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Objective . To study the impact of helmet use on outcomes after recreational vehicle accidents.  Methods . This is an observational cohort of adult and pediatric patients who sustained a TBI while riding a recreational vehicle. Recreational vehicles included bicycles, motorcycles, and all-terrain vehicles (ATVs), as well as a category for other vehicles such as skateboards and scooters.  Results . Lack of helmet use was significantly associated with having a more severe traumatic brain injury and being admitted to the hospital. Similarly, 25% of those who did wearing a helmet were admitted to the ICU versus 36% of those who did not ( P  = 0.0489). The hospital length of stay was significantly greater for patients who did not use helmets.  Conclusion . Lack of helmet use is significantly correlated with abnormal neuroimaging and admission to the hospital and ICU; these data support a call for action to implement more widespread injury prevention and helmet safety education and advocacy.

Impact of Helmet Use in Traumatic Brain Injuries Associated with Recreational Vehicles