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A Test Bed to Examine Helmet Fit and Retention and Biomechanical Measures of Head and Neck Injury in Simulated Impact
Published on: September 21, 2017
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Bicycle accident-related head injuries in India
Ashok Munivenkatappa1, Bhagavatula Indira Devi, Thomas Issac Gregor
1Department of Neurosurgery, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, Karnataka, India.
Journal of Neurosciences in Rural Practice
|November 20, 2013
Summary
Head injuries from bicycle accidents in India disproportionately affect males from rural areas, with no helmet use reported. Most patients achieve good recovery within three months, though some experience persistent concussion symptoms.
Area of Science:
- Trauma epidemiology
- Public health
- Neuroscience
Background:
- Bicycle accidents are a significant cause of head injuries globally.
- Understanding the epidemiology of these injuries in India is crucial for targeted prevention strategies.
Purpose of the Study:
- To describe the epidemiology of head injuries sustained due to bicycle accidents in India.
- To analyze patient demographics, injury severity, and outcomes.
Main Methods:
- Retrospective data collection over six months (May-November 2011).
- Analysis of patient demographics, Glasgow Coma Scale (GCS), clinical and imaging findings.
- Assessment of outcomes using Glasgow Outcome Scale (GOS) and post-concussion questionnaires via telephonic interview.
Main Results:
- 108 patients (100 males, mean age 27.7 years); 68.5% from rural areas.
- 60% of accidents involved vehicular collision; no helmets were used.
- 49% had abnormal CT findings (23.1% skull fractures); 61.1% had favorable outcomes at 3-6 months, 7.4% mortality.
Conclusions:
- Hospitalized cyclists are predominantly from rural, lower-income backgrounds.
- Most patients experience good recovery within three months, with common persistent symptoms including headache and fatigue.
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