Observational studyInternational journal of environmental research and public health2016
Preventive Effects of Safety Helmets on Traumatic Brain Injury after Work-Related Falls.
Observational study in International journal of environmental research and public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Interventions to prevent injuries in construction workers.The Cochrane database of systematic reviews · 2018Pooled it
- Can Industrial Helmets Protect the Head in Simulated Falls and Trips?Annals of biomedical engineering · 2026Article
- Prior Concussions and Risk of Disability for Patients After a Motor Vehicle Crash.JAMA network open · 2026Article
- Fundamentals of occupational health and safety practices outside the workplace among health professionals in Ghana: an assessment of determinants of crash helmet use in the Tamale Teaching Hospital.BMC public health · 2025Article
- Experimental evaluation of hard hat performance during impacts to a forward-flexed head.International biomechanics · 2025Article
- Lightweight detection model for safe wear at worksites using GPD-YOLOv8 algorithm.Scientific reports · 2025Article
- Evaluation of the Fall Protection of Type I Industrial Helmets.Annals of biomedical engineering · 2022Article
- Impact of Helmet-Wearing Policy on E-Bike Safety Riding Behavior: A Bivariate Ordered Probit Analysis in Ningbo, China.International journal of environmental research and public health · 2022Article
- Ladder Use in Older People: Type, Frequency, Tasks and Predictors of Risk Behaviours.International journal of environmental research and public health · 2021Article
- Application of polyethylene air-bubble cushions to improve the shock absorption performance of Type I construction helmets for repeated impacts.Bio-medical materials and engineering · 2021Article
- Slip and Fall Incidents at Work: A Visual Analytics Analysis of the Research Domain.International journal of environmental research and public health · 2019Article
- Evaluation of the shock absorption performance of construction helmets under repeated top impacts.Engineering failure analysis · 2019Article
- The Guatemalan Construction Industry: Approach of Knowledge Regarding Work Risks Prevention.International journal of environmental research and public health · 2018Article
- Article
Corrections and comments
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Authors and funding
4 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionWork-related traumatic brain injury (TBI) caused by falls is a catastrophic event that leads to disabilities and high socio-medical costs. This study aimed to measure the magnitude of the preventive effect of safety helmets on clinical outcomes and to compare the effect across different heights of fall.
methodsWe collected a nationwide, prospective database of work-related injury patients who visited the 10 emergency departments between July 2010 and October 2012. All of the adult patients who experienced work-related fall injuries were eligible, excluding cases with unknown safety helmet use and height of fall. Primary and secondary endpoints were intracranial injury and in-hospital mortality. We calculated adjusted odds ratios (AORs) of safety helmet use and height of fall for study outcomes, and adjusted for any potential confounders.
resultsA total of 1298 patients who suffered from work-related fall injuries were enrolled. The industrial or construction area was the most common place of fall injury occurrence, and 45.0% were wearing safety helmets at the time of fall injuries. The safety helmet group was less likely to have intracranial injury comparing with the no safety helmet group (the adjusted odds ratios (ORs) (95% confidence interval (CI)): 0.42 (0.24-0.73)), however, there was no statistical difference of in-hospital mortality between two groups (the adjusted ORs (95% CI): 0.83 (0.34-2.03). In the interaction analysis, preventive effects of safety helmet on intracranial injury were significant within 4 m height of fall.
conclusionsA safety helmet is associated with prevention of intracranial injury resulting from work-related fall and the effect is preserved within 4 m height of fall. Therefore, wearing a safety helmet can be an intervention for protecting fall-related intracranial injury in the workplace.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.