Impact of compulsory helmet legislation on mortality rate and types of head and facial injuries in Jabalpur

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• 作者：Jayant Marya^a ; ^{marya_jayant@yahoo.com} ; Rajesh B. Dhirawani^a ; ^{rajeshdhirawani@hotmail.com} ; Gunjan Dube^a ; ^{gunjandube@rediffmail.com} ; Sanyog Pathak^a ; ^{pathak_sanyog@yahoo.com} ; Priyanka Dausage^b ; ^{pdausage@yahoo.co.in} ; Jasveen Kaur Sethi^c ; ^{jasveensethikaur@gmail.com}
• 关键词：Head and facial injuries ; Compulsory helmet law ; Jabalpur ; Motorized two-wheeler ; Road traffic accidents
• 刊名：Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：29
• 期：1
• 页码：24-28
• 全文大小：877 K
• 卷排序：29

文摘

Motorized two-wheeler users make up a high proportion of overall traffic injuries and deaths, particularly in India. Injuries to the head and neck are the main cause of death and severe disability among them. The objective of this study was to quantify the impact of compulsory helmet law imposed in Jabalpur city, for those driving two-wheelers, in reducing mortality, and head and facial injuries including the types of injuries often seen in road traffic accidents.Materials and methodsPeople of all ages involved in motorcycle–moped–scooter accidents who reported to emergency department of eight major hospitals and trauma centers of Jabalpur city or were brought in dead to these hospitals during the eight months before and after helmet legislation were included in this study. The data were compiled into overall deaths and types of head and facial injuries noted in these hospitals before and after helmet legislation.ResultsHighly significant reduction in contused lacerated wounds of the scalp and face, upper and middle 1/3 facial fractures and head and traumatic brain injuries was noted in motorized two-wheeler accidents since September 2014 after compulsory helmet legislation. A significant reduction was also observed in cranial vault fractures with no significant reduction in lower 1/3 facial fractures and mortality rate after helmet law.ConclusionIt has been confirmed through this study that mandatory use of helmets, with compulsory helmet law, is an effective measure for reducing soft tissue, head, brain and upper and middle 1/3 facial injuries in motorized two-wheeler accidents.