Factors Influencing Severe Injuries among Motorcycle Accident Victims in Hua Hin District, Prachuap Khiri Khan Province
Keywords:
Severity of injury, Severe injury, Traffic accident, Motorcycle accident, Rear-end collisionAbstract
This retrospective cross-sectional analytical study aimed to investigate the demographic characteristics and circumstances surrounding motorcycle accidents, as well as the factors influencing severe injuries among motorcycle accident victims in Hua Hin District, Prachuap Khiri Khan Province. The study focused on individuals who sustained injured in motorcycle collisions with other vehicles and received medical examination and treatment at the Clinical Forensic Medicine Unit, Hua Hin Hospital, Prachuap Khiri Khan Province, between 1 November 2023 and 29 February 2024. A total of 257 individuals were included in the study. Data were collected using a record form documenting personal factors, environmental factors, injury characteristics, and the severity of the injuries. Descriptive statistics and multiple logistic regression analysis were used to analyze the data. Results were as follows.
1. From the 257 injured individuals, 52.1% were male and 47.9% were female. The average age was 34.07 (SD= 17.40) years, with 83.3% being the motorcycle rider. Notably, 70.8% of the riders were not wearing helmets. The majority of accidents (42.8%) occurred between 8:31 AM and 4:30 PM. Most incidents (62.6%) involved head-on collisions with other vehicles, with 55.6% of the other vehicles being four-wheel cars. Additionally, 88.3% of the injured individuals arrived at the hospital by emergency vehicles or with medical personnel. Severe injuries (ISS ≥ 16) were identified in 35 individuals (13.6%).
2. Factors influencing severe injuries include males (2.33 times ORadj = 2.33, 95%CI: 1.03 -5.27), more likely than females. Injured individuals aged 20 to 59 years and those aged 60 years and older were 59 times (ORadj = 8.59, 95%CI: 1.89 - 38.90), and 28.09 times (ORadj = 28.09, 95%CI: 5.19 - 151.97), more likely, respectively, compared to those injured under 20 years of age. Not wearing a helmet increased the risk by 7.08 times (ORadj = 7.08, 95%CI: 2.01 - 24.95), compared to those who wore helmets. Additionally, individuals involved in rear-end collisions were 2.87 times more likely to suffer severe injuries (ORadj = 2.87, 95%CI: 1.01 - 8.14) compared to those involved in head-on collisions with other vehicles.
Therefore, emergency room staff should be aware of the factors that may contribute to severe injuries in motorcycle accident victims, including gender, age, not wearing a helmet, and the type of collision. It is also recommended to promote the use of full-face helmets as a preventive factor for severe brain injuries, a leading cause of death in motorcycle accidents.
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