Mechanisms, injuries and helmet use in cyclists presenting to an inner city emergency department

Dinh, Michael; Kastelein, Christopher; Hopkins, Roy; Royle, Timothy J.; Bein, Kendall J; Chalkley, Dane; Ivers, Rebecca

doi:10.1111/1742-6723.12407

Cited by 27 publications

(21 citation statements)

References 25 publications

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“…9 Many studies still confirm the protective effects of helmets in the case of head and face injuries. [28][29][30] Amoros et al claimed that cyclists with helmets were more frequently involved in collisions with pedestrians or bicycles and had a higher appearance of coexisting injuries in regions other than the head and face, which is similar to our results. 28 Considering the cyclists' speed, which is very important in regards to accidents, we are not able to present this factor in our study.…”

Section: Discussionsupporting

confidence: 91%

Head and face injuries among cyclists admitted to the Craniomaxillofacial and Oncological Department at the Medical University of Lodz

Puch¹,

Neskoromna-Jędrzejczak²,

Chomik³

et al. 2017

Dent. Med. Probl.

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Section: Discussionsupporting

confidence: 91%

Head and face injuries among cyclists admitted to the Craniomaxillofacial and Oncological Department at the Medical University of Lodz

Puch¹,

Neskoromna-Jędrzejczak²,

Chomik³

et al. 2017

Dent. Med. Probl.

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“…This study across two major hospitals of 5 years of ED presentations and triage documentation of those presentations has demonstrated that bicycle‐related injuries contribute to about 800 patients per year. Patients were predominately young and middle aged men, and consistent with other studies the rate of injuries was shown to be rising; a trend that has been attributed to an increase in cycling …”

Section: Discussionsupporting

confidence: 87%

“…Half of the injuries were to the upper extremities, head and neck, and in agreement with more recent studies the upper limbs have now replaced the head as the most injured body part . Helmet use, mandatory across Australia, will be a major contributor to this shift.…”

Section: Discussionsupporting

confidence: 62%

“…Across the world males are far more likely than females to present due to bicycle‐related injuries and the most common age group for injury is 45–59 . Reported hospital admission rate after a bicycle‐related ED presentation is highly variable ranging from 4% to 35%, with older age associated with longer stay in hospital …”

Section: Introductionmentioning

confidence: 99%

“…The data are unequivocal that helmet use reduces both the number and severity of injuries to the head with various figures reported for the extent of reduction (33–85% reduction reported). Although in the pre‐helmet use era head injuries were frequently noted, upper limbs have now replaced the head as the most injured body part …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Value of emergency department triage data to describe and understand patterns and mechanisms of cycling injuries

Eley

Vallmuur

Catchpoole

2018

Emerg Medicine Australasia

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Association Between Conventional Bicycle Helmet Use and Facial Injuries After Bicycle Crashes

Benjamin

Hills

Knott

et al. 2019

JAMA Otolaryngol Head Neck Surg

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Bicycling is an increasingly common activity in the United States that is often associated with fall injuries to the head and face. Although helmets lessen head injury, their role in reducing facial injuries is less clear; therefore, it is important to understand the protective capacity for the face in current helmet design. OBJECTIVE To estimate the conventional bicycle helmet's association with the rate of facial injury after bicycle crashes. DESIGN, SETTING, AND PARTICIPANTS This retrospective cohort study accessed records from January 1, 2010, to December 31, 2014, from the National Trauma Databank, which collects data from emergency departments in US hospitals. Each record pertained to 1 emergency department admission for a bicycle crash. The National Trauma Databank registry data are collected and recorded by incident, which is equivalent to an injury-related hospital admission. All injuries involving patients aged 18 to 65 years for whom data on helmet use and injury were available were included. Statistical analysis was conducted from July 19 to October 17, 2016. EXPOSURES Helmeted and nonhelmeted bicycle crashes. MAIN OUTCOMES AND MEASURES Head and facial injuries among helmeted and nonhelmeted bicycle crashes. RESULTS A total of 85 187 facial injuries met inclusion criteria (patient age 18-65 years, availability of helmet use status, and type of injury). Demographic information on bicycle riders was frequently unavailable. Among all injuries, fractures to the head (11.6% [9854]) and face (11.3% [9589]) occurred at similar rates. Helmets reduced head fractures by 52% (from 14.0% [7623] to 7.3% [2231]) and head soft-tissue injuries by 30% (from 15.0% [8151] to 10.9% [3358]), but had lower rates in protecting against facial injuries. While reducing facial injuries overall, the amount of protection with helmet use varied with facial location of the injury. Reduction in facial fractures was 35% (95% CI, 31%-39%) for upper face, 28% (95% CI, 23%-32%) for mid face, and 21% (95% CI, 15%-26%) for the lower face. Helmets were less protective against facial soft-tissue injuries, with a reduction of 33% (95% CI, 30%-36%) in the upper face, 21% (95% CI, 16%-26%) in the mid face, and 2% (95% CI, 0%-6%) in the lower face. CONCLUSIONS AND RELEVANCE Although bicycle helmets provide some protection against facial injuries after bicycle crashes, the level of protection depends on the proximity of the injury to the helmeted head. The lower face is particularly vulnerable to injury despite helmet use.

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Mechanisms, injuries and helmet use in cyclists presenting to an inner city emergency department

Abstract: Head injuries were common after inner city cycling incidents. The use of helmets was associated with a reduction in significant head injury.

Cited by 27 publications

References 25 publications

Head and face injuries among cyclists admitted to the Craniomaxillofacial and Oncological Department at the Medical University of Lodz

Head and face injuries among cyclists admitted to the Craniomaxillofacial and Oncological Department at the Medical University of Lodz

Value of emergency department triage data to describe and understand patterns and mechanisms of cycling injuries

Association Between Conventional Bicycle Helmet Use and Facial Injuries After Bicycle Crashes

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