作者
Bellal Joseph, Asad Azim, Ansab A Haider, Narong Kulvatunyou, Terence O'Keeffe, Ahmed Hassan, Lynn Gries, Emily Tran, Rifat Latifi, Peter Rhee
发表日期
2017/2/1
期刊
The American Journal of Surgery
卷号
213
期号
2
页码范围
413-417
出版商
Elsevier
简介
Background
Helmets are known to reduce the incidence of traumatic brain injury (TBI) after bicycle-related accidents. The aim of this study was to assess the association of helmets with severity of TBI and facial fractures after bicycle-related accidents.
Methods
We performed an analysis of the 2012 National Trauma Data Bank abstracted information of all patients with an intracranial hemorrhage after bicycle-related accidents. Regression analysis was also performed.
Results
A total of 6,267 patients were included. About 25.1% (n = 1,573) of bicycle riders were helmeted. Overall, 52.4% (n = 3,284) of the patients had severe TBI, and the mortality rate was 2.8% (n = 176). Helmeted bicycle riders had 51% reduced odds of severe TBI (odds ratio [OR] .49, 95% confidence interval [CI] .43 to .55, P < .001) and 44% reduced odds of mortality (OR .56, 95% CI .34 to .78, P = .010). Helmet use also reduced the odds of facial …
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B Joseph, A Azim, AA Haider, N Kulvatunyou… - The American Journal of Surgery, 2017
