Sadiq @ Naing, Mohd Ayub Sadiq @ Lin and Ibrahim, Ahmad Zaki and Husain, Nik Rosmawati Nik
(2004)
Trends of motorcyclist accidents
in Kelantan and factors associated
With severity of motorcyclists'
Injury seen in Hospital Universiti
Sains Malaysia (HUSM), Kelantan.
Trends of motorcyclist accidents in Kelantan and factors associated With severity of motorcyclists' Injury seen in Hospital Universiti Sains Malaysia (HUSM), Kelantan.
Abstract
Motor vehicle crashes (MVCs) contribute large proportion of death and disability globally. In
Malaysia, more than 50°/o of the registered vehicles are motorcycle and it becomes one of the most
important forms of personal transportation. Approximately 52.2°/o of all fatalities and 70.9°/o of all
casualties related to MVCs in Kelantan were motorcycle riders and pillion riders. The objectives of
the study were to determine the trend of motorcycle crashes in Kelantan between 1998 and 2003
and to identify factors associated with the severity of injury sustained by motorcyclist accidents.
This study has two parts. Part 1 was a retrospective record review of MVCs in Kelantan between
1998 and 2003. Part 2 was a cross-sectional study on associated factors of motorcyclist accidents,
assessed through face to face interviewed-based questionnaire and, at the same time the severity
of injury was determined through Revised Trauma Score. The study revealed that majority of road
traffic injuries involved motorcycle users (58.5°/o to 63.1 °/o). The proportion of fatality was between
8.6o/o and 10.7% and majority involved those aged 11-30 years (60.0°/o- 69.7°/o). About 90°/o of the
fatal motorcycle injuries were male. The peak hour for fatality was between 4.00 and 8.00 in the
afternoons. There was no seasonal pattern of motorcycle accidents but, there was significant linear
increasing trend over time (p<0.001) with an average increase of 9 cases every year. Age more
than 50 years (OR=12.87, 95°/o Cl: 1.85, 89.58), no motorcycle license (OR=14.32, 95°/o Cl: 3.85,
53.23), no stressful condition (OR=4. 73, 95°/o Cl: 1.64, 13.69) and crash on two-way road
(OR=4. 78, 95°/o Cl: 1.26, 18.1 0) increased the odds of getting low score (RTS<11 ). Accidents on
straight roadways (OR=0.24, 95%> Cl: 0.07, 0.75) or on wet roads (OR=0.09, 95o/o Cl: 0.02, 0.55)
and drivers sleeping six to less than nine hours at night prior to accidents (OR=0.11, 95o/o Cl: 0.02,
0.64) reduced the odds for low score. Based on the results above, we conclude that the trend of
motorcycle accidents was increasing in the years 1998 - 2003, but with no seasonal pattern. Most
of the fatal motorcycle crashes involved young men riders and occurred in afternoons. Age more
than 50 years, no motorcycle license, no stressful condition and crashes on two-way road showed
higher risk to sustain more severe injury. However, drivers sleeping six to less than nine hours at
night, crashes on straight roadways and wet road surfaces were associated with less severe injury.
We recommend that public education, licensing and enforcement on accident prevention and
safety riding should be given a priority.
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