An Evidence-Based Review: Helmet Efficacy to Reduce Head Injury and Mortality in Motorcycle Crashes: EAST Practice Management Guidelines

Macleod, Jana; Jc, DiGiacomo; Tinkoff, Glen

doi:10.1097/ta.0b013e3181f8a9cc

Cited by 69 publications

(48 citation statements)

References 39 publications

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“…Non-use of protective gear is a major clinical problem because the resultant head injury is associated with high mortality and morbidity, prolonged hospital stay and chronic disability among the victims 8,[21][22] . It is also a significant public health problem partly because trauma related treatment is very costly at about US $369 per victim of commercial motorcycle related injuries 8 .…”

Section: African Health Sciences Vol 15 Issue 3 September 2015mentioning

confidence: 99%

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The scourge of head injury among commercial motorcycle riders in Kampala; a preventable clinical and public health menace

Kamulegeya¹,

Kizito²,

Nassali³

et al. 2015

Afr H. Sci.

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Background: Trauma is an increasingly important cause of disease globally. Half of this trauma is from road traffic injuries with motorcycles contributing 21-58%. Low protective gear use, lack of regulation and weak traffic law enforcement contribute to unsafe nature of commercial motorcycles also known as "boda boda" in Uganda. Objectives: To determine the prevalence of protective gear use, the occurrence of head injury and the relationship between the two among commercial motorcycle riders in Kampala. Methods: Following ethical approval we recruited consecutive consenting participants to this analytical cross-sectional study. Data was collected using pretested interviewer administered questionnaires, double entered in Epidata and analyzed with STATA. Proportions and means were used to summarize data. Odds ratios were calculated for association between wearing helmets and occurrence and severity of head injury. Results: All 328 participants recruited were male. Of these, 18.6% used Protective gear and 71.1 % sustained head injury. Helmets protected users from head injury (OR 0.43, 95% CI, 0.23-0.8) and significantly reduced its severity when it occurred. Conclusion: Protective gear use was low, with high occurrence of head injury among commercial motorcycle riders in Uganda. More effective strategies are needed to promote protective gear use among Uganda's commercial motorcycle riders.

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Section: African Health Sciences Vol 15 Issue 3 September 2015mentioning

confidence: 99%

“…Several systematic reviews recommend helmets for preventing crash fatalities and head injury [21][22] . At a provincial hospital in Kenya, all trauma fatalities had head injury among other injuries15.…”

Section: African Health Sciences Vol 15 Issue 3 September 2015mentioning

confidence: 99%

The scourge of head injury among commercial motorcycle riders in Kampala; a preventable clinical and public health menace

Kamulegeya¹,

Kizito²,

Nassali³

et al. 2015

Afr H. Sci.

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“…Moreover, this means of transport has lower cost compared to others and is accessible to low-income people who use it as locomotion vehicle (Cavalcanti et al, 2011). Considering that motorcycle accidents are a major cause of injuries related with fatalities and disabling injuries (MacLeod et al, 2010), several studies have attempted to identify how individual (sex, age, licensing), behavioral (over-speed, alcohol use), geophysical (structure of roads) and situational factors (impact objects) may be linked to the greater involvement of motorcyclists in traffic accidents (Nunn, 2011;Savolainen & Mannering, 2007;Haquea et al, 2008;Oluwadiyaa et al, 2009;Albalate & Fernàndez-Villadangos, 2010).…”

Section: Introductionmentioning

confidence: 99%

Motorcycle accidents: morbidity and associated factors in a city of northeast of Brazil

Cavalcanti

Lucena

Rodrigues

et al. 2014

Tanzania J Hlth Res

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Motorcycle accidents are becoming a public health problem in developing world. The objective of this paper was to assess the factors related to morbidity and mortality among victims of motorcycle accidents in a trauma center. An analysis of 9,734 medical records of patients hospitalized for external causes at the Regional Emergency and Trauma Hospital of Campina Grande, Paraiba, Brazil, from January to December 2009 was done. The cases of accidents with motorcycles accounted for 20.8% of all hospital care, mostly affecting men (85.8%) aged 21-29 years old (33.9%). Legs and feet (55.2%) and arms and hands (26.9%) were the most affected parts of the body. The association between the occurrence of motorcycle accident affecting the face (p=0.001), the chest (p<0.001), arms and hands (p=0.004) and legs and feet (p<0.001) was observed. Multiple lesions were present in 40.4% of the cases; and the majority (80.6%) involved fractures. Amputation and functional impairment were observed in 15.3% and 4.3% of the victims, respectively. Vascular lesions in the lower limbs had a 3.5 times higher chance of occurrence among injured motorcyclists. Fatal accidents accounted for 1.3% of the injured victims. In conclusion, motorcycle accidents affect men, predominantly, most of them being young, causing fractures and multiple lesions, mainly in the lower limbs. There is need for greater incentive to actions concerning traffic safety education focusing on motorcyclists, as well as greater control by competent authorities as regards to the use of motorcycles in the country. _________________________________________________________________________________________

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“…(33) Motorcycle crashes are 37 times more lethal than automobile crashes. (34) The determinants of severity of injury due to motorcycles are age and sex. The determinant of age showed that aging increases the risk of severe motorcycle injury, with the highest risk experienced by those aged 65 years.…”

Section: Discussionmentioning

confidence: 99%

Motorcycle accident injuries are more severe than other land transportation injuries

2018

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Background Injuries due to traffic accidents are the leading cause of death and disability, especially in developing countries. The proportion of injuries in Indonesia tends to increase. The cause of the injury is dominated by motorcycle accidents (70-85%). The aim of this study was to compare the severity of motorcycle injuries with that of other land transportation injuries in Indonesia. Methods A study of a cross-sectional design was performed involving 15,849 subjects from 33 provinces in Indonesia. The dependent variable was the severity of injury and the main independent variable was transportation mode (motorcycle and other vehicles). Other independent variables included were respondent characteristics (sex, age, education, occupation, economic status) and health status (stroke, hypertension, heart disease, impaired hearing and vision). Chi-square test and multiple logistic regression were used to analyze the data. Results The contribution of motorcycle transportation mode to the severity of the injury was 85.5%. The proportion of severity of injury due to motorcycle transportation was higher (9.0%) than to other land transportation modes (7.5%). The severity of injuries related to motorcycle transportation was 1.1 times greater (AOR=1.1 95% CI 1.0-1.3) than that other related to vehicles. The determinants of severity of injury due to motorcycle transportation were age and sex. Conclusion Motorcyclists are at higher risk of having injuries than persons using other modes of transportation. Motorcyclists need to increase the safety of riding and to be more discriminating in the selection of the safest mode of transportation, by taking age and sex into consideration.

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An Evidence-Based Review: Helmet Efficacy to Reduce Head Injury and Mortality in Motorcycle Crashes: EAST Practice Management Guidelines

Cited by 69 publications

References 39 publications

The scourge of head injury among commercial motorcycle riders in Kampala; a preventable clinical and public health menace

The scourge of head injury among commercial motorcycle riders in Kampala; a preventable clinical and public health menace

Motorcycle accidents: morbidity and associated factors in a city of northeast of Brazil

Motorcycle accident injuries are more severe than other land transportation injuries

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