Helmet use and bicycle-related trauma injury outcomes

Scott, Lagina R; Bazargan‐Hejazi, Shahrzad; Shirazi, Anaheed; Pan, Deyu; Lee, Steven; Teruya, Stacey; Shaheen, Magda

doi:10.1080/02699052.2019.1650201

Cited by 30 publications

(19 citation statements)

References 21 publications

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“…Consistent with a previous study, the absence of a helmet increased the odds of severe injury of bicyclists [57]. Use of a helmet was scarce among bicyclists involved in crashes (14.6%), as shown in Table 3.…”

Section: Bicyclist Factorssupporting

confidence: 89%

Analysis of Bicycle-Motor Vehicle Crashes in San Antonio, Texas

Billah

Sharif

Dessouky

2021

IJERPH

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Bicycling is inexpensive, environmentally friendly, and healthful; however, bicyclist safety is a rising concern. This study investigates bicycle crash-related key variables that might substantially differ in terms of the party at fault and bicycle facility presence. Employing 5 year (2014–2018) data from the Texas Crash Record and Information System database, the effect of these variables on bicyclist injury severity was assessed for San Antonio, Texas, using bivariate analysis and binary logistic regression. Severe injury risk based on the party at fault and bicycle facility presence varied significantly for different crash-related variables. The strongest predictors of severe bicycle injury include bicyclist age and ethnicity, lighting condition, road class, time of occurrence, and period of week. Driver inattention and disregard of stop sign/light were the primary contributing factors to bicycle-vehicle crashes. Crash density heatmap and hotspot analyses were used to identify high-risk locations. The downtown area experienced the highest crash density, while severity hotspots were located at intersections outside of the downtown area. This study recommends the introduction of more dedicated/protected bicycle lanes, separation of bicycle lanes from the roadway, mandatory helmet use ordinance, reduction in speed limit, prioritization of resources at high-risk locations, and implementation of bike-activated signal detection at signalized intersections.

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Section: Bicyclist Factorssupporting

confidence: 89%

Analysis of Bicycle-Motor Vehicle Crashes in San Antonio, Texas

Billah

Sharif

Dessouky

2021

IJERPH

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“…Both in our study and in the available literature on E-scooter-related accidents to date, the use of helmets is virtually non-existent. In the present study, only a single injured person was wearing a helmet, even though the benefit of helmets in preventing traumatic brain injury has been well analyzed and proven in the past [16][17][18]. Considering the rate of head injuries following E-scooter accidents, the use of a helmet should therefore be strongly recommended.…”

Section: Discussionmentioning

confidence: 93%

Characteristics and Injury Patterns in Electric-Scooter Related Accidents—A Prospective Two-Center Report from Germany

Störmann

Klug

Nau

et al. 2020

JCM

122

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Since the introduction of rental E-scooters in Germany in mid-June 2019, the safety of this new means of transport has been the subject of extensive public debate. However, valid data on injuries and usage habits are not yet available. This retrospective two-center study included a total of 76 patients who presented to the emergency department following E-scooter-related accidents. The mean age was 34.3 ± 12.4 years and 69.7% of the patients were male. About half of the patients were admitted by ambulance (42.1%). Fractures were found in 48.6% of patients, and 27.6% required surgical treatment due to a fracture. The upper extremities were the most commonly affected body region, followed by injuries to the lower extremity and to the head and face. Only one patient had worn a helmet. In-hospital treatment was necessary for 26.3% of the cases. Patients presented to the emergency department mainly during the weekend and on-call times. This is the first report on E-scooter-related injuries in Germany. Accidents with E-scooters can cause serious injuries and, therefore, represent a further burden to emergency departments. The use of E-scooters appears to be mostly recreational, and the rate of use of protective gear is low.

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“…A recent 10-year retrospective study of pediatric population has observed reduced risk of HI in helmeted riders which has also been ratified by other studies. [11][12][13] Epidemiological studies have estimated incidence of bicycle-related maxillofacial fractures as ranging from 1.1% to 18%. 14 There is supportive evidence from published literature that facial injuries are prevented by wearing helmets.…”

Section: Resultsmentioning

confidence: 99%

Cycling-Related Injuries During COVID-19 Lockdown: A North London Experience

Mumtaz

Cymerman

Komath

2021

Craniomaxillofacial Trauma & Reconstruction

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Objectives: There has been a notable surge in cycling injuries during the COVID-19(SARS-CoV-2 virus) pandemic. Cycling in general increased during lockdown as a leisure & fitness activity along with reduction in the use of public transport for commuting. We investigated the bicycle-related maxillofacial injuries & associations presenting through our emergency department(ED) which covers more than 1.6 million of London population. Study Design/Methods: A retrospective observational study was undertaken in the Barnet General Hospital (“hub”) which receives all maxillofacial referrals from 6 “spoke” hospitals & other urgent primary/community care practices in North London area between 16 March 2020 & 16 July 2020. All data corresponding to cycling injuries during the lockdown period was analyzed with the aid of trauma database/trust-wide electronic patient records. Results: Twenty-two patients (6.7%) with cycling-related injuries out of a total of 322 patients who attended during the 4 months study period with maxillofacial emergencies were identified. Average age of patient cohort was 35.4 years, mainly consisting of adult males (77%). Seven patients had minor head injury and 1 patient suffered traumatic brain injury. About 59% patients did not wear a protective helmet & 3 patients had heavy alcohol/recreational drug intoxication during the accidents. Four patients needed inpatient admission and treatment under general anesthesia. Conclusions: Based on our humble study, we advocate the need for robust road & personal safety measures with mandatory government legislations, policing of drug intoxication & encouragement of physical & mental health improvement measures during these unprecedented times & beyond.

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Helmet use and bicycle-related trauma injury outcomes

Cited by 30 publications

References 21 publications

Analysis of Bicycle-Motor Vehicle Crashes in San Antonio, Texas

Analysis of Bicycle-Motor Vehicle Crashes in San Antonio, Texas

Characteristics and Injury Patterns in Electric-Scooter Related Accidents—A Prospective Two-Center Report from Germany

Cycling-Related Injuries During COVID-19 Lockdown: A North London Experience

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