TY - JOUR PY - 2018// TI - The impact of the repeal of Michigan's universal helmet law on traumatic brain injury: a statewide analysis JO - American journal of surgery A1 - Saunders, Rachel N. A1 - Adams, Nicholas S. A1 - Chapman, Alistair J. A1 - Davis, Alan T. A1 - Koehler, Tracy J. A1 - Durling, Luke T. A1 - Iskander, Gaby A. A1 - Girotto, John A. SP - 424 EP - 427 VL - 215 IS - 3 N2 - BACKGROUND: In April of 2012, Michigan repealed its 35-year-old universal motorcycle helmet law in favor of a partial helmet law, which permits motorcyclists older than 21 years old with sufficient insurance and experience to drive un-helmeted. We evaluated the clinical impact of the repeal.

METHODS: The Michigan Trauma Quality Improvement Program's trauma database was queried for motorcycle crash patients between 1/1/09-4/12/12 and between 4/13/12-12/31/14.

RESULTS: There were 1970 patients in the pre-repeal analysis and 2673 patients in the post-repeal analysis. Following the repeal, patients were more likely to be un-helmeted (p < 0.001) and to have a traumatic brain injury (p < 0.001). Patients were also more likely to require neurosurgical interventions (relative risk 1.4, p = 0.011).

CONCLUSION: Following the repeal of the universal helmet law, there has been a significant increase in traumatic brain injuries and neurosurgical interventions. This analysis highlights another detrimental impact of the repeal of the universal helmet law. SUMMARY SENTENCES: Following the repeal of the universal helmet law, there has been a significant increase in traumatic brain injuries and neurosurgical interventions. This analysis highlights another detrimental impact of the repeal of the universal helmet law.

Copyright © 2017 Elsevier Inc. All rights reserved.

Language: en

LA - en SN - 0002-9610 UR - http://dx.doi.org/10.1016/j.amjsurg.2017.09.033 ID - ref1 ER -