Multivariate Analysis of Motorcycle Accidents and the Effects of Exclusive Motorcycle Lanes in Malaysia

Sohadi, Radin Umar Radin; Mackay, Murray; Hills, B L

doi:10.1080/10286580008902549

Cited by 37 publications

(9 citation statements)

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“…The crash impact between an LMC and these vehicles can easily cause more severe injury to riders [59]. We believe that segregation of LMCs from other heavier vehicles by providing an exclusive lane to LMC riders can effectively reduce injury severity [60].…”

Section: Discussionmentioning

confidence: 99%

Rider factors associated with severe injury after a light motorcycle crash: A multicentre study in an emerging economy setting

et al. 2019

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Objective In Taiwan, light motorcycles (LMCs) with cylinder capacities between 50 and 250 cc are widely used for daily commute. These vehicles are operated in a mixed traffic environment and prohibited on highways. In light of increasing motorcycle casualties, we conducted a multicentre study to analyse rider factors affecting injury severity. Methods Riders hospitalised upon LMC crashes were contacted. Information on demographics, comorbidities, and riding behaviours was collected through questionnaires and linked to hospital data. The injury severity score (ISS) and length of hospitalisation (LOH) were used as injury severity measures. Results In total, 725 patients (mean age: 37.7 years; 64% men) completed their questionnaires. Multivariate analysis results showed that age ≥ 65 years, half-face helmets, protective clothing, collisions with a bus/truck or car, and fatigue riding were risk factors for having an ISS of ≥9. Age ≥ 65 years; motorcycle crashes ≥2 times in the previous year; anaemia; rural crashes; half-face helmets; protective boots; collisions with a bus/truck, car, or a stationary object; alcohol/stimulating refreshment consumption; and fatigue riding were risk factors for increased LOH. A protective factor was individuals working in commerce. Collisions with opening car doors caused low risks of having an ISS of ≥9 and a short LOH. Conclusion Certain factors were significantly associated with riders’ injury severity and related medical resource consumption. Because of differences in the power output, use, and riding environment, risk factors for severe injuries in LMC crashes are dissimilar from those for heavy motorcycles (cylinder capacities > 250 cc) in developed countries and deserve more attention for injury prevention. Further in-depth evaluation of significant factors based on this study’s results can yield valuable information to reduce severe injuries after LMC crashes in countries and areas with a high dependency on motorcycles, even considering the popularity of electric motorcycles.

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Section: Discussionmentioning

confidence: 99%

Rider factors associated with severe injury after a light motorcycle crash: A multicentre study in an emerging economy setting

et al. 2019

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“…Hence, a critical protective measure would be for policymakers to designate motorcycle-only traffic lanes to help separate motorcycle rider/operators from car traffic. Use of motorcycle-only lanes significantly reduces accidents for motorcyclists by as much as 39%, which indicates motorcycle lanes can be a highly successful public safety measure [10].…”

Section: Discussionmentioning

confidence: 99%

Motor-vehicle Crash Patient Injury Patterns from a Level One Trauma Center in a Metropolitan City: A Cross-Sectional Study

Hasan

Sheikh

Fatima

et al. 2019

Cureus

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Introduction Motorcycles are an inexpensive and popular mode of transportation in Karachi, Pakistan, despite the increasing number of motor vehicle injuries. Although motorcycle-related injuries have been studied previously, to our knowledge, there are no published reports on the orthopedic injuries associated with motorcycles crashes. Methods We conducted a cross-sectional study of medical records of patients with motorcycle-related injuries in 2015, at the Aga Khan University in Karachi, Pakistan. We reviewed the patient demographic and medical data, helmet use, the Glasgow coma score, the spectrum of injuries, length of stay, specific injury diagnosis, and final disposition of patients. Data were analyzed using IBM SPSS Statistics for Windows, Version 20.0 (IBM Corp., Armonk, NY). Results We identified 450 motorcycle crash injuries. Ninety percent of these victims were males, and 81% were driving at the time of the crash. More than 50% of crashes involved patients age under 29 years, and most crashes (35%) involved patients in the third decade of life. We observed that 6.8% of accidents involved patients younger than 10 years of age. For all the motorcycle-related injuries, 45% occurred during the weekend (Saturday and Sunday). Helmets were worn by only 7% of patients. The most common types of collisions were motorcycle versus car followed by lone motorcycle fall. Of the injuries sustained, the cumulative frequency of orthopedic injuries was the highest (63%), of which 34% were lower limb injuries and 29% were upper limb injuries. The second highest frequency of injuries were head injuries (46%). We also found that 85% motorcycle injury victims sustained fractures. Conclusion The frequency of motorcycle-related injuries was high among young adults, and closed fractures of the lower limbs were the most common orthopedic injuries related to motorcycle crashes. Use of helmets among motorcyclists needs to be reinforced to prevent head injuries. We suggest motorcyclists to use protective clothes and motorcycle sidebars to prevent fractures of the lower limb. Further research is needed to determine the type of fractures, type of head injuries, surgical interventions required, and morbidity and mortality in motorcycle-related injuries and whether designing separate lanes for motorcycles will reduce the burden of these injuries on the healthcare system.

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“…The most radical measures refers to segregate lanes, which has been proved to be an efficient solution to protect riders from conflicts with cars and trucks, the greatest benefit of this solution being got when the PTW traffic overcome a certain level (according to Radin Umar, Mackay and Hills [25]: 15,000 vehicles a day with a proportion between 20% and 30% of PTWs in the traffic). But less massive solutions can also be promoted to avoid critical interactions with cars in town, such as replacing intersections, known to be detrimental to PTWs, with roundabouts, but considering the necessity to adapt them to avoid PTWs single vehicle crashes when negotiating them [26].…”

Section: Discussionmentioning

confidence: 99%

Powered two-wheelers in urban environment: A detailed accident analysis

Elslande¹,

Fournier²,

Parraud³

2015

Int. J. SAFE

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The powered two-wheelers (PTWs; moped, motorcycles and scooters) have long been considered as a marginal population, but they developed significantly these last decades in most parts of the world, necessitating a new view concerning them. This is particularly the case in urban areas where their use has increased, notably linked to the possibility they offer to escape the problems of traffic congestion, which attracts an increasingly vast and varied population. In addition, PTWs can also be a good compromise to face in inner-city parking problems. As such, the motorized two wheelers are considered by certain authors as an essential contribution to the urban traffic of tomorrow. However, this view is currently contradicted by the poor level of safety linked to the integration of such vehicles within traffic. As a matter of fact, most epidemiological studies show the overall excess risk to which PTWs are confronted in the traffic system, this risk coming notably from the extreme vulnerability of PTW riders in case of a crash, and relying on some specific accident patterns. This negative effect must be neutralized for PTW to become a true urban mobility tool. The purpose of the present paper is to identify the causes and mechanisms of PTW traffic crashes occurred in town, notably comparing them with those produced in countryside areas. The data rely on a detailed analysis of a sample of 1308 accident police records. The results put emphasis on the difficulties met by PTW users on the road or in the street, and also the difficulties met by car drivers confronted to them. A better knowledge of the specificities and the mechanisms of PTW involvement in injury accidents is viewed as offering a potential improvement of their safety through an adapted urban infrastructure development.

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Multivariate Analysis of Motorcycle Accidents and the Effects of Exclusive Motorcycle Lanes in Malaysia

Cited by 37 publications

References 1 publication

Rider factors associated with severe injury after a light motorcycle crash: A multicentre study in an emerging economy setting

Rider factors associated with severe injury after a light motorcycle crash: A multicentre study in an emerging economy setting

Motor-vehicle Crash Patient Injury Patterns from a Level One Trauma Center in a Metropolitan City: A Cross-Sectional Study

Powered two-wheelers in urban environment: A detailed accident analysis

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