이륜자동차 사고 환자에서 안전모 착용이 손상에 미치는 영향분석 = The Impacts of Helmet Use on Injuriesin Motorcycle Crash Patients in Korea

다국어 초록 (Multilingual Abstract)

Purpose: To determine the helmet use rate, factors affecting
helmet use in Korea, and the effects of helmet use on
injuries.
Methods: This is a prospective study with patients who visited
two emergency centers in Seoul during 7 months due
to accidents that they had while riding a motorcycle. We
examined the patients’ general characteristics, whether to
wear a helmet, Glasgow Coma Scale (GCS), Revised
Trauma Score (RTS), Abbreviated Injury Score (AIS) and
Injury Severity Score (ISS) on admission, and whether to
be hospitalized. In addition, factors such as the patients’
position, accident season, day of the week, hour and
whether to drink were analyzed to see if they affect helmet
use and injuries.
Results: A total of 178 patients participated in this study,
and 57.3% wore a helmet. Around 20% of patients had
head injuries. Head injuries were more frequent in those
who did not wear a helmet. According to the result of analyzing
factors affecting helmet use, the helmet non-use rate
was high in patients whose age was 30 or less and
drinkers. For the two groups, the odds ratios for helmet
non-use were 2.3 (95% CI 1.2~4.5) and 4.2 (95% CI 1.2~
15.2), respectively.
Conclusion: This study shows that helmet use can prevent
head injuries in motorcycle patients. Thus, in order to prevent
head injuries, helmet use should be increased and, for
this, education and regulation on helmet use should be reinforced,
par

참고문헌 (Reference)

1 "effect of a reenacted comprehensivehelmet use law" 266-72,

2 "Traffic Crash Statistics in 2004" 2004

3 "The effects of motorcycle helmet usebetween hospitals in states with and without a mandatoryhelmet law" 66 : 195-198, 2002

4 "The effect ofthe 1992 California motorcycle helmet use law on motorcy-cle crash fatalities and injuries" 1506-11, jama1994

5 "Injury prevention strate-gies to promote helmet use decrease severe head injuriesat a level I trauma center" 39 : 29-35, 1995

6 "Injury patterns associated withmortality following motorcycle crashes" 33 : 473-477, 2002

7 "Incidence, severity, and pat-terns of intrathoracic and intra-abdominal injuries in motorcycle crashes" 52 : 548-553, 2002

8 "Impact of helmet law on two wheel motor vehicle crashmortality in a southern European urban area" 6 : 184-188, 2000

9 "Helmet use and motorcycle fatalities in Taiwan" 37 : 349-355, 2005

10 "Factors associated with seatbelt, helmet, and child safety seat use in a Spanish high-risk injury area" 60 : 620-626, 2006

11 "Epidemiology of crashes among users of two-wheeledmotor vehicles" 12 : 99-103, 2002