Cycle injury trends: helmets are most likely explanation

doi:10.1136/bmj.322.7299.1427

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Adrian Cook (a.d.cook@ic.ac.uk), statistician,
Aziz Sheikh, NHS research and development training fellow

Department of Primary Health Care and General Practice, Imperial College School of Medicine, London W2 1PG

EDITOR—We studied national trends in hospital admissions among English cyclists during 1991–5 and found significant reductions in admissions of cyclists with head injury.1 Data from annual surveys of cycle helmet usage during this period indicate that the proportion of children always wearing a helmet increased from 3% in 1991 to 20% in 1995,2 this last figure corresponding well with the 16% of cyclists observed wearing a helmet in a separate large survey in …