The Effect of Different Types of Helmet on Brain Injury

Main Article Content

Duangjai Padungkiatsakul MD.
Kessirin Putichote MD. Putichote MD.

Abstract

Objective : Effectiveness of helmets in reducing head injury in motorcyclist is well established. There is limited data regarding to which helmet types protect riders from brain injuries. The effect of helmet type on risk traumatic brain injuries during motorcycle crashes.


Material and Methods : In this case-control study, medical records of motorcyclists were reviewed for patient demographics, helmet types, fasten helmets, ISS, incidence of traumatic brain injuries and facial bone fracture. The outcome of interest was incidence of traumatic brain injuries between full-face helmets and other helmet types.


Results : There were 463 patients in this study, 70 patients reported traumatic brain injury (case group) and 393 patients without traumatic brain injury (control group). Compared with motorcyclists wearing full-face helmets and other helmets type, those wearing full-face helmets were less likely to have brain injuries (OR 0.41; 95 %CI 0.21- 0.79). Compared helmet fasten status, fasten helmets decreased risk of brain injury (OR 0.32; 95 %CI 0.17-0.62). Helmet dislodged during collision increased risk of brain injury (OR 4.19; 95 %CI 2.18-8.04)


Conclusion : Full-face helmet more likely to protect brain injuries during crash. Moreover, fasten helmet and helmet fixation while collision provided potential protection against brain injuries.

Article Details

Section
Original Articles

References

1. World health organization. Global status report on road 2015. Italy; 2016.
2. Ministry of Industry, Thai industrail standard institute. Protective helmets for motorcycle users,
2016.
3. Hitosugi M, Shigeta A, Takatsu A, Yokoyama T, Tokudome S. Analysis of fatal injuries to
motorcyclists by helmet type. The American journal of forensic medicine and pathology.
2004;25(2):125-8.
4. Liu BC, Ivers R, Norton R, Boufous S, Blows S, Lo SK. Helmets for preventing injury in
motorcycle riders. The Cochrane database of systematic reviews. 2008(1):Cd004333.
5. Khor D, Inaba K, Aiolfi A, Delapena S, Benjamin E, Matsushima K, et al. The impact of helmet
use on outcomes after a motorcycle crash. Injury. 2017;48(5):1093-7.
6. Akgur SA, Ertas H, Altntoprak AE, Ozkan M, Kitapcoglu G. Prevalence of alcohol in blood
samples from traffic accident cases in Turkey. The American journal of forensic medicine and
pathology. 2011;32(2):136-9.
7. Karakus A, Idiz N, Dalgic M, Ulucay T, Sincar Y. Comparison of the effects of two legal blood
alcohol limits: the presence of alcohol in traffic accidents according to category of driver in
Izmir, Turkey. Traffic injury prevention. 2015;16(5):440-2.
8. Brewer BL, Diehl AH, 3rd, Johnson LS, Salomone JP, Wilson KL, Atallah HY, et al. Choice of
motorcycle helmet makes a difference: a prospective observational study. The journal of
trauma and acute care surgery. 2013;75(1):88-91.
9. Yu WY, Chen CY, Chiu WT, Lin MR. Effectiveness of different types of motorcycle helmets
and effects of their improper use on head injuries. International journal of epidemiology.
2011;40(3):794-803.
10. Ramli R, Oxley J, Noor FM, Abdullah NK, Mahmood MS, Tajuddin AK, et al. Fatal injuries
among motorcyclists in Klang Valley, Malaysia. Journal of forensic and legal medicine.
2014;26:39-45.
11. Cini MA, Prado BG, Hinnig Pde F, Fukushima WY, Adami F. Influence of type of helmet on
facial trauma in motorcycle accidents. The British journal of oral & maxillofacial surgery.
2014;52(9):789-92.
12. Kasantikul V. Motorcycle Accidnet Causation and Identification of Countermeasures in
Thailand Volume 2: Upcountry Study [Internet]. Bangkok: Chulalongkorn University; 2001
[cite 2018 Mar 9]. Available from: https://www. researchgate.net/publication/236211025_Motor-
cycle_ Accidnet_ Causation_and_ Identification_ of_Countermeasures_in_Thailand_Volume_2_
Upcountry_Study.
13. Kasantikul V. Motorcycle Accident Causation and Identification of Countermeasures in Thailand.
Vol 1: Bangkok Study [Internet]. Bangkok: Chulalongkorn University; 2001 [cite 2018
Mar 9]. Available from: http://www.mosac.eu/public/file/Kasantikul%20Motorcycle%20
Accident%20Research%20in%20Thailand%20-%20Bangkok%202002.pdf