AN ANALYSIS OF HEAD AND NECK INJURY PATTERNS IN MOTORCYCLE ROAD TRAFFIC ACCIDENT PATIENTS AT RSUP DR. SARDJITO YEAR 2019
Abstract
ABSTRAK
Cedera lalu lintas telah menjadi masalah kesehatan masyarakat yang berkembang di beberapa negara. Indonesia, sebagai salah satu negara berpendapatan menengah, sering menggunakan sepeda motor sebagai sarana transportasi dan, akibatnya, menjadi yang paling banyak terlibat dalam kecelakaan lalu lintas. Cedera kepala dan leher menyumbang proporsi besar untuk jenis cedera lalu lintas, yang menyebabkan peningkatan morbiditas dan mortalitas. Penelitian ini bertujuan untuk menganalisa pola cedera kepala dan leher pada pasien kecelakaan lalu lintas sepeda motor yang dirawat di RSUP Dr. Sardjito pada tahun 2019, serta memahami hubungan antara usia, jenis kelamin, posisi mengendarai sepeda motor, waktu kecelakaan, dan penggunaan helm dengan keparahan cedera kepala dan leher. Studi deskriptif-analitik observasional ini menggunakan desain potong lintang, dengan data yang diperoleh dari rekam medis. Dari 106 pasien, 96 pasien menderita cedera kepala dan 10 pasien lainnya menderita cedera leher. Cedera kepala yang paling banyak terjadi adalah cedera intrakranial dengan 52 kasus, dan dedera leher yang paling banyak terjadi adalah patah tulang leher dengan 6 kasus. Sebagian besar dari pasien menderita cedera ringan (71,7%) dibandingkan dengan cedera berat (28,3%). Terdapat hubungan yang signifikan secara statistik antara pengunaan helm dengan keparahan cedera di kepala dan leher (p<0,001). Data ini menekankan pentingnya kesadaran terhadap regulasi keselamatan jalan dan strategi intervensi untuk mengurangi beban morbiditas dan mortalitas pada cedera kepala dan leher akibat kecelakaan lalu lintas sepeda motor.
ABSTRACT
Road traffic injuries has become a growing public health problem in some countries. Indonesia, as one of the middle-income countries, frequently utilizes motorcycle as a mode of transport and, hence, it became the most involved in road traffic accidents. Head and neck injury accounted major proportions out of road traffic injury types, causes in increasing morbidity and mortality. This study aims to analyzes the head and neck injury patterns in motorcycle road traffic accidents that were treated in RSUP Dr. Sardjito in the year 2019, along with understanding the association between age, sex, motorcycle riding position, time of accident, and helmet usage with the severity of head and neck injury. This analytic-descriptive observational study uses cross-sectional design, with data obtained from medical records. From 106 patients, 96 patients suffer from head injury and the remaining 10 patients suffer from neck injury. The most prevalent head injury is intracranial injury with 52 cases, and the most prevalent neck injury is fracture of neck with 6 cases. Patients mostly suffer from mild injury (71,7%) compared to severe injury (28,3%). There is a statistically significant association between helmet usage with severity of injury to the head and neck area (p<0,001). These data encourages the significance of road safety regulation awareness and interventional strategies for mitigating the burden of morbidity and mortality in head and neck injury from motorcycle road traffic accidents.
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References
Badan Pusat Statistik Provinsi DKI Jakarta. Jumlah Korban Kecelakaan Lalu Lintas Menurut Jenis Kendaraan Bermotor Di Provinsi DKI Jakarta.; 2021. https://jakarta.bps.go.id/indicator/34/593/1/jumlah-korban-kecelakaan-lalu-lintas-menurut-jenis-kendaraan-bermotor-di-provinsi-dki-jakarta.html
World Health Organization (WHO). Estimated Road Traffic Death Rate (per 100 000 Population).; 2021. https://www.who.int/data/gho/data/indicators/indicator-details/GHO/estimated-road-traffic-death-rate-(per-100-000-population)
Dinas Perhubungan Pemerintah Daerah Istimewa Yogyakarta. Studi Daerah Rawan Kecelakaan Di Jalan Provinsi. Vol 3.; 2021.
Herwangi Y, Pradono P, Syabri I, Kustiwan I. Transport Affordability and Motorcycle Ownership in Low-income Households : Case of Yogyakarta Urbanised Area , Indonesia. Proc East Asia Soc Transp Stud. 2017;11(2016):14.
World Health Organization (WHO). Injuries and Violence: The Facts.; 2014. http://scholar.google.com/scholar?hl=en&btnG=Search&q=intitle:Injuries+and+Violence:+The+Facts#0
Sisimwo PK, Mwaniki PK, Bii C. Crash characteristics and injury patterns among commercial motorcycle users attending Kitale level IV district hospital, Kenya. Pan Afr Med J. 2014;19:1-7. doi:10.11604/pamj.2014.19.296.4885
Bener A, Rahman YSA, Mitra B. Incidence and severity of head and neck injuries in victims of road traffic crashes: In an economically developed country. Int Emerg Nurs. 2009;17(1):52-59. doi:10.1016/j.ienj.2008.07.007
Oltaye Z, Geja E, Tadele A. Prevalence of motorcycle accidents and its associated factors among road traffic accident patients in hawassa university comprehensive specialized hospital, 2019. Open Access Emerg Med. 2021;13:213-220. doi:10.2147/OAEM.S291510
World Health Organization (WHO). Powered Two- and Three-Wheeler Safety: A Road Safety Manual for Decision-Makers and Practitioners.; 2022.
Hsieh CH, Hsu SY, Hsieh HY, Chen YC. Differences between the sexes in motorcycle-related injuries and fatalities at a Taiwanese level I trauma center. Biomed J. 2017;40(2):113-120. doi:10.1016/j.bj.2016.10.005
Sayyed Hadi Sayyed Hoseinian, MD; Mohammad H. Ebrahimzadeh, MD; Mohammad T. Peivandi M, Farshid Bagheri, MD; Jalil Hasani, MSc; Sogol Golshan, MD; Ali Birjandinejad M. Injury Patterns among Motorcyclist Trauma Patients : Arch Bone Jt Surg. 2019;367:367-372.
Cordellieri P, Baralla F, Ferlazzo F, Sgalla R, Piccardi L, Giannini AM. Gender effects in young road users on road safety attitudes, behaviors and risk perception. Front Psychol. 2016;7(September):1-11. doi:10.3389/fpsyg.2016.01412
Adebayo ET, Fomete B, Adelusi EA, Ahaji LE, Nnawuhie UC. Maxillofacial injuries due to motorcycle accidents from suburban Nigeria. J Oral Maxillofac Surgery, Med Pathol. 2023;35(1):30-35. doi:10.1016/j.ajoms.2022.07.014
Badan Pusat Statistik. Perkembangan Jumlah Kendaraan Bermotor Menurut Jenis (Unit) Pada Tahun 2018-2020.; 2023. http://bps.go.id/linkTableDinamis/view/id/1133
Nurdjanah N, Puspitasari R. Faktor yang Berpengaruh terhadap Konsentrasi Pengemudi. War Penelit Perhub. 2017;29(1):141. doi:10.25104/warlit.v29i1.318
Faryabi J, Rajabi M, Alirezaee S. Evaluation of the Use and Reasons for Not Using a Helmet by Motorcyclists Admitted to the Emergency Ward of Shahid Bahonar Hospital of Kerman. Arch Trauma Res. 2014;3(3). doi:10.5812/atr.19122
Republik Indonesia. Undang Undang Republik Indonesia No. 22 Tahun 2009 Tentang Lalu Lintas Dan Angkutan Jalan.; 2009:1-60. https://www.dpr.go.id/dokjdih/document/uu/UU_2009_22.pdf
Fong MC, Measelle JR, Dwyer JL, et al. Rates of motorcycle helmet use and reasons for non-use among adults and children in Luang Prabang, Lao People’s Democratic Republic. BMC Public Health. 2015;15(1):1-7. doi:10.1186/s12889-015-2304-2
Centers for Disease Control and Prevention. Universal Motorcycle Helmet Laws.; 2022.
World Health Organization (WHO). Global Status Report on Road Safety.; 2018. https://www.who.int/publications/i/item/9789241565684
Woyessa AH, Heyi WD, Ture NH, Moti BK. Patterns of road traffic accident, nature of related injuries, and post-crash outcome determinants in western Ethiopia - a hospital based study. African J Emerg Med. 2021;11(1):123-131. doi:10.1016/j.afjem.2020.09.008
Santosa P, Mahyuddin AI, Sunoto FG. Anatomy of Injury Severity and Fatality in Indonesian Traffic Accidents. J Eng Technol Sci. 2017;49(3):412-422.
Kasantikul V, Ouellet J V., Smith T, Sirathranont J, Panichabhongse V. The role of alcohol in Thailand motorcycle crashes. Accid Anal Prev. 2005;37(2):357-366. doi:10.1016/j.aap.2004.07.006
Nur Faisah, Muchtar M, Lestari AA. Gambaran Demografi Dan Klinik Penderita Nyeri Neuropatik Yang Berkunjung Di Bagian Poliklinik Saraf Dan Poliklinik Penyakit Dalam Rsu Anutapura Palu. Med Alkhairaat J Penelit Kedokt dan Kesehat. 2021;3(2):68-73. doi:10.31970/ma.v3i2.77
Harlin AM, Fithria, G FN. Hubungan Shift Kerja, Beban Kerja, dan Status Gizi dengan Kelelahan Kerja pada Perawat di Ruang Rawat Inap RSUD dr. H.L.M. Baharuddin, M.Kes Raha Tahun 2024. Med Alkhairaat J Penelit Kedokt dan Kesehat. 2025;7(April 2025):860-869.
Vij K. Textbook of Forensic Medicine and Toxicology: Principles and Practice (5th Edition).; 2011.
Centers for Disease Control and Prevention. Head Injuries Associated with Motorcycle Use. Morb Mortal Wkly Rep. 1994;43(23):423,429-431.
Owibingire SS, Sohal KS, Kalyanyama BM. Maxillofacial Fractures among Motorcycle Crash Victims Attended at a Tertiary Hospital in Tanzania. Panam J Trauma, Crit Care Emerg Surg. 2019;8(3):158-164. doi:10.5005/jp-journals-10030-1251
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