Helmet use in bicycles and non‐motorised wheeled recreational vehicles in children

Ong, Jessica Sy; Soundappan, S.V.S.; Adams, Sarah; Adams, Susan

doi:10.1111/jpc.13925

Cited by 15 publications

(22 citation statements)

References 22 publications

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“… 4 6 12 13 15–17 In contrast, injuries involving the head in children have a greater risk of hospitalisation and mortality, and there is always the potential of lifelong negative effects for the patient. 18 The use of other equipment, such as elbow and knee pads, is estimated to be even lower. 12 13 15 …”

Section: Introductionmentioning

confidence: 99%

Push scooter-related injuries in adults: an underestimated threat? Two decades analysed by an emergency department in the capital of Switzerland

Mebert,

Klukowska-Roetzler,

Ziegenhorn

et al. 2018

BMJ Open Sport Exerc Med

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BackgroundThe number of people conducting cycling and skating sports in Switzerland is rising; likewise, we notice an increase in patients visiting our emergency department for adults due to push scooter accidents. In 2001, our emergency department published the first article worldwide on push scooter-related injuries. Nearly two decades later, we want to review the interim period—collect data, compare it with other studies and evaluate the current impact of push scooter accidents in our adult patient population.ObjectiveTo investigate data on the incidence, severity, treatment and approximate costs of push scooter-related injuries in adults who presented to our emergency department from 2000 to 2017.Materials and methodsFor this descriptive retrospective study, data were collected in the Department of Emergency Medicine at Inselspital (University Hospital), Berne, Switzerland, from October 2000 to September 2017. We used two clinical reporting systems during that period: Qualicare from 2000 to April 2012 and Ecare from May 2012 to 2017.Results165 patients were included, aged 16–80 years. The accidents were mainly classified as unspecified falls in 139 cases (84.24%). 21 patients (12.73%) were wearing a helmet at the time of the accident, while the remaining 144 (87.27%) were not. The most common injuries suffered were fractures in 73 patients (44.24%). 92 patients (55.76%) sustained an impact to the head. The most common treatment was surgery in the operating theatre (59 patients, 35.76%). The mean total cost per case was SFr7566.65 (emergency room visit, hospital stay and outpatient controls for the initial case).ConclusionThe incidence of push scooter-related injuries in adults in our patient population is small but rising. Nevertheless, the resulting injuries are potentially life-threatening and can lead to persistent medical impairment.

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Section: Introductionmentioning

confidence: 99%

Push scooter-related injuries in adults: an underestimated threat? Two decades analysed by an emergency department in the capital of Switzerland

Mebert,

Klukowska-Roetzler,

Ziegenhorn

et al. 2018

BMJ Open Sport Exerc Med

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“…Rules vary wildly among states. A report of a study done to investigate reasons for increased ED visits among children in the United States showed that injuries were mainly related to the use of unpowered scooters [8]. Graph 1.…”

Section: Discussionmentioning

confidence: 99%

“…Repeated trauma to the head could result in severe head injury. There are reports of severe head injuries sustained while riding unpowered scooters that resulted in permanent brain damage [7] [8]. Helmet use has been reported by the CPSC to reduce the risk of head injury by 80% [2].…”

Section: Severity Of Injuriesmentioning

confidence: 99%

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Unpowered Scooter-Related Injuries among Adolescents and Adults in the United States 2007-2017

Isichei¹,

Ale²,

Misauno³

et al. 2020

OJEM

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United States Consumer Product Safety Commission (CPSC) reported a 700% increase in Emergency Department (ED) visits for injuries attributed to unpowered scooter use from January through October 2000. Our objective is to investigate injuries associated with the use of unpowered scooters among adolescents from the age of >9 years to <20 years and adults >20 years in the National Electronic Injury Surveillance Study (NEISS) data set from 2007-2017. We analyzed unpowered scooter-related injuries in the NEISS data set using variables: SCOOTER, INJURED, AFTER, OFF, AT and IN; the product code for injuries related to unpowered scooters is 1329, and age ≥9 years and <99 years using the Statistical Analysis System (SAS). Structured Query Language (SQL) was used to access database and to analyze frequencies and proportions. There were 7985 unpowered scooter-related injuries found in the NEISS data set over the study period. Gender distribution: Males 4330 (54.23%), and Females 3655 (45.77%). Age distribution: 6283 (78.69%) >9-<20 years, while 1702 (21.31%) were >19-<99 years. Distribution by race: White 39.65%, Not Specified (NS) 38.94%, Black/African American 13.98% and Others (Asian, American Indians, Alaskan natives, Native Hawaiians, and Pacific Islanders) 7.43%. Body parts injured: head 16.19%, followed by face 8.49%, finger 8.30%, lower trunk 8.30%, ankle 5.60%, upper trunk 5.35%, internal injuries 0.99% and others 14.28%. Most of the injuries were mild: Treated and Discharged 89.80%, Hospitalized 7.68%, and Death in ED 0.05%. The locations of injuries were: Occurred at Home 43.

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“…However, we know that adolescents, especially males, will take more risks compared to younger children, and that higher proportions of adolescents have ATV-related crashes and injuries than those who are younger (Denning et al, 2014). Similar studies have shown many children, adolescents, and adults perceive riding a bicycle as not being very dangerous, and their risk of sustaining a head injury when bicycling without a helmet as "slight" (Finnoff et al, 2001;Ong et al, 2018).…”

Section: Attitudinal Barriersmentioning

confidence: 99%

Parental attitudes and family helmet use for all-terrain vehicles and bicycles

et al. 2020

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Background: Helmets prevent head trauma in both all-terrain vehicle (ATV) and bicycle crashes. This pilot study's objective was to compare family helmet use and participant attitudes regarding helmets for ATVs versus bicycles. Methods: A convenience sampling of adults attending a 2017 university-sponsored health fair who had at least one child < 18 years living at home were surveyed. Demographics, frequency of helmet use, and information about factors influencing helmet use were collected. Descriptive (frequencies) and bivariate (Fisher's exact test) analyses were performed. Qualitative themes of written responses were also examined. Results: Subjects (N = 98) were 26-57 years old (mean 40 years). Three-quarters (76%) were female. The percentage always wearing a helmet riding bicycles was 63% (subjects), 58% (spouses/partners), and 51% (children), compared to 11, 14 and 37% on ATVs, respectively. Moreover, the percentage never wearing a helmet while on an ATV was 68% for subjects, 71% for spouses, and 47% for children. Despite helmet use differences between bicycles and ATVs, the importance of children wearing a helmet on these vehicles was rated highly and equally important, 9.28 and 9.58 on a 1-10 scale, respectively. Higher proportions of subjects' oldest children wore a bike helmet 100% of the time if at least one parent always wore a helmet (81%), compared to children whose parents both wore helmets < 100% of the time or didn't ride (21%) (p < 0.0001). The proportion of children wearing ATV and bicycle helmets less than 100% of the time was significantly higher if parents reported barriers to effectively enforcing helmet use than if they did not (p = 0.04 and p = 0.004, respectively). Many reported a "strict no helmet, no bike/ATV riding rule" as being most effective in getting their children to always wear a helmet. Conclusions: This study is the first to explore family helmet use while riding bicycles vs ATVs. Although parent's belief in the importance of helmet use was high for both, helmet use was greater when riding bicycles. Further research is needed to better understand the social and environmental influences that shape parental helmet attitudes and practices in order to improve safety interventions for increasing pediatric helmet use.

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Helmet use in bicycles and non‐motorised wheeled recreational vehicles in children

Abstract: Despite legislation mandating this, helmet use is not universal in cyclists, particularly younger riders. Even fewer NMWRV riders use them. To promote helmet use, a multifaceted approach aimed at altering community norms and individual behaviours and attitudes is required.

Cited by 15 publications

References 22 publications

Push scooter-related injuries in adults: an underestimated threat? Two decades analysed by an emergency department in the capital of Switzerland

Push scooter-related injuries in adults: an underestimated threat? Two decades analysed by an emergency department in the capital of Switzerland

Unpowered Scooter-Related Injuries among Adolescents and Adults in the United States 2007-2017

Parental attitudes and family helmet use for all-terrain vehicles and bicycles

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