Adv Prev Med. 2013;2013:450195. doi: 10.1155/2013/450195. Epub 2013 Sep 25.

Impact of helmet use in traumatic brain injuries associated with recreational vehicles.

Ganti L¹, Bodhit AN, Daneshvar Y, Patel PS, Pulvino C, Hatchitt K, Hoelle RM, Peters KR, Kuchibhotla S, Lottenberg L, Gabrielli A, Mazzuoccolo A, Elie-Turenne MC, Falgiani T, Maerz PW, Kharod SM, Conroy LM, Khalid HM, Tyndall JA.

Author information

¹Center for Brain Injury Research and Education, University of Florida College of Medicine, 1329 SW 16th Street, Suite 4270, Gainesville, FL 32610, USA ; Department of Emergency Medicine, University of Florida College of Medicine, Gainesville, FL 32610, USA ; Department of Neurological Surgery, University of Florida College of Medicine, Gainesville, FL 32610, USA ; Division of Clinical Research, Emergency Medicine & Neurological Surgery, Toral Family Foundation, Davie, FL 33325, USA.

Abstract

Objective. To study the impact of helmet use on outcomes after recreational vehicle accidents. Methods. This is an observational cohort of adult and pediatric patients who sustained a TBI while riding a recreational vehicle. Recreational vehicles included bicycles, motorcycles, and all-terrain vehicles (ATVs), as well as a category for other vehicles such as skateboards and scooters. Results. Lack of helmet use was significantly associated with having a more severe traumatic brain injury and being admitted to the hospital. Similarly, 25% of those who did wearing a helmet were admitted to the ICU versus 36% of those who did not (P = 0.0489). The hospital length of stay was significantly greater for patients who did not use helmets. Conclusion. Lack of helmet use is significantly correlated with abnormal neuroimaging and admission to the hospital and ICU; these data support a call for action to implement more widespread injury prevention and helmet safety education and advocacy.