Changing Presentation of Traumatic Brain Injuries in a Tertiary Hospital Lahore Following Enforcement of Motorcycle Helmet Laws - A Mixed-Method Study
Keywords:Traumatic Brain Injury, Motorcycles, Helmet, Injuries, Prevention, Transportation, Epidemiology
AbstractObjectives: To observe change in traumatic brain injury (TBI) presentation after enforcement of a motorcycle helmet law and to explore perspectives of stakeholders on road safety measures. Methods: A cross-sectional study was undertaken based on retrospective record review of traffic-related TBI patients, supplemented by a qualitative component. Patient data in periods before and after helmet-law enforcement were stratified by TBI grade. Stakeholders as doctors, motorcyclists, and policemen were interviewed to explore perceptions regarding the observed changes in neurotrauma, helmet-use behaviour and effectiveness of helmet-law enforcement. Setting: Neurosurgery department, public-sector tertiary hospital in Lahore. Results: After the law’s enforcement, significant improvement in mean Glasgow Coma Scale (GCS) scores were seen on patient-admission (from 11.15 ± 3.51 to 12.24 ± 3.30). The severity of TBI, proportion of intracranial haemorrhages and other associated head injuries all reduced significantly (p < 0.05). Patient-survival rate increased (74.7% to 82%) and the operative rate reduced from 13.3% to 10.8%. After interviewing stakeholders, the main theme identified was “Enforcement of road safety measures remains partial and inconsistent”. Changes in healthcare burden and challenges in implementing legislature were noted. Conclusion: An association between the enforcement of a motorcycle helmet law and a decrease in the severity of traffic-related TBI hospital admissions was observed. Nonetheless, sustained helmet law enforcement remains a challenge in a temperate climate, and children, females and pillion riders are poorly-protected by current road policies.
How to Cite
This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open-access journal and all the published articles / items are distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. For comments firstname.lastname@example.org