%0 Journal Article
%T Full-face motorcycle helmets to reduce injury and death: a systematic review, meta-analysis, and practice management guideline from the Eastern Association for the Surgery of Trauma
%J American journal of surgery
%D 2022
%A Urrechaga, Eva M.
%A Kodadek, Lisa M.
%A Bugaev, Nikolay
%A Bauman, Zachary M.
%A Shah, Kaushal H.
%A Abdel Aziz, Hiba
%A Beckman, Marshall A.
%A Reynolds, John M.
%A Soe-Lin, Hahn
%A Crandall, Marie L.
%A Rattan, Rishi
%V ePub
%N ePub
%P ePub-ePub
%X BACKGROUND: While motorcycle helmets reduce mortality and morbidity, no guidelines specify which is safest. We sought to determine if full-face helmets reduce injury and death. <br><br>METHODS: We searched for studies without exclusion based on: age, language, date, or randomization. Case reports, professional riders, and studies without original data were excluded. Pooled results were reported as OR (95% CI). Risk of bias and certainty was assessed. (PROSPERO #CRD42021226929). <br><br>RESULTS: Of 4431 studies identified, 3074 were duplicates, leaving 1357 that were screened. Eighty-one full texts were assessed for eligibility, with 37 studies (n = 37,233) eventually included. Full-face helmets reduced traumatic brain injury (OR 0.40 [0.23-0.70]); injury severity for the head and neck (Abbreviated Injury Scale [AIS] mean difference -0.64 [-1.10 to -0.18]) and face (AIS mean difference -0.49 [-0.71 to -0.27]); and facial fracture (OR 0.26 [0.15-0.46]). <br><br>CONCLUSION: Full-face motorcycle helmets are conditionally recommended to reduce traumatic brain injury, facial fractures, and injury severity.<p /> <p>Language: en</p>
%G en
%I Elsevier Publishing
%@ 0002-9610
%U http://dx.doi.org/10.1016/j.amjsurg.2022.06.018