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Helmet Laws

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Impact of motorcycle helmets and state laws on society's burden: a national study.
Croce MA, Zarzaur BL, Magnotti LJ, Fabian TC.
2009 Sep;250(3):390-4. doi: 10.1097/SLA.0b013e3181b365a2.

Rationale for inclusion: Expanded on the earlier study by Hundely et al, this was a more extensive analysis of helmeted vs. unhelmeted MCC patients from the NTDB and included more than 76000 patients. For all injury severity measures included, the unhelmeted group sufffered more severe injuries, most importantly head injuries which confered a significant burden on the healthcare system. Additionaly the authors' analysis concluded that a potential $32 million of healthcare dollars could be saved by helmet use alone.

Citations  - To review the number of citations for this landmark paper, visit Google Scholar.

Non-helmeted motorcyclists: a burden to society? A study using the National Trauma Data Bank.
Hundley JC, Kilgo PD, Miller PR, Chang MC, Hensberry RA, Meredith JW, Hoth JJ.
2004 Nov;57(5):944-9.

Rationale for inclusion: One of the first studies to address the issue of helmet usage and directly address the criticisms that previous studies showing the benefits of helmet use did not control for other important confounders (namely alcohol and drugs). Using the NTDB database, 8 years of data were collected and helmeted and non-helmeted injured patient cohorts were compared. Results support that unhelmeted MCC suffer higher injury burdn and the costs of their care is significantly more expensive than their helmeted counterparts. 

Citations  - To review the number of citations for this landmark paper, visit Google Scholar.

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