TY - JOUR
T1 - Mechanisms, injuries and helmet use in cyclists presenting to an inner city emergency department
AU - Dinh, Michael
AU - Kastelein, Christopher
AU - Hopkins, Roy
AU - Royle, Timothy
AU - Bein, Kendall
AU - Chalkley, Dane
AU - Ivers, Rebecca
PY - 2015/8/1
Y1 - 2015/8/1
N2 - Objectives: The objectives of the present study were to describe the injury profiles of cyclists presenting to an ED and determine the risk of significant head injury associated with bicycle helmet use. Methods: This was a retrospective single trauma centre study of all adult cyclists presenting to an inner city ED and undergoing a trauma team review between January 2012 and June 2014. The outcome of interest was significant head injury defined as any head injury with an Abbreviated Injury Scale score of two or more. Variables analysed included demographic characteristics, helmet use at time of incident, location, time and the presence of intoxication. Results: The most common body regions were upper limb injuries (57%), followed by head injuries (43%), facial injuries (30%) and lower limb injuries (24%). A lower proportion of people wearing helmets had significant head injury (17% vs 31%, P = 0.018) or facial injury (26% vs 48%, P = 0.0017) compared with non-helmet users. After adjustment for important covariates, helmet use was associated with a 70% decrease in the odds of significant head injury (odds ratio 0.34, 95% confidence interval 0.15, 0.76, P = 0.008). Conclusions: Head injuries were common after inner city cycling incidents. The use of helmets was associated with a reduction in significant head injury.
AB - Objectives: The objectives of the present study were to describe the injury profiles of cyclists presenting to an ED and determine the risk of significant head injury associated with bicycle helmet use. Methods: This was a retrospective single trauma centre study of all adult cyclists presenting to an inner city ED and undergoing a trauma team review between January 2012 and June 2014. The outcome of interest was significant head injury defined as any head injury with an Abbreviated Injury Scale score of two or more. Variables analysed included demographic characteristics, helmet use at time of incident, location, time and the presence of intoxication. Results: The most common body regions were upper limb injuries (57%), followed by head injuries (43%), facial injuries (30%) and lower limb injuries (24%). A lower proportion of people wearing helmets had significant head injury (17% vs 31%, P = 0.018) or facial injury (26% vs 48%, P = 0.0017) compared with non-helmet users. After adjustment for important covariates, helmet use was associated with a 70% decrease in the odds of significant head injury (odds ratio 0.34, 95% confidence interval 0.15, 0.76, P = 0.008). Conclusions: Head injuries were common after inner city cycling incidents. The use of helmets was associated with a reduction in significant head injury.
KW - Cycling
KW - Helmets
KW - Road trauma
UR - http://www.scopus.com/inward/record.url?scp=84937739510&partnerID=8YFLogxK
U2 - 10.1111/1742-6723.12407
DO - 10.1111/1742-6723.12407
M3 - Article
SN - 1742-6723
VL - 27
SP - 323
EP - 327
JO - Emergency Medicine Australasia
JF - Emergency Medicine Australasia
IS - 4
ER -