Introduction: Objective of the present study was to evaluate the nosocomial outcomes and severity of trauma among motorcyclist trauma patients with and without using helmet. Materials and Methods: A prospective descriptive study was performed on 1000 motorcyclist trauma patients between December 2019 and May 2021. After collecting data and recording patients’ outcomes, patients were divided into two groups of users and non-users of helmets, and patients’ outcomes and severity of trauma were evaluated. Results: The median age of patients was 27 years and only 36.2% of patients had worn helmet when they were traumatised. Of the patients, 41 died during hospitalization, out of which 36 individuals did not have helmet during trauma. In the group without a helmet, the most common sites of injury were head and neck. There was a significant difference in the severity of trauma based on GAP, RTS, and NTS in the two groups of patients (P <0.05). In reviewing the GAP, RTS, and NTS models, in determining the prognosis of survival rate of patients, the cut-off point values were obtained as 18.5, 7, and 16.5, respectively, with the area under the curve ROC of about 0.95. Conclusion: Helmet plays an important role in reducing the hospital mortality rate of motorcycle trauma patients. Additively, wearing a helmet is very effective in reducing the severity of trauma. It is recommended to take necessary measures to increase the use of helmet among motorcyclists by training and also using the force of law.
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