Association between helmets and facial injury after a motorcycle collision: an analysis of more than 40 000 patients from the National Trauma Data Bank.
Motorcycle collisions are increasing at a precipitous rate, and reliable and valid data regarding all aspects of helmet safety are needed to better inform ongoing debates on mandatory helmet laws. The objective of this study was to determine the effect of motorcycle helmets on the likelihood of a facial injury after motorcycle collisions, using data from the National Trauma Data Bank, version 7.0, on 46 362 patients from January 1, 2002, through December 31, 2006. Multiple logistic regression was used to analyze the independent association between helmets and facial injury with adjustment for potential confounders. Helmeted motorcyclists were less likely to suffer facial injuries after a motorcycle collision, with a lower adjusted odds ratio of facial injury (0.40; 95% CI, 0.37-0.43) and a lower prevalence of specific types of facial injury compared with their nonhelmeted counterparts.
Department of Surgery, UCLA, Los Angeles, CA 90095, USA. jcrompton@mednet.ucla.edu
Joseph G
JG
Crompton
Tolulope A
TA
Oyetunji
Keshia M
KM
Pollack
Kent
K
Stevens
Edward E
EE
Cornwell
David T
DT
Efron
Elliott R
ER
Haut
Adil H
AH
Haider
D000063:Accidents, Traffic / Q000706:statistics & numerical data*; D000328:Adult; D016009:Chi-Square Distribution; D005151:Facial Injuries / Q000453:epidemiology*; D005260:Female; D006260:Head Protective Devices / Q000706:statistics & numerical data*; D006801:Humans; D015601:Injury Severity Score; D016015:Logistic Models; D008297:Male; D009049:Motorcycles; D012042:Registries; D012189:Retrospective Studies; D014481:United States / Q000453:epidemiology