A Prospective Analysis of Injury Severity Among Helmeted and Nonhelmeted Bicyclists Involved in Collisions with Motor Vehicles

Spaite, Daniel W; Murphy, Mark; Criss, Elizabeth A.; Valenzuela, Terence D.; Meislin, Harvey W.

doi:10.1097/00005373-199111000-00008

Cited by 80 publications

(19 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Brown et al (13) reported the rate of helmet use in their study as 8%. There is strong evidence which suggests that helmet use reduces certain head traumas (12,24,25). There are also studies that recommend its modification in order to provide a more effective protection against facial injuries.…”

Section: Discussionmentioning

confidence: 99%

Bicycle Related Injuries in Adults and Children in the Central Anatolian Region: Analysis of 4 Years

Özkan¹,

Akdur²,

Ikizceli³

et al. 2012

JAEM

View full text Add to dashboard Cite

Objective: We aimed to investigate and compare the features of child and adult injuries due to bicycle accidents admitted to our emergency department. Material and Methods:The study was carried out retrospectively by searching the files of patients admitted to the emergency department due to bicycle accidents in the emergency department and archive records between the dates of January 2005-December 2008. The patients were divided into two groups as adults and children. Age and sex of the patients, season or month of injuries, place and mechanism of injury, site of the injury, diagnosis and treatment modalities, discharge and hospitalization rates were evaluated. Student t test was used for two group comparison. Results: A total of 150 patients were included in the study. 79% of the patients were in the child age group, 21% were adults. It was determined that the number of accidents increased especially in the summer months. 71.4% of accidents concerning children and all adult accidents occurred in the streets. Falling off the bicycle was the most common cause of injury in children (91%) and adults (90%). The head and neck region was the most common body site subjected to injury in both children (32%) and adults (40%). There was a significant difference between the two groups with respect to injury severity. Conclusion: Most of the injuries due to bicycle accidents in children happen, in the streets, in summer months and during school vacations. Although not statistically significant, it was seen that adult injuries were more serious. (JAEM 2012; 11: 35-40) Özet Amaç: Çalışmamızda bisiklet kazalarına bağlı yaralanmalarla acil servisimize başvuran çocuk ve erişkin hastaların yaralanma özelliklerinin araştırılması ve karşılaştırılması amaçlanmıştır. Gereç ve Yöntemler: Çalışma Ocak 2005-Aralık 2008 tarihleri arasında acil servise bisiklet kazası ile gelen olguların dosyalarına acil servis ve arşiv kayıtlarından ulaşılarak geriye dönük olarak gerçekleştirildi. Hastalar erişkin ve çocuk yaş grubu olmak üzere iki gruba ayrıldı. Hastaların yaş, cinsiyet, kazaların oluştuğu aylar, yaralanmanın oluştuğu mekan, yaralanma mekanizması, yaralanan vücut bölgeleri, tanı ve tedaviler, taburculuk ve yatış oranları incelendi. İki grubun karşılaştırılmasında Student t testi kullanıldı. Bulgular: Toplam olgu sayısı 150 bulundu. Olguların %79'unu çocuk, %21'ini erişkin yaş grubu oluşturdu. Kazaların sayısının özellikle yaz aylarında arttığı tespit edildi. Çocuklarda oluşan kazaların %71.4'ü erişkinlerin ise tamamı cadde ve sokakta meydana gelmiştir. Çocuklarda (%91) ve erişkinlerde (%90) bisikletten düşme en fazla görülen yaralanma mekanizmasıydı. Baş-boyun bölgesi çocuklarda %32, erişkinlerde ise %40 ile en fazla yaralanmaya maruz kalan vücut bölgesi tespit edildi. Çocuk olguların %78'i, erişkinlerin ise %84'ü acil serviste takip ve tedavi sonrası taburcu edildi. Yaralanma şiddeti açısından iki grup arasında anlamlı fark mevcuttu. Sonuç: Bisiklet kazalarına bağlı yaralanmaların çoğu cadde-sokaklarda, okulun tatil olduğu yaz ayları...

show abstract

Section: Discussionmentioning

confidence: 99%

Bicycle Related Injuries in Adults and Children in the Central Anatolian Region: Analysis of 4 Years

Özkan¹,

Akdur²,

Ikizceli³

et al. 2012

JAEM

View full text Add to dashboard Cite

show abstract

“…In a study of 1710 casualties head injury was reduced by 45% by approved helmets. • Spaite et al (1991) from Tuscon, Arizona, USA undertook a prospective analysis of injury severity among helmeted and non-helmeted bicyclists involved in collisions with motor vehicles (116 wore helmets, 168 did not). Mean injury severity score much greater in those not wearing helmets (P< o.oooi).…”

Section: What Evidence Is There That Bicycie Helmets Are Effective?mentioning

confidence: 99%

“…Commonsense suggests that some impact protection is better than none even in the most severe situations. Spaite et al (1991) undertook a prospective analysis of injury severity among helmeted and non-helmeted bicyclists involved in collisions with motor vehicles. The mean injury severity score was much greater in those not wearing helmets (P< 0.0001).…”

Section: Is There Any Evidence That Bicycle Heimet Use Changes Chiidrmentioning

confidence: 99%

“…I believe there is clear evidence that bicycle helmets help prevent injury. They may not prevent all injuries but they make a significant difference (Thompson et al 1989;Spaite et al 1991;McDermott et al 1993;Malmaris et al 1994;Thomas et al 1994). How can we make a difference in their use in the United Kingdom, which at present is low?…”

Section: What Is a Sensible Way Forward?mentioning

confidence: 99%

“…The question of cycle helmets for children should be an easy one for society to decide upon. There is good experimental evidence from case control studies that they help prevent injuries (Thompson, Rivara & Thompson 1989;Spaite et al 1991;McDermott et al 1993;Malmaris et al 1994; Thomas et al 1994).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Controversy Children and cycle helmets: the case for

Sibert¹

1996

Child Care Health Dev

View full text Add to dashboard Cite

The question of cycle helmets for children should be an easy one for society to decide upon. There is good experimental evidence from case control studies that they help prevent injuries (Thompson, Rivara & Thompson 1989; Spaite et al. 1991; McDermott et al. 1993; Malmaris et al. 1994; Thomas et al. 1994). Commonsense also suggests that they should be effective. So why has there been so much controversy? I suggest that there are three reasons for this. Many cyclists feel that their cycling is part of their personal freedom. They also feel that cycling, with the exercise that it gives, is healthy. Therefore, anything that cyclists see as discouraging people from taking exercise and enjoying personal freedom is wrong. Many cyclists view helmets as a major discouragement to cycling and therefore something to be opposed. There is also the mis-apprehension that each injury needs one preventive solution. Therefore, anyone who is for helmets is against bicycle lanes and separation of bicycles from traffic. This is not the case with other injuries that children receive. For instance, no one would seriously suggest that just because a house has a smoke alarm that there should be no flame-resistant upholstery. Neither would anyone seriously suggest that just because one has traffic calming there should be no additional work carried out against drivers who consume too much alcohol. There is also the mistaken belief that any injury control solution should be completely effective. No one expects seat belts to completely stop injuries to car passengers, so why should be expect helmets to completely prevent cycle injuries. We have personal experience in the difficulties experienced during cycle helmet campaigns in our work in Wales. We used cycle helmets as our first campaign in our Safe Child Penarth initiative (Kemp, Gibbs & Silbert 1994). However, every time we published a piece in the local paper we had letters from Penarth cyclists saying that helmets were unnecessary. These problems were confounded by the publishing during our campaign of the Policy Institute report (Policy Studies Institute 1993). This report, funded by a Cyclists' organization, put all their fears in a form that they could easily use.

show abstract