Do helmets reducing the severity of traumatic brain injuries in Phrapokklao Chanthaburi Hospital
Keywords:
Brain injury, Helmet, motorcycleAbstract
Background: Effectiveness of helmets in reducing head injury in motorcyclist is well established. The compulsory use of helmet by motorcyclists has lowered the incidence of traumatic brain injuries, which verified whether the use of helmets reduce the occurrence and severity of traumatic brain injuries in Phrapokklao Chanthaburi Hospital.
Objectives: The aim of this study was to identify reducing effects of helmet on severity of traumatic brain injuries in bicyclists who have crashed.
Methods: A retrospective study was performed on traumatic brain injury patients visiting to Phrapokklao Hospital between August 2022 and December 2022, medical records of motorcyclists were reviewed for patient demographics, helmet used, speed of vehicle, incidence of traumatic brain injuries. Stepwise logistic regression was performed to identify mutually independent predictors for severity of traumatic brain injuries.
Results: There were 118 patients in this study. One hundred and four patients (88.14%) didn’t wearing helmet. Moderate to severe traumatic brain injuries (Gasglow Coma Score (GCS) ≤ 12) was noted in 49 patients (41.5%) and 48 patients (98.0%) didn’t wearing helmet. Compared with motorcyclists wearing helmets, those wearing helmets were less likely to have brain injuries (OR 0.30; 95 %CI 0.11- 0.84). Lack of helmet use was significantly associated with having a more severe traumatic brain injury and being admitted to the hospital.
Conclusion: Helmet more likely to protect brain injuries during crash. Moreover, helmet use can reduce the risk for severe traumatic brain injury in motorcycle accidents up to 70%.
References
The Royal College of Neurological Surgeons of Thailand, Department of Medical Services, Office of the Permanent Secretary Ministry of Public Health, Neurological institute of thailand, Directorate of Medical Services. Royal Thai Air Force, Ministry of Higher Education. Clinical Practice Guidelines for Traumatic Brain Injury: Prosperous plus; 2019.
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หน่วยเฝ้าระวังและสะท้อนสถานการณ์ความปลอดภัยทางถนน TR. อัตราการสวมหมวกนิรภัยของผู้ใช้รถจักรยานยนต์ในประเทศไทย 2562 [Available from: http://trso.thairoads.org/statistic/helmet.
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