NDLI: Alcohol, bicycling, and head and brain injury: a study of impaired cyclists' riding patterns R1.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Crocker, Patrick Zad, Omid Milling, Truman Lawson, Karla A.
Spatial Coverage	Texas
Description	Country affiliation: United States Author Affiliation: Crocker P ( Dell Children's Medical Center of Central Texas, Austin, TX 78723, USA.)
Abstract	OBJECTIVE: The aim of the study was to examine the interactions between alcohol, bicycle helmet use, experience level, riding environment, head and brain injury, insurance status, and hospital charges in a medium-sized city without an adult helmet law. METHODS: A study of adult bicycle accident victims presenting to a regional trauma center over a 1-year period was undertaken. Data were collected at the bedside regarding helmet use, alcohol use, experience level, location and type of accident and prevailing vehicle speed (for road accidents), and presence and degree of head or brain injury. RESULTS: Two hundred patients 18 years or older were enrolled from December 2006 through November 2007. Alcohol use showed a strong correlation with head injury (odds ratio, 3.23; 95% confidence interval, 1.57-6.63; P = .001). Impaired riders were less experienced, less likely to have medical insurance, rarely wore helmets, were more likely to ride at night and in slower speed zones such as city streets, and their hospital charges were double (all P values <.05). CONCLUSIONS: Alcohol use leads to a host of unsafe bicycling practices, increased head and brain injuries, and costs to the cyclist and community. The interrelated characteristics of the riding patterns of the cyclists who use alcohol might help target interventions.
File Format	HTM / HTML
ISSN	07356757
Issue Number	1
Volume Number	28
e-ISSN	15328171
Journal	The American Journal of Emergency Medicine
Language	English
Publisher	Elsevier
Publisher Date	2010-01-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Emergency Discipline Medicine Alcohol Drinking Epidemiology Athletic Injuries Bicycling Injuries Craniocerebral Trauma Adolescent Adult Economics Etiology Brain Injuries Cross-sectional Studies Female Head Protective Devices Statistics & Numerical Data Hospital Charges Humans Insurance Coverage Insurance, Health Male Middle Aged Texas Trauma Centers Young Adult Journal Article
Content Type	Text
Resource Type	Article
Subject	Emergency Medicine

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1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
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