کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4278219 1611485 2016 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Repeal of the Michigan helmet law: the evolving clinical impact
ترجمه فارسی عنوان
لغو قانون کلاه میشیگان: تاثیر بالینی در حال تحول
کلمات کلیدی
قانون کلاه، موتورسیکلت، کلاه ایمنی، لغو مرگ و میر میشیگان
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی

BackgroundMichigan repealed a 35-year mandatory helmet law in April 2012. We examined the impact of this legislation on a level 1 trauma center.MethodsA retrospective cohort study comparing the 7-month period before and the 3 motorcycle seasons after the helmet law repeal.ResultsA total of 345 patients were included in the study. Nonhelmeted riders increased from 7% to 28% after the repeal. Nonhelmeted crash scene fatalities were higher after the repeal (14% vs 68%). The nonhelmeted cohort had significantly higher in-patient mortality (10% vs 3%), injury severity score (19 vs 14.5) and abbreviated injury scale head (2.2 vs 1.3). Non-helmeted riders also had increased alcohol use, intensive care unit length of stay and need for mechanical ventilation. The median hospital cost for the non-helmeted cohort was higher (P < .05).ConclusionsThe impact of the Michigan helmet law repeal continues to evolve. Three years after this legislative change, we are now observing increased injury severity score, higher in-patient mortality, and worse neurologic injury.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 211, Issue 3, March 2016, Pages 529–533
نویسندگان
, , , , ,