+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

The effect of bicycling helmets in preventing significant bicycle-related injuries in children



The effect of bicycling helmets in preventing significant bicycle-related injuries in children



Clinical Journal of Sport Medicine 6(2): 102-107



To identify bicycle-related injuries in children and the effect of helmet use on injury patterns and prevention. A prospective cohort of injured children with case-control design looking at serious head injuries and helmet use. A tertiary care childrens' hospital emergency room. All patients presenting between April 1, 1991 and September 30, 1993, between the ages of 3 and 16 years, with bicycle-related injuries were included. The Childrens' Hospital Injury Research and Prevention Program (CHIRPP) Database was used. Standardized information collected on each child included age and sex of the child; nature, location, and time of accident/injury; whether any safety devices were being used at the time of the accident; and the attending physician's determination of the injury(s) and treatment rendered. Injuries were categorized as major or minor, based upon a consensus of the authors, in a retrospective fashion. Separate bicycle accidents (n = 699) were recorded resulting in 856 injuries. Only 13.7% of the children were wearing helmets at the time of their accidents. Seventy-six serious head injuries were recorded. The risk of serious head injury was significantly greater when a helmet was not worn (chi 2 0.01 < p < 0.05) This represents an odds ratio of 3.12 [confidence interval (CI) = 95% 1.13-8.75]. There was no significant difference in terms of serious injuries overall comparing helmeted and nonhelmeted children (odds ratio = 1.11, 95% CI = 0.72-1.72). Helmets afford a protective effect with respect to serious head injuries.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 047617467

Download citation: RISBibTeXText

PMID: 8673566

DOI: 10.1097/00042752-199604000-00007


Related references

Helmets and preventing motorcycle- and bicycle-related injuries. JAMA (Journal of the American Medical Association) 272(19): 1535-1538, 1994

Factors affecting severity of bicycle-related injuries: the role of helmets in preventing head injuries. Emergency Medicine Australasia 19(4): 366-371, 2007

Helmets and preventing motorcycle- and bicycle-related injuries. Council on Scientific Affairs, American Medical Association. JAMA 272(19): 1535-1538, 1994

How bicycle-related injuries change bicycling practices in children. American Journal of Diseases of Children 144(8): 928-929, 1990

Modeling and Optimization of Airbag Helmets for Preventing Head Injuries in Bicycling. Annals of Biomedical Engineering 45(4): 1148-1160, 2017

Helmets and preventing motorcycle and bicycle injuries: comments and a correction. JAMA 274(12): 939; Author Reply 940, 1995

Effect of a bicycle safety program and free bicycle helmet distribution on the use of bicycle helmets by elementary school children. Journal of Emergency Nursing: Jen 23(5): 417-419, 1997

Effectiveness of Bicycle Safety Helmets in Preventing Facial Injuries in Road Accidents. Archives of Trauma Research 5(3): E30011, 2016

Effectiveness of bicycle safety helmets in preventing head injuries. A case-control study. JAMA 276(24): 1968-1973, 1996

Helmets and bicycle-related injuries in Queensland. Medical Journal of Australia 166(9): 510, 1997

Bicycle Injuries and Safety Helmets in Children. Orthopaedic Nursing 22(1): 9-15, 2003

Bicycle helmets To wear or not to wear? A meta-analyses of the effects of bicycle helmets on injuries. Accident Analysis & Prevention 117: 85-97, 2018

Bicycle helmets - To wear or not to wear? A meta-analyses of the effects of bicycle helmets on injuries. Accident; Analysis and Prevention 117: 85-97, 2018

Prevention of bicycle-related injuries: helmets, education, and legislation. Annual Review of Public Health 19: 293-318, 1998

Bicycle helmets. Using helmets alone will not prevent serious bicycle injuries. Bmj 322(7293): 1064, 2001