Trends of motorcyclist accidents in Kelantan and factors associated With severity of motorcyclists' Injury seen in Hospital Universiti Sains Malaysia (HUSM), Kelantan

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.

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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.

Item Type: Article
Uncontrolled Keywords: Motor vehicle crashes
Subjects: R Medicine > RA Public aspects of medicine
Divisions: Kampus Kesihatan (Health Campus) > Pusat Pengajian Sains Perubatan (School of Medical Sciences) > Article
Depositing User: Mr Abdul Hadi Mohammad
Date Deposited: 25 Aug 2020 04:07
Last Modified: 25 Aug 2020 04:07
URI: http://eprints.usm.my/id/eprint/46939

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