A PROSPECTIVE-STUDY OF THE IMPACT OF HELMET USAGE ON MOTORCYCLE TRAUMA

被引：47

作者：

KELLY, P ^{[1
]}

SANSON, T ^{[1
]}

STRANGE, G ^{[1
]}

ORSAY, E ^{[1
]}

机构：

[1] UNIV ILLINOIS,COLL MED,PROGRAM EMERGENCY MED,CHICAGO,IL 60680

来源：

ANNALS OF EMERGENCY MEDICINE | 1991年 / 20卷 / 08期

关键词：

HELMET USE; MOTORCYCLE; TRAUMA;

D O I：

10.1016/S0196-0644(05)81426-X

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Study objective: To determine the effect of the use of a motorcycle helmet on reducing the mortality, morbidity, and health care costs resulting from motorcycle crashes. Design: A prospective, multicenter study of all eligible motorcycle crash victims. Setting: The emergency departments of eight medical centers across the state of Illinois, including representatives from urban, rural, teaching, and community facilities. Type of participants: All motorcycle crash victims presenting less than 24 hours after injury for whom helmet information was known. Data were collected from April 1 through October 31, 1988. Measurements and main results: Fifty-eight of 398 patients (14.6%) were helmeted, and 340 (85.4%) were not. The nonhelmeted patients had higher Injury Severity Scores (11.9 vs 7.02), sustained head/neck injuries more frequently (41.7 vs 24.1%), and had lower Glasgow Coma Scores (13.73 vs 14.51). Twenty-five of the 26 fatalities were nonhelmeted patients. By logistic regression, the lack of helmet use was found to be a major risk factor for increased severity of injury. A 23% increase in health care costs was demonstrated for nonhelmeted patients (average charges $7,208 vs $5,852). Conclusion: Helmet use may reduce the overall severity of injury and the incidence of head injuries resulting from motorcycle crashes. A trend toward higher health care costs was demonstrated in the nonhelmeted patients.

引用

页码：852 / 856

页数：5

共 27 条

[1]

Motorcycle helmet law advances, Chicago Tribune, (1988)

[2]

Motorcycle accident fatalities, Stat Bull Metropol Life Insur Co, 59, pp. 7-9, (1978)

[3]

Civil, Schwab, The Abbreviated Injury Scale, 1985 revision: A condensed chart for clinical use, J Trauma, 28, pp. 87-90, (1988)

[4]

Copes, Champion, Sacco, Et al., The Injury Severity Score revisited, The Journal of Trauma: Injury, Infection, and Critical Care, 28, pp. 69-77, (1988)

[5]

Copes, Lawnick, Champion, Et al., A comparison of Abbreviated Injury Scale 1980 and 1985 versions, The Journal of Trauma: Injury, Infection, and Critical Care, 28, pp. 78-86, (1988)

[6]

Bachulis, Sangster, Gorrell, Et al., Patterns of injury in helmeted and nonhelmeted motorcyclists, Am J Surg, 155, pp. 708-711, (1988)

[7]

Heilman, Weisbuch, Blair, Et al., Motorcycle-related trauma and helmet usage in North Dakota, Ann Emerg Med, 11, pp. 659-664, (1982)

[8]

Luna, Maier, Sowder, Et al., The influence of ethanol intoxication on the outcome of injured motorcyclists, J Trauma, 24, pp. 695-699, (1984)

[9]

Nurchi, Golino, Floris, Et al., Effect of the law on compulsory helmets in the incidence of head injuries among motorcyclists, J Neurosurg Sci, 31, pp. 141-143, (1987)

[10]

Scholten, Glover, Increased mortality following repeal of mandatory motorcycle helmet law, Indiana Med, 77, pp. 252-254, (1984)

← 1 2 3 →