Department of Surgery, Steward Health Care St. Elizabeth's Medical Center - A Boston University Teaching Hospital, Brighton, MA, USA.
Department of Surgery, Ballad Health Holston Valley Medical Center, 12324East Tennessee State University Quillen College of Medicine, Kingsport, TN, USA.
Am Surg. 2022 Apr;88(4):740-745. doi: 10.1177/00031348211050837. Epub 2021 Nov 15.
Unhelmeted motorcyclists injured in states with lax or poorly enforced helmet safety laws are frequently seen in rural trauma centers. A trauma surgeon started a comprehensive injury prevention and research fund with outreach to a three-state trauma center catchment area promoting injury prevention at area high schools and local communities. We hypothesized that unhelmeted riders would have more severe head injuries and fatalities than helmeted riders.
A trauma registry review of 708 injured motorcycle riders over an 11-year period examined demographics, helmet use, and clinical outcomes of helmeted and unhelmeted riders. A full-time injury prevention coordinator collaborating with law enforcement provided electronic and mechanical simulations with discussions regarding helmet use, alcohol avoidance, and responsible motorcycle riding for area high school students. This program coincided with the second half of our 11-year study. Multiple regression analysis evaluated predictors for head injury and death.
Unhelmeted motorcyclists suffered worse head injuries, (OR 8.8, CI 1.6-2.4, < .001), more severe overall injury (OR 10, CI 12.7-18.6, < .001), and higher mortality (OR 2.7, CI .02-.15, < .001). Local motorcycle-related trauma center admissions and deaths have stabilized in recent years while statewide motorcycle crashes have increased ( < .05).
Unhelmeted motorcyclists suffer worse head injuries and mortality rates. Physician-led outreach efforts for injury prevention may be effective. Trauma surgeons have ongoing opportunities to promote responsible motorcycle riding for schools and local communities.
在头盔安全法宽松或执行不力的州，未戴头盔的摩托车手在农村创伤中心经常受伤。一位创伤外科医生用外联的方式与一个三州创伤中心集水区合作，启动了一个综合性的伤害预防和研究基金，以促进该地区高中和当地社区的伤害预防工作。我们假设，未戴头盔的骑手比戴头盔的骑手头部受伤更严重，死亡率更高。
对 708 名受伤摩托车手在 11 年期间的创伤登记处进行了回顾性研究，检查了人口统计学数据、头盔使用情况以及头盔佩戴者和未佩戴者的临床结果。一位全职伤害预防协调员与执法部门合作，提供电子和机械模拟，并就头盔使用、避免饮酒和负责任的摩托车驾驶问题与地区高中生进行讨论。该计划与我们 11 年研究的后半部分同时进行。多元回归分析评估了头部受伤和死亡的预测因素。
未戴头盔的摩托车手头部受伤更严重（OR 8.8，CI 1.6-2.4，<.001），整体受伤更严重（OR 10，CI 12.7-18.6，<.001），死亡率更高（OR 2.7，CI.02-.15，<.001）。近年来，当地与摩托车相关的创伤中心的入院人数和死亡人数已趋于稳定，而全州范围内的摩托车事故却有所增加（<.05）。
未戴头盔的摩托车手头部受伤和死亡率更高。以医生为主导的伤害预防外展工作可能是有效的。创伤外科医生有持续的机会为学校和当地社区推广负责任的摩托车驾驶。
