Helmet use in preventing acute concussive symptoms in recreational vehicle related head trauma

When it comes to the reduction of head trauma (HT) severity in children riding non-motorized recreational vehicles, helmet usage has proved to be effective. There is little data available on the role of helmets in the reduction of concussive symptoms in children with HT while riding non-motorized recreational vehicles, such as bicycles, push scooters and skateboards (BSS). This study aimed to explore whether helmet usage has a positive association with a reduction in acute concussive symptoms in children with BSS-related-HT. Study methods involved the examination of children under the age of 18 years who incurred a BSS-related-HT between the dates of April 2011 and January 2014 and presented at a tertiary Pediatric Emergency Department (ED). The results of the study were as follows: Of 190 patients, of median age 9.4 years (interquartile range (IQR) 4.8-13.8), 66% were riding a bicycle, 23% a push scooter, and 11% a skateboard. 62% of the riders wore a helmet, and 62% suffered at least one concussive symptom. It was shown through multivariate logistic regression analysis, which was adjusted for age, gender, and type of vehicle, that patients who had not worn a helmet were more likely to present with headache (adjusted odds-ratio (aOR) 2.54, 95% CI 1.27-5.06), vomiting (aOR 2.16, 95% CI 1.00-4.66), abnormal behaviour (aOR 2.34, 95% CI 1.08-5.06), or the presence of at least one concussive symptom (aOR 2.39, 95% CI 1.20-4.80). In conclusion, there was a positive association between less acute concussive symptoms in children presenting to the ED following a wheeled BSS-related-HT and helmet usage.


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  • Accession Number: 01722906
  • Record Type: Publication
  • Files: TRIS
  • Created Date: May 14 2019 12:13PM