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Published on: February 19, 2017
Effect of motorcycle helmet types on head injuries: evidence from eight level-I trauma centres in Taiwan
Carlos Lam1,2,3, Bayu Satria Wiratama3,4, Wen-Han Chang2,3,5,6,7,8
1Emergency Department, Department of Emergency and Critical Care Medicine, Wan Fang Hospital, Taipei Medical University, 111 Xinglong Road, Section 3, Taipei, 11696, Taiwan.
Background:
Motorcycle full-coverage helmet use may reduce fatalities and head injuries.
Methods:
This retrospective cohort study extracted injury data from eight level-I trauma centres in Taiwan and performed a questionnaire survey to investigate injuries sustained by motorcyclists for the period between January 2015 and June 2017.
Results:
As many as 725 patients participated in the questionnaire survey and reported their helmet types or phone use during crashes. The results of multivariate logistic models demonstrated that nonstandard helmet (half or open-face helmet) use was associated with an increased risk of head injuries and more severe injuries (injury severity score ≥ 8). Drunk riding and phone use appeared to be two important risk factors for head injuries and increased injury severity. Anaemia was also found to be a determinant of head injuries."
Conclusions:
Compared to full-coverage helmets, nonstandard provide less protection against head injuries and increased injury severity among motorcyclists.

