Nonuse of bicycle helmets and risk of fatal head injury: a proportional mortality, case–control study

Persaud, Navindra; Coleman, Emily; Zwolakowski, Dorothy; Lauwers, Bert; Cass, Dan

doi:10.1503/cmaj.120988

Cited by 64 publications

(51 citation statements)

References 11 publications

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“…1 In 2012, the Office of the Chief Coroner for Ontario published a review of all cycling deaths in Ontario from 2006 to 2010, and noted that bicyclists whose cause of death included a head injury were three times less likely to be wearing a helmet than those who died of other types of injuries. 5,6 A study of Ontario Coroner reports from 1986 to 1991 found that 75% of deaths in cycling were associated with head injury, and only 4% of these cyclists were wearing a helmet. 7 Public bike-share programs (PBSPs) are broadly used around the world, with 49 countries hosting advanced programs in more than 500 cities, for a combined fleet of over 500,000 bicycles.…”

Section: Introductionmentioning

confidence: 99%

Helmet-Wearing Practices and Barriers in Toronto Bike-Share Users: a Case-Control Study

Friedman

Adamson

Cleiman

et al. 2015

CJEM

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Background: Helmet use among bike-share users is low. We sought to characterize helmet-use patterns, barriers to helmet use, and cycling safety practices among bike-share users in Toronto. Methods: A standardized survey of public bike-share program (PBSP) users at semi-random distribution of PBSP stations was undertaken. By maintaining a ratio of one helmet-wearer (HW): two non-helmet-wearers (NHW) per survey period, we controlled for location, day, time, and weather. Results: Surveys were completed on 545 (180 HW, 365 NHW) unique users at 48/80 PBSP locations,

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Section: Introductionmentioning

confidence: 99%

Helmet-Wearing Practices and Barriers in Toronto Bike-Share Users: a Case-Control Study

Friedman

Adamson

Cleiman

et al. 2015

CJEM

View full text Add to dashboard Cite

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“…Se considera una medida efectiva para incrementar su uso y disminuir el número de lesiones y de muertes en ciclistas 21 . Otros autores difieren sobre esta medida, dado que desincentiva el uso de la bicicleta como medio de transporte 22,23 .…”

Section: Discussionunclassified

Análisis de las lesiones causadas por el tránsito sufridas por ciclistas en México

Báez

Mendoza-García

Vera-López

et al. 2017

GMM

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“…Although potentially life threatening, cervical spine injuries following bicycle crashes are less frequent (approximately 5%) and has therefore received less attention in traffic safety research (12;13). Wearing a helmet has been shown to prevent serious head injury (13)(14)(15)(16)(17)(18)(19)(20), however its association with cervical spine injury is debatable (13;15;16;19;21).…”

Section: Introductionmentioning

confidence: 99%

Fatal Cervical Spine Injury Following a Bicycle Crash

Uhrenholt

Boel

Thomsen

2017

Scandinavian Journal of Forensic Science

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Abstract:Spinal injury following direct loading of the head and neck is a rare sequel of bicycle crashes. Fatal head injuries following bicycle crashes have been described in great detail and safety measures such as bicycle helmets have been developed accordingly. Less frequently, however, potentially severe cervical spine injuries have been described. We present the case of a middle-aged female who sustained an ultimately fatal cervical spine injury following a collision with a car whilst biking wearing a helmet. We discuss the literature regarding the protective effects of bicycle helmets, the relevance to cervical spine injury and legislation on mandatory use of helmets for injury prevention. Keywords:fatal bicycle trauma, bicycle helmet, road traffic crash, cervical spine injury, medicolegal autopsy, post-mortem computed tomography FORENSIC SCIENCE Scandinavian journal of Nordisk rettsmedisinCopyright© Holstad Grafisk, Oslo -Print: prografia, Oslo -ISSN 2353-0707 3 CASE REPORTA 43-year old female was the driver of a bicycle wearing a biking helmet. As she entered an intersection with a green traffic light she was hit from the side by a passenger car travelling at high-speed approximately 90 km/hour. The car attempted to brake shortly prior to impact. The victim was thrown onto the bonnet of the vehicle and fell to the ground. The vehicle sustained damage to the front bumper, scratches on the bonnet and a broken front window on the left side. The bicycle frame was crushed around the back wheel, and the front wheel was distorted. The bicycle helmet sustained significant damages on its backside. The female bicyclist suffered cardiac arrest at the scene but was successfully resuscitated and brought to the emergency department where a trauma computed tomography (CT) scanning revealed an unstable

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Nonuse of bicycle helmets and risk of fatal head injury: a proportional mortality, case–control study

Cited by 64 publications

References 11 publications

Helmet-Wearing Practices and Barriers in Toronto Bike-Share Users: a Case-Control Study

Helmet-Wearing Practices and Barriers in Toronto Bike-Share Users: a Case-Control Study

Análisis de las lesiones causadas por el tránsito sufridas por ciclistas en México

Fatal Cervical Spine Injury Following a Bicycle Crash

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