Effect of use and type of helmet on occurrence of traumatic brain injuries in motorcycle riders in Korea: a retrospective cohort study
Purpose The purpose of this study was to investigate (1) the association among helmet wearing, incidence rate of traumatic brain injury (TBI), and in-hospital mortality; TBI was diagnosed when the head Abbreviated Injury Scale (AIS) was ≥1, and as severe TBI when head AIS was ≥3; and (2) the associa...
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Korean Society of Traumatology
2023-06-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2022-0029.pdf |
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| author | Sowon Seo Seok Ran Yeom Sung-Wook Park Il Jae Wang Suck Ju Cho Wook Tae Yang Youngmo Cho |
| author_facet | Sowon Seo Seok Ran Yeom Sung-Wook Park Il Jae Wang Suck Ju Cho Wook Tae Yang Youngmo Cho |
| author_sort | Sowon Seo |
| collection | DOAJ |
| description | Purpose The purpose of this study was to investigate (1) the association among helmet wearing, incidence rate of traumatic brain injury (TBI), and in-hospital mortality; TBI was diagnosed when the head Abbreviated Injury Scale (AIS) was ≥1, and as severe TBI when head AIS was ≥3; and (2) the association between helmet type and incidence rate of TBI, severe TBI, and in-hospital mortality of motorcycle accidents based on the newly revised Emergency Department-based Injury In-depth Surveillance (EDIIS) data. Methods Data collected from EDIIS between January 1, 2020 and December 31, 2020 were analyzed. The final study population comprised 1,910 patients, who were divided into two groups: helmet wearing group and unhelmeted group. In addition, the correlation between helmet type and motorcycle accident was determined in 596 patients who knew the exact type of helmet they wore. A total of 710 patients who wore helmet but did not know the type were excluded from this analysis. Multivariate logistic regression was performed in both the groups to investigate the factors affecting the primary (occurrence of TBIs) and secondary outcomes (severe TBI and in-hospital mortality). Results The prevalence of Injury Severity Scores, TBIs, and severe TBIs as well as in-hospital mortality were the highest in the unhelmeted group. Additionally, the results from the group that wore and knew the type of helmet worn indicated that wearing a full-face helmet decreased the incidence of TBIs in comparison to a half-face helmet. Conclusions The wearing of a helmet in motorcycle accidents is very important as it plays a role in reducing the occurrence of TBIs and severe TBIs and in-hospital mortality. The use of a full-face helmet lowered the incidence of TBIs. |
| format | Article |
| id | doaj-art-25335a902d8343b68315f4f6f9d34a83 |
| institution | Kabale University |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2023-06-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-25335a902d8343b68315f4f6f9d34a832025-01-16T05:39:48ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832023-06-01362879710.20408/jti.2022.00291230Effect of use and type of helmet on occurrence of traumatic brain injuries in motorcycle riders in Korea: a retrospective cohort studySowon Seo0Seok Ran Yeom1Sung-Wook Park2Il Jae Wang3Suck Ju Cho4Wook Tae Yang5Youngmo Cho6 Department of Emergency Medicine, Pusan National University Hospital, Busan, Korea Department of Emergency Medicine, Pusan National University Hospital, Busan, Korea Department of Emergency Medicine, Pusan National University Hospital, Busan, Korea Department of Emergency Medicine, Pusan National University Hospital, Busan, Korea Department of Emergency Medicine, Pusan National University Hospital, Busan, Korea Department of Emergency Medicine, Pusan National University Hospital, Busan, Korea Department of Emergency Medicine, Pusan National University Hospital, Busan, KoreaPurpose The purpose of this study was to investigate (1) the association among helmet wearing, incidence rate of traumatic brain injury (TBI), and in-hospital mortality; TBI was diagnosed when the head Abbreviated Injury Scale (AIS) was ≥1, and as severe TBI when head AIS was ≥3; and (2) the association between helmet type and incidence rate of TBI, severe TBI, and in-hospital mortality of motorcycle accidents based on the newly revised Emergency Department-based Injury In-depth Surveillance (EDIIS) data. Methods Data collected from EDIIS between January 1, 2020 and December 31, 2020 were analyzed. The final study population comprised 1,910 patients, who were divided into two groups: helmet wearing group and unhelmeted group. In addition, the correlation between helmet type and motorcycle accident was determined in 596 patients who knew the exact type of helmet they wore. A total of 710 patients who wore helmet but did not know the type were excluded from this analysis. Multivariate logistic regression was performed in both the groups to investigate the factors affecting the primary (occurrence of TBIs) and secondary outcomes (severe TBI and in-hospital mortality). Results The prevalence of Injury Severity Scores, TBIs, and severe TBIs as well as in-hospital mortality were the highest in the unhelmeted group. Additionally, the results from the group that wore and knew the type of helmet worn indicated that wearing a full-face helmet decreased the incidence of TBIs in comparison to a half-face helmet. Conclusions The wearing of a helmet in motorcycle accidents is very important as it plays a role in reducing the occurrence of TBIs and severe TBIs and in-hospital mortality. The use of a full-face helmet lowered the incidence of TBIs.http://jtraumainj.org/upload/pdf/jti-2022-0029.pdfhelmet typemotorcycle accidentstraumatic brain injuriessevere head abbreviated injury scalehospital mortality |
| spellingShingle | Sowon Seo Seok Ran Yeom Sung-Wook Park Il Jae Wang Suck Ju Cho Wook Tae Yang Youngmo Cho Effect of use and type of helmet on occurrence of traumatic brain injuries in motorcycle riders in Korea: a retrospective cohort study Journal of Trauma and Injury helmet type motorcycle accidents traumatic brain injuries severe head abbreviated injury scale hospital mortality |
| title | Effect of use and type of helmet on occurrence of traumatic brain injuries in motorcycle riders in Korea: a retrospective cohort study |
| title_full | Effect of use and type of helmet on occurrence of traumatic brain injuries in motorcycle riders in Korea: a retrospective cohort study |
| title_fullStr | Effect of use and type of helmet on occurrence of traumatic brain injuries in motorcycle riders in Korea: a retrospective cohort study |
| title_full_unstemmed | Effect of use and type of helmet on occurrence of traumatic brain injuries in motorcycle riders in Korea: a retrospective cohort study |
| title_short | Effect of use and type of helmet on occurrence of traumatic brain injuries in motorcycle riders in Korea: a retrospective cohort study |
| title_sort | effect of use and type of helmet on occurrence of traumatic brain injuries in motorcycle riders in korea a retrospective cohort study |
| topic | helmet type motorcycle accidents traumatic brain injuries severe head abbreviated injury scale hospital mortality |
| url | http://jtraumainj.org/upload/pdf/jti-2022-0029.pdf |
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