The protective effect of helmet use in motorcycle and bicycle accidents: a propensity score–matched study based on a trauma registry system

Kuo, Spencer C. H.; Kuo, Pao‐Jen; Rau, Cheng-Shyuan; Chen, Yi‐Chun; Hsieh, Hsiao-Yun; Hsieh, Ching-Hua

doi:10.1186/s12889-017-4649-1

Cited by 40 publications

(34 citation statements)

References 31 publications

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“…Furthermore, Chen and Pai [11] indicated that helmet use was beneficial in reducing head or neck injuries among motorcyclists involved in approach-turn crashes. The beneficial effects of helmet use on reducing head or neck injuries have also been well documented in other international studies [6,7,[12][13][14]. Nonetheless, several studies have argued that helmet use was associated with an increased risk of neck injuries.…”

Section: Introductionmentioning

confidence: 68%

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Effect of motorcycle helmet types on head injuries: evidence from eight level-I trauma centres in Taiwan

et al. 2020

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Background: Motorcycle full-coverage helmet use may reduce fatalities and head injuries. Methods: This retrospective cohort study extracted injury data from eight level-I trauma centres in Taiwan and performed a questionnaire survey to investigate injuries sustained by motorcyclists for the period between January 2015 and June 2017. Results: As many as 725 patients participated in the questionnaire survey and reported their helmet types or phone use during crashes. The results of multivariate logistic models demonstrated that nonstandard helmet (half or open-face helmet) use was associated with an increased risk of head injuries and more severe injuries (injury severity score ≥ 8). Drunk riding and phone use appeared to be two important risk factors for head injuries and increased injury severity. Anaemia was also found to be a determinant of head injuries." Conclusions: Compared to full-coverage helmets, nonstandard provide less protection against head injuries and increased injury severity among motorcyclists.

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Section: Introductionmentioning

confidence: 68%

“…Studies [1,[5][6][7][8][9] have consistently concluded that helmet use is beneficial in preventing head injuries and subsequently reducing injury severity among motorcyclists. By using police-reported crash data in Taiwan, Keng [10] found that helmet use was associated with a decreased odds of deaths among motorcyclists.…”

Section: Introductionmentioning

confidence: 99%

Effect of motorcycle helmet types on head injuries: evidence from eight level-I trauma centres in Taiwan

et al. 2020

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“…Comparing victims of motorcycle accidents who wore a helmet or not, for example, there were more serious injuries to the head / neck, face, chest and extremities and the occurrence of deaths was significantly higher among motorcycle riders who did not wear a helmet. Regarding the cases of cervical vertebra fractures, this number was also significantly higher concerning those who did not wear a helmet [55].…”

Section: Discussionmentioning

confidence: 87%

Epidemiologic Aspects of Spinal Cord Trauma Cases among Traffic Accident Victims

Silveira¹,

Palitot²,

Cavalcanti³

et al. 2020

int arch med

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Objective: To describe and analyze characteristics of cases of spinal cord Trauma (SCT) among traffic accident victims admitted to a referral hospital. Method: Descriptive, analytical, cross-sectional study with quantitative approach, developed in the city of Campina Grande, in the state of Paraíba, Brazil. The population consists of 1,884 medical records of patients admitted to hospital after damage caused by traffic accidents from January to December 2016. Data were analyzed using descriptive and inferential statistics, adopting a significance level of 5%. Results: Among the victims of traffic accidents, there was a male predominance (85.4%). The most affected age group was 21 to 30 years (29%). Accidents involving motorcyclists were predominant (82.9%) and 43 victims (2.3%) suffered spinal injury. Among these ones, there was a prevalence of males (86%), in the age group between 21 and 30 years (35.7%). In 30 cases (69.8%), the victims had spinal injuries. The cervical level (55.8%) was dominant. In addition, 46.7% of the victims were classified as ASIA and there were 9 cases (30%) of paraplegia and 1 case (3.3%) of tetraplegia. A bivariate analysis revealed a significant association between the variable presence of SCT and type of accident (p <0.001), use of cervical collar (p <0.005), injuries in other anatomical regions (p <0.001), surgical treatment (p < 0.001) and outcome of the patient’s situation (p <0.005). Conclusions: Among the victims of traffic accidents and SCT there was a predominance of males, young individuals and motorcyclists. Keywords: Epidemiology. Traffic-accidents. Public health. Spinal injuries. Spinal cord trauma.

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“…In Taiwan, nearly 60% of all trauma injuries and driving fatalities involving motorcycle accidents [ 32 ]. It had been reported that, in Taiwan, the mortality rate of motorcyclists using helmets was significantly lower than those not using helmets (1.1% vs. 4.2%, respectively; OR, 0.2; 95% CI, 0.17–0.37; p < 0.001) [ 33 ]. However, in this study, the rates of injuries as a motorcycle pillion in both preschool-aged and school-aged children were higher than that in adult patients.…”

Section: Discussionmentioning

confidence: 99%

The Preschool-Aged and School-Aged Children Present Different Odds of Mortality than Adults in Southern Taiwan: A Cross-Sectional Retrospective Analysis

Peng

Huang

Hsu

et al. 2018

IJERPH

Self Cite

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Background: This study aimed to profile the epidemiology of injury among preschool-aged and school-aged children in comparison to those in adults. Methods: According to the Trauma Registry System of a level I trauma center, the medical data were retrieved from 938 preschool-aged children (aged less than seven years), 670 school-aged children (aged 7–12 years), and 16,800 adults (aged 20–64 years) between 1 January 2009 and 31 December 2016. Two-sided Pearson’s, chi-squared, and Fisher’s exact tests were used to compare categorical data. A one-way analysis of variance (ANOVA) with the Games-Howell post-hoc test was used to assess the differences in continuous variables among different groups of patients. The mortality outcomes of different subgroups were assessed by a multivariable regression model under the adjustment of sex, injury mechanisms, and injury severity. Results: InFsupppjury mechanisms in preschool-aged and school-aged children were remarkably different from that in adults; in preschool-aged children, burns were the most common cause of injury requiring hospitalization (37.4%), followed by falls (35.1%) and being struck by/against objects (11.6%). In school-aged children, injuries were most commonly sustained from falls (47.8%), followed by bicycle accidents (14%) and being struck by/against objects (12.5%). Compared to adults, there was no significant difference of the adjusted mortality of the preschool-aged children (AOR = 0.9; 95% CI 0.38–2.12; p = 0.792) but there were lower adjusted odds of mortality of the school-aged children (AOR = 0.4; 95% CI 0.10–0.85; p = 0.039). The school-aged children had lower odds of mortality than adults (OR, 0.2; 95% CI, 0.06–0.74; p = 0.012), but such lower odds of risk of mortality were not found in preschool-aged children (OR, 0.7; 95% CI, 0.29–1.81; p = 0.646). Conclusions: This study suggests that specific types of injuries from different injury mechanisms are predominant among preschool-aged and school-aged children. The school-aged children had lower odds of mortality than adults; nonetheless there was no difference in mortality rates of preschool-aged children than adults, with or without controlling for sex, injury mechanisms and ISS. These results highlight the importance of injury prevention, particularly for preschool-aged children in Southern Taiwan.

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The protective effect of helmet use in motorcycle and bicycle accidents: a propensity score–matched study based on a trauma registry system

Cited by 40 publications

References 31 publications

Effect of motorcycle helmet types on head injuries: evidence from eight level-I trauma centres in Taiwan

Effect of motorcycle helmet types on head injuries: evidence from eight level-I trauma centres in Taiwan

Epidemiologic Aspects of Spinal Cord Trauma Cases among Traffic Accident Victims

The Preschool-Aged and School-Aged Children Present Different Odds of Mortality than Adults in Southern Taiwan: A Cross-Sectional Retrospective Analysis

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