A prospective study of the impact of helmet usage on motorcycle trauma.

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.

[1]  I. Civil,et al.  The Abbreviated Injury Scale, 1985 revision: a condensed chart for clinical use. , 1988, The Journal of trauma.

[2]  N E McSwain,et al.  Impact of repeal of motorcycle helmet law. , 1980, Surgery, gynecology & obstetrics.

[3]  J B Weisbuch,et al.  Motorcycle-related trauma and helmet usage in North Dakota. , 1982, Annals of emergency medicine.

[4]  E Petrucelli,et al.  Medical consequences of motorcycle helmet nonusage. , 1984, The Journal of trauma.

[5]  Ronald V. Maier,et al.  The influence of ethanol intoxication on outcome of injured motorcyclists. , 1983 .

[6]  J. Buehler,et al.  Motorcycle-Associated Fatalities in Georgia, 1980-1981 , 1986, Southern medical journal.

[7]  H. Champion,et al.  The Injury Severity Score revisited. , 1988, The Journal of trauma.

[8]  P L Zador,et al.  The repeal of helmet use laws and increased motorcyclist mortality in the United States, 1975-1978. , 1980, American journal of public health.

[9]  H. Champion,et al.  A comparison of Abbreviated Injury Scale 1980 and 1985 versions. , 1988, The Journal of trauma.

[10]  F P Rivara,et al.  The public cost of motorcycle trauma. , 1988, JAMA.

[11]  Easy rider--hard facts: motorcycle helmet laws. , 1978, The New England journal of medicine.

[12]  T P McHugh,et al.  Safety helmet repeal and motorcycle fatalities in South Carolina. , 1985, Journal of the South Carolina Medical Association.

[13]  L E Lloyd,et al.  Motorcycle deaths and injuries in Texas: helmets make a difference. , 1987, Texas medicine.

[14]  Losee Jm,et al.  A survey of Rhole Island motorcycle fatalities during 1975--1976. , 1978 .

[15]  L Evans,et al.  Motorcyclist fatalities and the repeal of mandatory helmet wearing laws. , 1987, Accident; analysis and prevention.

[16]  G. Nurchi,et al.  Effect of the law on compulsory helmets in the incidence of head injuries among motorcyclists. , 1987, Journal of neurosurgical sciences.

[17]  D V Cookro.  Motorcycle safety: an epidemiologic view. , 1979, Arizona medicine.

[18]  D J Scholten,et al.  Increased mortality following repeal of mandatory motorcycle helmet law. , 1984, Indiana medicine : the journal of the Indiana State Medical Association.

[19]  W. Long,et al.  Patterns of injury in helmeted and nonhelmeted motorcyclists. , 1988, American journal of surgery.

[20]  P L Zador,et al.  The economics of safety deregulation: lives and dollars lost due to repeal of motorcycle helmet laws. , 1983, Journal of health politics, policy and law.

[21]  R. Volz,et al.  Medical and economic parameters of motorcycle-induced trauma. , 1987, Clinical orthopaedics and related research.

[22]  A. Muller.  Evaluation of the costs and benefits of motorcycle helmet laws. , 1980, American journal of public health.

[23]  R. Narayan.  How many deaths will it take? , 1987, Texas medicine.

[24]  M. Copass,et al.  The role of helmets in reducing head injuries from motorcycle accidents: a political or medical issue? , 1981, The Western journal of medicine.