Roszalina Ramli1, Jennifer Oxley2, Faridah Mohd Noor3, Nurul Kharmila Abdullah4, Mohd Shah Mahmood4, Abdul Karim Tajuddin5, Roderick McClure6. 1. Dept of Oral and Maxillofacial Surgery, Universiti Kebangsaan Malaysia Medical Centre, 56000 Jln Yaacob Latif, Kuala Lumpur, Malaysia; Monash University Accident Research Centre (MUARC), Monash University Sunway Campus, Jalan Lagoon Selatan, 46150 Bandar Sunway, Selangor Darul Ehsan, Malaysia. Electronic address: roszalina@ppukm.ukm.edu.my. 2. Monash Injury Research Institute (MIRI), Building 70, Monash University, Victoria 3800, Australia. Electronic address: jennie.oxley@monash.edu. 3. Dept of Pathology, Universiti Kebangsaan Malaysia Medical Centre, 56000 Jln Yaacob Latif, Kuala Lumpur, Malaysia. 4. National Institute of Forensic Medicine, Kuala Lumpur Hospital, Jalan Pahang, 50586 Kuala Lumpur, Malaysia. 5. Forensic Unit, Serdang Hospital, Jalan Puchong, 43000 Kajang, Selangor Darul Ehsan, Malaysia. 6. Monash Injury Research Institute (MIRI), Building 70, Monash University, Victoria 3800, Australia. Electronic address: rod.mcclure@monash.edu.
Abstract
BACKGROUND: Motorcycle fatalities constitute the majority of road traffic deaths in Malaysia. The aims of this study were to describe the pattern of fatal injuries among Klang Valley fatal motorcyclists and to describe the factors associated with fatal (vs non-fatal) injuries. METHODS: A cross-sectional analysis was performed on data from a case series of injured (fatal and non-fatal) motorcyclists recruited from Klang Valley between 14th March 2010 and 13th March 2011. Fatal cases in the cases series were identified from the Police files. Non-fatal cases were recruited from five major hospitals in the study region. Information used in the analyses were obtained from Police crash reports, hospital medical records, and Coroner's records of the participant sample. RESULTS: Of the 177 fatal cases, 142 (80.2%) were categorised as instantaneous death while 35 (19.8%) cases were categorised as experiencing delayed death. Thirty two percent of the cases had a Maximum Abbreviated Injury Score (MAIS) of 5 with head injury being the most common cause of death. Significant predictors of fatal (vs non-fatal) injury included ethnic groups, monthly income, alcohol and drug use and road type. Alcohol and drug use was shown to be the strongest predictor with adjusted odds ratio (AOR) of 14.77 (95% CI 3.32-65.65). CONCLUSION: Factors related to the motorcyclists, road user behaviour and the road environment as well as pre-hospitalisation emergency care must be addressed efficiently in low and middle income countries to reduce the number and severity of motorcycle-related injuries.
BACKGROUND: Motorcycle fatalities constitute the majority of road traffic deaths in Malaysia. The aims of this study were to describe the pattern of fatal injuries among Klang Valley fatal motorcyclists and to describe the factors associated with fatal (vs non-fatal) injuries. METHODS: A cross-sectional analysis was performed on data from a case series of injured (fatal and non-fatal) motorcyclists recruited from Klang Valley between 14th March 2010 and 13th March 2011. Fatal cases in the cases series were identified from the Police files. Non-fatal cases were recruited from five major hospitals in the study region. Information used in the analyses were obtained from Police crash reports, hospital medical records, and Coroner's records of the participant sample. RESULTS: Of the 177 fatal cases, 142 (80.2%) were categorised as instantaneous death while 35 (19.8%) cases were categorised as experiencing delayed death. Thirty two percent of the cases had a Maximum Abbreviated Injury Score (MAIS) of 5 with head injury being the most common cause of death. Significant predictors of fatal (vs non-fatal) injury included ethnic groups, monthly income, alcohol and drug use and road type. Alcohol and drug use was shown to be the strongest predictor with adjusted odds ratio (AOR) of 14.77 (95% CI 3.32-65.65). CONCLUSION: Factors related to the motorcyclists, road user behaviour and the road environment as well as pre-hospitalisation emergency care must be addressed efficiently in low and middle income countries to reduce the number and severity of motorcycle-related injuries.
Authors: Suliman Alghnam; Hatim A Alsulaim; Yasser Abdullah BinMuneif; Abdulmohsen Al-Zamil; Abdullah Alahmari; Abdullah Alshafi; Ahmad Alsaif; Ibrahim Albabtain Journal: Ann Saudi Med Date: 2019-05-30 Impact factor: 1.526
Authors: Muhammad Ijaz; Lan Liu; Yahya Almarhabi; Arshad Jamal; Sheikh Muhammad Usman; Muhammad Zahid Journal: Int J Environ Res Public Health Date: 2022-08-24 Impact factor: 4.614