The impact of the repeal of Michigan's universal helmet law on traumatic brain injury: A statewide analysis
| Autor: | Gaby A. Iskander, Tracy J. Koehler, Rachel N. Saunders, Alistair J. Chapman, Luke T. Durling, Alan T. Davis, Nicholas S Adams, John A. Girotto |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Michigan Databases Factual Traumatic brain injury education Psychological intervention Crash Neurosurgical Procedures 03 medical and health sciences Young Adult 0302 clinical medicine Risk Factors Brain Injuries Traumatic medicine Humans 030212 general & internal medicine Retrospective Studies 030505 public health business.industry technology industry and agriculture Accidents Traffic Trauma quality improvement program General Medicine Repeal Middle Aged equipment and supplies medicine.disease Motorcycles Law Multivariate Analysis Surgery Female Head Protective Devices Medical emergency 0305 other medical science business human activities |
| Zdroj: | American journal of surgery. 215(3) |
| ISSN: | 1879-1883 |
| Popis: | In April of 2012, Michigan repealed its 35-year-old universal motorcycle helmet law in favor of a partial helmet law, which permits motorcyclists older than 21 years old with sufficient insurance and experience to drive un-helmeted. We evaluated the clinical impact of the repeal.The Michigan Trauma Quality Improvement Program's trauma database was queried for motorcycle crash patients between 1/1/09-4/12/12 and between 4/13/12-12/31/14.There were 1970 patients in the pre-repeal analysis and 2673 patients in the post-repeal analysis. Following the repeal, patients were more likely to be un-helmeted (p 0.001) and to have a traumatic brain injury (p 0.001). Patients were also more likely to require neurosurgical interventions (relative risk 1.4, p = 0.011).Following the repeal of the universal helmet law, there has been a significant increase in traumatic brain injuries and neurosurgical interventions. This analysis highlights another detrimental impact of the repeal of the universal helmet law. |
| Databáze: | OpenAIRE |
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