Alcohol is a risk factor for helmet non-use and fatalities in off-road vehicle and motorcycle crashes.

Autor: Kureshi N; Department of Surgery, Division of Neurosurgery, Dalhousie University, Halifax, NS, B3H 4R2, Canada. nelofar.kureshi@dal.ca., Walling S; Department of Surgery, Division of Neurosurgery, Dalhousie University, Halifax, NS, B3H 4R2, Canada., Erdogan M; Nova Scotia Health Trauma Program, Nova Scotia Health, Rm 1-026B Centennial Building, 1276 South Park Street, Halifax, NS, B3H 2Y9, Canada., Opra I; Nova Scotia Health Trauma Program, Nova Scotia Health, Rm 1-026B Centennial Building, 1276 South Park Street, Halifax, NS, B3H 2Y9, Canada., Green RS; Nova Scotia Health Trauma Program, Nova Scotia Health, Rm 1-026B Centennial Building, 1276 South Park Street, Halifax, NS, B3H 2Y9, Canada.; Department of Emergency Medicine, Dalhousie University, Halifax, NS, B3H 4R2, Canada.; Department of Critical Care, Dalhousie University, Halifax, NS, B3H 4R2, Canada., Clarke DB; Department of Surgery, Division of Neurosurgery, Dalhousie University, Halifax, NS, B3H 4R2, Canada.
Jazyk: angličtina
Zdroj: European journal of trauma and emergency surgery : official publication of the European Trauma Society [Eur J Trauma Emerg Surg] 2024 Oct; Vol. 50 (5), pp. 2073-2079. Date of Electronic Publication: 2024 Jun 18.
DOI: 10.1007/s00068-024-02572-1
Abstrakt: Objectives: Off-road vehicle (ORV) and motorcycle use is common in Canada; however, risk of serious injury is heightened when these vehicles are operated without helmets and under the influence of alcohol. This study evaluated the impact of alcohol intoxication on helmet non-use and mortality among ORV and motorcycle crashes.
Methods: Using data collected from the Nova Scotia Trauma Registry, a retrospective analysis (2002-2017) of ORV and motorcycle crashes resulting in major traumatic brain injury was performed. Patients were grouped by blood alcohol concentration (BAC) as negative (< 2 mmol/L), legally intoxicated (2-17.3 mmol/L) or criminally intoxicated (> 17.3 mmol/L). Logistic regression models were constructed to test for helmet non-use and mortality.
Results: A total of 424 trauma patients were included in the analysis (220 ORV, 204 motorcycle). Less than half (45%) of patients involved in ORV crashes were wearing helmets and 65% were criminally intoxicated. Most patients involved in motorcycle crashes were helmeted at time of injury (88.7%) and 18% were criminally intoxicated. Those with criminal levels of intoxication had 3.7 times the odds of being unhelmeted and were 3 times more likely to die prehospital compared to BAC negative patients. There were significantly increased odds of in-hospital mortality among those with both legal (OR = 5.63), and criminal intoxication levels (OR = 4.97) compared to patients who were BAC negative.
Conclusion: Alcohol intoxication is more frequently observed in ORV versus motorcycle crashes. Criminal intoxication is associated with helmet non-use. Any level of intoxication is a predictor of increased in-hospital mortality.
Competing Interests: Declarations. Competing interests: The authors have no relevant financial or non-financial interests to disclose.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.)
Databáze: MEDLINE
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