Impact of Bicycle helmet safety legislation on children admitted to a regional pediatric trauma center. Discussion.
Annual Meeting of the American Pediatric Surgical Association. Naples, FL, USA, 1997/05/18.
The regional pediatric trauma center in Buffalo, NY, has been active in pediatric injury prevention programs, including community education and distribution of bicycle helmets, since 1990.
Since June 1,1994, the use of bicycle safety helmets for children under 14 years of age has been mandated by a state law in New York.
The authors undertook this study to assess the impact of this legislation on the frequency of helmet use in children involved in bicycle crashes presenting to the regional pediatric trauma center, and to assess the impact of helmet use on the number and severity of head injuries.
Bicycle crash victims (n=208) admitted to a regional pediatric trauma center from 1993 to 1995 were studied retrospectively.
Head injuries were classified as concussion alone, skull fractures, intracranial hemorrhages (ie. epidural, subdural, and subarachnoid), cerebral contusions, or diffuse cerebral edema alone (without any other intracranial injury).
Helmeted children (HC) were compared with nonhelmeted children (NHC) using X2 and Fisher's Exact test.
Pvalue less than. 05 was considered significant.
Only 31 children (15%) wore helmets at the time of the crash.
Helmet use increased from 2%, during the period of education alone, to 26% after the legislation went into effect (P<. 00001).
The proportion of children suffering head injuries was similar in both groups (HC, 68% ; NHC, 61% ; P=NS).
However, the type of head injury was different. (...)
Mots-clés Pascal : Traumatisme, Crânioencéphalique, Bicyclette, Programme, Prévention, Casque, New York, Etats Unis, Amérique du Nord, Amérique, Pédiatrie, Incidence, Gravité, Mortalité, Coût, Durée, Hospitalisation, Législation, Enfant, Homme, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Système ostéoarticulaire pathologie, Crâne pathologie
Mots-clés Pascal anglais : Trauma, Craniocerebral, Bicycle, Program, Prevention, Helmet, New York, United States, North America, America, Pediatrics, Incidence, Gravity, Mortality, Costs, Duration, Hospitalization, Legislation, Child, Human, Nervous system diseases, Central nervous system disease, Cerebral disorder, Diseases of the osteoarticular system, Skull disease
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Cote : 98-0261019
Code Inist : 002B30A04C. Création : 11/09/1998.