{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T14:09:29Z","timestamp":1774534169602,"version":"3.50.1"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2013,11]]},"abstract":"<jats:sec>\n            <jats:title>BACKGROUND<\/jats:title>\n            <jats:p>While the efficacy of helmet use in the prevention of head injury is well described, helmet use as it relates to bicyclists\u2019 behaviors and hospital resource use following injury is less defined. The objective of this study was to compare the demographics, behaviors, hospital workups, and outcomes of bicyclists based on helmet use.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>METHODS<\/jats:title>\n            <jats:p>This study was a subset analysis of a 2.5-year prospective cohort study of vulnerable roadway users conducted at Bellevue Hospital Center, a New York City Level 1 trauma center. All bicyclists with known helmet status were included. Demographics, insurance type, traffic law compliance, alcohol use, Glasgow Coma Scale (GCS) score, initial imaging studies, Abbreviated Injury Scale (AIS) score, Injury Severity Score (ISS), admission status, length of stay, disposition, and mortality were assessed. Information was obtained primarily from patients; witnesses and first responders provided additional information.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>RESULTS<\/jats:title>\n            <jats:p>Of 374 patients, 113 (30.2%) were wearing helmets. White bicyclists were more likely to wear helmets; black bicyclists were less likely (<jats:italic toggle=\"yes\">p<\/jats:italic> = 0.037). Patients with private insurance were more likely to wear helmets, those with Medicaid or no insurance were less likely (<jats:italic toggle=\"yes\">p<\/jats:italic> = 0.027). Helmeted bicyclists were more likely to ride with the flow of traffic (97.2%) and within bike lanes (83.7%) (<jats:italic toggle=\"yes\">p<\/jats:italic> &lt; 0.001 and <jats:italic toggle=\"yes\">p<\/jats:italic> = 0.013, respectively). Nonhelmeted bicyclists were more likely to ride against traffic flow (<jats:italic toggle=\"yes\">p<\/jats:italic> = 0.003). There were no statistically significant differences in mean GCS score, AIS score, and mean ISS for helmeted versus nonhelmeted bicyclists. Nonhelmeted patients were more likely to have head computed tomographic scans (<jats:italic toggle=\"yes\">p<\/jats:italic> = 0.049) and to be admitted (<jats:italic toggle=\"yes\">p<\/jats:italic> = 0.030).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CONCLUSION<\/jats:title>\n            <jats:p>Helmet use is an indicator of safe riding practices, although most injured bicyclists do not wear them. In this study, helmet use was associated with lower likelihood of head CTs and admission, leading to less hospital resource use. Injured riders failing to wear helmets should be targeted for educational programs.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>LEVEL OF EVIDENCE<\/jats:title>\n            <jats:p>Epidemiologic study, level III.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/ta.0b013e3182a85f97","type":"journal-article","created":{"date-parts":[[2013,10,24]],"date-time":"2013-10-24T07:23:57Z","timestamp":1382599437000},"page":"877-881","source":"Crossref","is-referenced-by-count":33,"title":["Helmet use is associated with safer bicycling behaviors and reduced hospital resource use following injury"],"prefix":"10.1097","volume":"75","author":[{"given":"Rachel","family":"Webman","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda A.","family":"Dultz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronald J.","family":"Simon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. Rob","family":"Todd","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dekeya","family":"Slaughter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sally","family":"Jacko","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omar","family":"Bholat","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"Wall","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chad","family":"Wilson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah A.","family":"Levine","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Roe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H. Leon","family":"Pachter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Spiros G.","family":"Frangos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R2-20-20240122","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1080\/15389580802641761","article-title":"Bicyclist fatalities in New York City: 1996-2005.","volume":"10","author":"Nicaj","year":"2009","journal-title":"Traffic Inj Prev"},{"key":"R6-20-20240122","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1136\/ip.2011.031815","article-title":"Bicycle helmet wearing and the risk of head, face, and neck injury: a French case-control study based on a road trauma registry.","volume":"18","author":"Amoros","year":"2012","journal-title":"Inj Prev"},{"key":"R7-20-20240122","first-page":"367","article-title":"Helmet use and bicycle-related trauma in patients presenting to an acute 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