Fatal injuries among motorcyclists in Klang Valley, Malaysia

Roszalina Ramli, Jennifer Oxley, Faridah Mohd Noor, Nurul Kharmila Abdullah, Mohd Shah Mahmood, Abdul Karim Tajuddin, Roderick McClure

Research output: Contribution to journalArticle

20 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)39-45
Number of pages7
JournalJournal of Forensic and Legal Medicine
Volume26
DOIs
Publication statusPublished - 2014

Fingerprint

Malaysia
motorcycle
death
drug use
Wounds and Injuries
Motorcycles
police
alcohol
road
income
Police
road user
road traffic
cause of death
hospitalization
Alcohols
ethnic group
Coroners and Medical Examiners
Hospital Records
Emergency Medical Services

Keywords

  • Fatal motorcycle crash
  • Injury
  • Klang Valley
  • Malaysia
  • Predictors of death

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Law

Cite this

Ramli, R., Oxley, J., Noor, F. M., Abdullah, N. K., Mahmood, M. S., Tajuddin, A. K., & McClure, R. (2014). Fatal injuries among motorcyclists in Klang Valley, Malaysia. Journal of Forensic and Legal Medicine, 26, 39-45. https://doi.org/10.1016/j.jflm.2014.06.007

Fatal injuries among motorcyclists in Klang Valley, Malaysia. / Ramli, Roszalina; Oxley, Jennifer; Noor, Faridah Mohd; Abdullah, Nurul Kharmila; Mahmood, Mohd Shah; Tajuddin, Abdul Karim; McClure, Roderick.

In: Journal of Forensic and Legal Medicine, Vol. 26, 2014, p. 39-45.

Research output: Contribution to journalArticle

Ramli, R, Oxley, J, Noor, FM, Abdullah, NK, Mahmood, MS, Tajuddin, AK & McClure, R 2014, 'Fatal injuries among motorcyclists in Klang Valley, Malaysia', Journal of Forensic and Legal Medicine, vol. 26, pp. 39-45. https://doi.org/10.1016/j.jflm.2014.06.007
Ramli, Roszalina ; Oxley, Jennifer ; Noor, Faridah Mohd ; Abdullah, Nurul Kharmila ; Mahmood, Mohd Shah ; Tajuddin, Abdul Karim ; McClure, Roderick. / Fatal injuries among motorcyclists in Klang Valley, Malaysia. In: Journal of Forensic and Legal Medicine. 2014 ; Vol. 26. pp. 39-45.
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N2 - 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.

AB - 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.

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