle trauma |
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