Helmets matter: Kentucky motorcycle crash victims seen at a Tennessee trauma center

George M. Testerman, Daniel Prior, Tamie D. Wells, William C. Sumner, Jeffrey T. Johnston, Sarah E. Rollins, Jeremy M. Meyer

Research output: Contribution to journalArticle

Abstract

Objectives Motorcycle helmet laws vary by state, with Kentucky requiring helmets only for younger riders. We hypothesized that motorcyclists injured in Kentucky and seen at a Tennessee trauma center would be more likely to be unhelmeted, have more severe head injuries, and sustain more fatal injuries than those injured in Tennessee or Virginia. Methods A Trauma Registry review of 729 injured motorcyclists from January 2005 through June 2015 examined state location of crash, demographics, helmet use, and clinical outcomes. Multivariate logistic regression analysis evaluated predictors for head injury severity and death. Results Unhelmeted motorcycle rider status predicted more severe head injuries (relative risk 15.3, P < 0.001) and death (relative risk 4.2, P < 0.001). Motorcyclists injured in the state of Kentucky were more likely to be unhelmeted, require an operative procedure, have more severe head injuries, have longer lengths of stay, and sustain more fatal injuries (all with < 0.001) than motorcyclists injured in Tennessee or Virginia. Conclusions This study lends support for maintaining and enforcing current universal motorcycle helmet laws for all ages in states where they are in effect and for upgrading helmet laws that apply only to some riders.

Original languageEnglish (US)
Pages (from-to)8-11
Number of pages4
JournalSouthern Medical Journal
Volume111
Issue number1
DOIs
StatePublished - Jan 1 2018
Externally publishedYes

Fingerprint

Motorcycles
Head Protective Devices
Trauma Centers
Craniocerebral Trauma
Wounds and Injuries
Operative Surgical Procedures
Registries
Length of Stay
Logistic Models
Regression Analysis
Demography

Keywords

  • head injury
  • helmet
  • motorcycle

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Testerman, G. M., Prior, D., Wells, T. D., Sumner, W. C., Johnston, J. T., Rollins, S. E., & Meyer, J. M. (2018). Helmets matter: Kentucky motorcycle crash victims seen at a Tennessee trauma center. Southern Medical Journal, 111(1), 8-11. https://doi.org/10.14423/SMJ.0000000000000748

Helmets matter : Kentucky motorcycle crash victims seen at a Tennessee trauma center. / Testerman, George M.; Prior, Daniel; Wells, Tamie D.; Sumner, William C.; Johnston, Jeffrey T.; Rollins, Sarah E.; Meyer, Jeremy M.

In: Southern Medical Journal, Vol. 111, No. 1, 01.01.2018, p. 8-11.

Research output: Contribution to journalArticle

Testerman, GM, Prior, D, Wells, TD, Sumner, WC, Johnston, JT, Rollins, SE & Meyer, JM 2018, 'Helmets matter: Kentucky motorcycle crash victims seen at a Tennessee trauma center', Southern Medical Journal, vol. 111, no. 1, pp. 8-11. https://doi.org/10.14423/SMJ.0000000000000748
Testerman GM, Prior D, Wells TD, Sumner WC, Johnston JT, Rollins SE et al. Helmets matter: Kentucky motorcycle crash victims seen at a Tennessee trauma center. Southern Medical Journal. 2018 Jan 1;111(1):8-11. https://doi.org/10.14423/SMJ.0000000000000748
Testerman, George M. ; Prior, Daniel ; Wells, Tamie D. ; Sumner, William C. ; Johnston, Jeffrey T. ; Rollins, Sarah E. ; Meyer, Jeremy M. / Helmets matter : Kentucky motorcycle crash victims seen at a Tennessee trauma center. In: Southern Medical Journal. 2018 ; Vol. 111, No. 1. pp. 8-11.
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