Motorcycle helmets and spinal injuries: dispelling the myth.

Abstract:

STUDY OBJECTIVE:To determine the relationship between spinal injuries and helmet use in motorcycle trauma. DESIGN:Retrospective case series. SETTING:Twenty-eight hospitals in four midwestern states--Illinois, Iowa, Nebraska and Wisconsin--representing urban, suburban, and rural settings. PATIENTS AND OTHER PARTICIPANTS:Consecutive sample of motorcyclists treated at the participating centers. INTERVENTIONS:None. MAIN OUTCOME MEASURES:The major variables evaluated were helmet use, ethanol use, and significant head or spinal injuries. RESULTS:1,153 cases were analyzed. Helmet use was not significantly associated with spinal injuries (odds ratio, 1.12; 95% confidence intervals, 0.79, 1.58) whereas head injury was markedly decreased with helmet use (odds ratio, 0.35; 95% confidence intervals, 0.23, 0.53). Ethanol use was a significant variable in both head (odds ratio, 3.89) and spinal (odds ratio, 2.41) injuries. CONCLUSION:In contrast to a significant protective relationship identified for head injuries, helmet use was not associated with an increased or decreased occurrence rate of spinal injuries in motorcycle trauma.

journal_name

Ann Emerg Med

authors

Orsay EM,Muelleman RL,Peterson TD,Jurisic DH,Kosasih JB,Levy P

doi

10.1016/s0196-0644(94)70317-5

subject

Has Abstract

pub_date

1994-04-01 00:00:00

pages

802-6

issue

4

eissn

0196-0644

issn

1097-6760

pii

S1096-0644(94)70317-5

journal_volume

23

pub_type

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