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Stier R, Jehn P, Johannsen H, Müller C, Gellrich NC, Spalthoff S. Reality or wishful thinking: do bicycle helmets prevent facial injuries? Int J Oral Maxillofac Surg 2019; 48:1235-1240. [DOI: 10.1016/j.ijom.2019.02.018] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2018] [Revised: 02/21/2019] [Accepted: 02/26/2019] [Indexed: 10/27/2022]
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Le Sage N, Tardif PA, Prévost ML, Batomen Kuimi BL, Gagnon AP, Émond M, Chauny JM, Frémont P. Impact of wearing a helmet on the risk of hospitalization and intracranial haemorrhage after a sports injury. Brain Inj 2018; 32:1766-1772. [PMID: 30234396 DOI: 10.1080/02699052.2018.1512717] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
BACKGROUND Despite their reported protective effect against the occurrence of head injuries, helmets are still used inconsistently in sports in which they are optional. We aimed to assess the impact of helmet use on the risk of hospitalization and intracranial haemorrhage for trauma occurring during sport activities. METHODS Retrospective cohort of all patients who presented themselves, over an 18-month period, at the emergency department of a tertiary trauma centre for an injury sustained in a sport or leisure activity where the use of a helmet is optional. Impact of helmet use was assessed using multivariable regression analyses (relative risks, RR). RESULTS Among the 1,022 patients included in the study, half were cyclists and 40% were skiers or snowboarders. A total of 40 % of patients wore a helmet at the time of injury, 18% had a head injury, 16% were hospitalized and 13% of patients with a head injury had an intracranial haemorrhage. Among all patients, no association was observed between hospital admission and helmet use. However, helmet use in patients with a head injury was associated with significant reductions in the risks of hospitalization (RR 0.41 [95% CI: 0.22-0.76]) and intracranial haemorrhage (RR 0.28 [95% CI: 0.11-0.71]). CONCLUSIONS Results suggest that, in recreational athletes who sustain a head injury, helmet use is associated with a reduced risk of hospitalization (all sports) and intracranial haemorrhage (cyclists).
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Affiliation(s)
- Natalie Le Sage
- a Axe Santé des Populations et Pratiques Optimales en Santé, Unité de recherche en Traumatologie - Urgence - Soins Intensifs , Centre de recherche du CHU de Québec, Université Laval , Québec , QC , Canada.,b Département de Médecine Familiale et Médecine d'Urgence, Faculté de Médecine , Université Laval , Québec , QC , Canada.,c Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP), Public Health Agency of Canada , Hôpital de l'Enfant-Jésus , Québec , QC , Canada
| | - Pier-Alexandre Tardif
- a Axe Santé des Populations et Pratiques Optimales en Santé, Unité de recherche en Traumatologie - Urgence - Soins Intensifs , Centre de recherche du CHU de Québec, Université Laval , Québec , QC , Canada
| | - Marie-Laurence Prévost
- a Axe Santé des Populations et Pratiques Optimales en Santé, Unité de recherche en Traumatologie - Urgence - Soins Intensifs , Centre de recherche du CHU de Québec, Université Laval , Québec , QC , Canada
| | - Brice Lionel Batomen Kuimi
- a Axe Santé des Populations et Pratiques Optimales en Santé, Unité de recherche en Traumatologie - Urgence - Soins Intensifs , Centre de recherche du CHU de Québec, Université Laval , Québec , QC , Canada
| | - Ann-Pier Gagnon
- a Axe Santé des Populations et Pratiques Optimales en Santé, Unité de recherche en Traumatologie - Urgence - Soins Intensifs , Centre de recherche du CHU de Québec, Université Laval , Québec , QC , Canada.,c Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP), Public Health Agency of Canada , Hôpital de l'Enfant-Jésus , Québec , QC , Canada
| | - Marcel Émond
- a Axe Santé des Populations et Pratiques Optimales en Santé, Unité de recherche en Traumatologie - Urgence - Soins Intensifs , Centre de recherche du CHU de Québec, Université Laval , Québec , QC , Canada.,b Département de Médecine Familiale et Médecine d'Urgence, Faculté de Médecine , Université Laval , Québec , QC , Canada.,d Centre d'Excellence sur le Vieillissement de Québec, Centre de recherche sur les soins et les services de première ligne de l'Université Laval , Québec , QC , Canada
| | | | - Pierre Frémont
- f Département de réadaptation, Faculté de Médecine , Université Laval , Québec , QC , Canada
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Popa I, Ferraro OE, Orsi C, Morandi A, Montomoli C. Bicycle helmet use patterns in Italy. A description and analysis of survey data from an Italian friends of cycling association. ACCIDENT; ANALYSIS AND PREVENTION 2017; 108:268-274. [PMID: 28923517 DOI: 10.1016/j.aap.2017.09.003] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/06/2017] [Revised: 08/30/2017] [Accepted: 09/01/2017] [Indexed: 06/07/2023]
Abstract
Cycling is becoming one of the most popular forms of recreation and transport the world over, but cyclists still have a high level of vulnerability. A bicycle helmet is an important safety device available to cyclists, but little is known regarding possible determinants of helmet use among adults. This study aims at providing information on helmet usage patterns in Italy and identifying the factors associated with bicycle helmet use. Data on 2072 bicycle riders from an Italian friends of cycling association aged 18 years or older who had ridden a bicycle in the last month were collected using an ad-hoc questionnaire via the web. The sample was equally distributed among subjects who always, most of the time, sometimes, rarely, or never use a helmet. To evaluate the association among socio-demographic and bicycle use characteristics and helmet use, a multinomial logistic regression model was performed. The results show a higher propensity to use a helmet among males, riders coming from Central and Southern Italy, people who cycles more than 60kilometres in a week, cyclists who have already had a crash, people who do not cycle daily or almost daily, riders of sport bikes. Moreover, the propensity to use a helmet increases with age. The survey provided a first step in approaching the lack of data on cycling behaviour and the wearing of a helmet in Italy.
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Affiliation(s)
- Ioana Popa
- Centre of Study and Research on Road Safety (CIRSS), Section of Biostatistics and Clinical Epidemiology, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Via Forlanini, 2, 27100 Pavia, Italy
| | - Ottavia E Ferraro
- Centre of Study and Research on Road Safety (CIRSS), Section of Biostatistics and Clinical Epidemiology, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Via Forlanini, 2, 27100 Pavia, Italy
| | - Chiara Orsi
- Centre of Study and Research on Road Safety (CIRSS), Section of Biostatistics and Clinical Epidemiology, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Via Forlanini, 2, 27100 Pavia, Italy.
| | - Anna Morandi
- Centre of Study and Research on Road Safety (CIRSS), Section of Biostatistics and Clinical Epidemiology, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Via Forlanini, 2, 27100 Pavia, Italy
| | - Cristina Montomoli
- Centre of Study and Research on Road Safety (CIRSS), Section of Biostatistics and Clinical Epidemiology, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Via Forlanini, 2, 27100 Pavia, Italy
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