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. 2003 Sep;9(3):257–260. doi: 10.1136/ip.9.3.257

Effect of Italy's motorcycle helmet law on traumatic brain injuries

F Servadei 1, C Begliomini 1, E Gardini 1, M Giustini 1, F Taggi 1, J Kraus 1
PMCID: PMC1731012  PMID: 12966016

Abstract

Objectives: To evaluate the impact of a revised Italian motorcycle-moped-scooter helmet law on crash brain injuries.

Design: A pre-post law evaluation of helmet use and traumatic brain injury (TBI) occurrence from 1999 to 2001.

Setting: Romagna region, northeastern Italy, with a 2000 resident population of 983 534 persons.

Participants: Motorcycle-moped rider survey for helmet use compliance and all residents in the region admitted to the Division of Neurosurgery of the Maurizio Bufalini Hospital in Cesena, Italy for TBI.

Outcome measures: Helmet use compliance and change in TBI admissions and type(s) of brain lesions.

Results: Helmet use increased from an average of less than 20% to over 96%. A comparison of TBI incidence in the Romagna region shows that there was no significant variation before and after introduction of the revised helmet law, except for TBI admissions for motorcycle-moped crashes where a 66% decrease was observed. In the same area TBI admissions by age group showed that motorcycle mopeds riders aged 14–60 years sustained significantly fewer TBIs. The rate of TBI admissions to neurosurgery decreased by over 31% and epidural hematomas almost completely disappeared in crash injured moped riders.

Conclusions: The revised Italian mandatory helmet law, with police enforcement, is an effective measure for TBI prevention at all ages.

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Selected References

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  1. Begg D. J., Langley J. D., Reeder A. I. Motorcycle crashes in New Zealand resulting in death and hospitalisation. I: Introduction methods and overview. Accid Anal Prev. 1994 Apr;26(2):157–164. doi: 10.1016/0001-4575(94)90085-x. [DOI] [PubMed] [Google Scholar]
  2. Björnstig U. L., Bylund P. O., Lekander T., Brorsson B. Motorcycle fatalities in Sweden. Acta Chir Scand. 1985;151(7):577–581. [PubMed] [Google Scholar]
  3. Bricolo A. P., Pasut L. M. Extradural hematoma: toward zero mortality. A prospective study. Neurosurgery. 1984 Jan;14(1):8–12. doi: 10.1227/00006123-198401000-00003. [DOI] [PubMed] [Google Scholar]
  4. Chiu W. T., Kuo C. Y., Hung C. C., Chen M. The effect of the Taiwan motorcycle helmet use law on head injuries. Am J Public Health. 2000 May;90(5):793–796. doi: 10.2105/ajph.90.5.793. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Clarke J. A., Langley J. D. Disablement resulting from motorcycle crashes. Disabil Rehabil. 1995 Oct;17(7):377–385. doi: 10.3109/09638289509166725. [DOI] [PubMed] [Google Scholar]
  6. Dall G. The incidence of motorcycle accidents in South Africa--an alarming increase. S Afr Med J. 1983 Jul 30;64(5):161–163. [PubMed] [Google Scholar]
  7. Evans L., Frick M. C. Helmet effectiveness in preventing motorcycle driver and passenger fatalities. Accid Anal Prev. 1988 Dec;20(6):447–458. doi: 10.1016/0001-4575(88)90043-7. [DOI] [PubMed] [Google Scholar]
  8. Falope I. A. Motorcycle accidents in Nigeria. A new group at risk. West Afr J Med. 1991 Apr-Jun;10(2):187–189. [PubMed] [Google Scholar]
  9. Ferrando J., Plasència A., Orós M., Borrell C., Kraus J. F. Impact of a helmet law on two wheel motor vehicle crash mortality in a southern European urban area. Inj Prev. 2000 Sep;6(3):184–188. doi: 10.1136/ip.6.3.184. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Holubowycz O. T., McLean A. J. Demographic characteristics, drinking patterns and drink-driving behavior of injured male drivers and motorcycle riders. J Stud Alcohol. 1995 Sep;56(5):513–521. doi: 10.15288/jsa.1995.56.513. [DOI] [PubMed] [Google Scholar]
  11. Kraus J. F., Anderson C., Zador P., Williams A., Arzemanian S., Li W. C., Salatka M. Motorcycle licensure, ownership, and injury crash involvement. Am J Public Health. 1991 Feb;81(2):172–176. doi: 10.2105/ajph.81.2.172. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Kraus J. F., Arzemanian S., Anderson C. L., Harrington S., Zador P. Motorcycle design and crash injuries in California, 1985. Bull N Y Acad Med. 1988 Sep-Oct;64(7):788–803. [PMC free article] [PubMed] [Google Scholar]
  13. Kraus J. F., Peek C., McArthur D. L., Williams A. The effect of the 1992 California motorcycle helmet use law on motorcycle crash fatalities and injuries. JAMA. 1994 Nov 16;272(19):1506–1511. [PubMed] [Google Scholar]
  14. LaTorre Giuseppe, Bertazzoni Giuliano, Zotta Donato, van Beeck Edward, Ricciardi Gualtiero. Epidemiology of accidents among users of two-wheeled motor vehicles. A surveillance study in two Italian cities. Eur J Public Health. 2002 Jun;12(2):99–103. doi: 10.1093/eurpub/12.2.99. [DOI] [PubMed] [Google Scholar]
  15. Plasència A., Borrell C., Antó J. M. Emergency department and hospital admissions and deaths from traffic injuries in Barcelona, Spain. A one-year population-based study. Accid Anal Prev. 1995 Aug;27(4):591–600. doi: 10.1016/0001-4575(95)00007-m. [DOI] [PubMed] [Google Scholar]
  16. Rutledge R., Stutts J. The association of helmet use with the outcome of motorcycle crash injury when controlling for crash/injury severity. Accid Anal Prev. 1993 Jun;25(3):347–353. doi: 10.1016/0001-4575(93)90028-u. [DOI] [PubMed] [Google Scholar]
  17. Servadei F., Antonelli V., Mastrilli A., Cultrera F., Giuffrida M., Staffa G. Integration of image transmission into a protocol for head injury management: a preliminary report. Br J Neurosurg. 2002 Feb;16(1):36–42. doi: 10.1080/02688690120114255. [DOI] [PubMed] [Google Scholar]
  18. Shankar B. S., Ramzy A. I., Soderstrom C. A., Dischinger P. C., Clark C. C. Helmet use, patterns of injury, medical outcome, and costs among motorcycle drivers in Maryland. Accid Anal Prev. 1992 Aug;24(4):385–396. doi: 10.1016/0001-4575(92)90051-j. [DOI] [PubMed] [Google Scholar]
  19. Sood S. Survey of factors influencing injury among riders involved in motorized two-wheeler accidents in India: a prospective study of 302 cases. J Trauma. 1988 Apr;28(4):530–534. doi: 10.1097/00005373-198804000-00021. [DOI] [PubMed] [Google Scholar]
  20. Sosin D. M., Sacks J. J., Holmgreen P. Head injury--associated deaths from motorcycle crashes. Relationship to helmet-use laws. JAMA. 1990 Nov 14;264(18):2395–2399. [PubMed] [Google Scholar]
  21. Taggi F. Safety helmet law in Italy. Lancet. 1988 Jan 23;1(8578):182–182. doi: 10.1016/s0140-6736(88)92754-7. [DOI] [PubMed] [Google Scholar]
  22. Watson G. S., Zador P. L., Wilks A. Helmet use, helmet use laws, and motorcyclist fatalities. Am J Public Health. 1981 Mar;71(3):297–300. doi: 10.2105/ajph.71.3.297. [DOI] [PMC free article] [PubMed] [Google Scholar]

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