Burden of traumatic injuries in Saudi Arabia: lessons from a major trauma registry in Riyadh, Saudi Arabia
BACKGROUND AND OBJECTIVES: In Saudi Arabia (SA), injuries are the second leading cause of death; however, little is known about their frequencies and outcomes. Trauma registries play a major role in measuring the burden on population health. This study aims to describe the population of the only hos...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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King Faisal Specialist Hospital and Research Centre
2014-07-01
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| Series: | Annals of Saudi Medicine |
| Online Access: | https://www.annsaudimed.net/doi/full/10.5144/0256-4947.2014.291 |
| _version_ | 1819231886948433920 |
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| author | Suliman Alghnam Muhamad Alkelya Khalid Al-Bedah Saleem Al-Enazi |
| author_facet | Suliman Alghnam Muhamad Alkelya Khalid Al-Bedah Saleem Al-Enazi |
| author_sort | Suliman Alghnam |
| collection | DOAJ |
| description | BACKGROUND AND OBJECTIVES: In Saudi Arabia (SA), injuries are the second leading cause of death; however, little is known about their frequencies and outcomes. Trauma registries play a major role in measuring the burden on population health. This study aims to describe the population of the only hospital-based trauma registry in the country and highlight challenges and potential opportunities to improve trauma data collection and research in SA. DESIGN AND SETTINGS: Using data between 2001 and 2010, this retrospective study included patients from a large trauma center in Riyadh, SA. PATIENTS AND METHODS: A staff nurse utilized a structured checklist to gather information on patients' demographic, physiologic, anatomic, and outcome variables. Basic descriptive statistics by age group (≤14 vs >14 years) were calculated, and differences were assessed using student t and chi-square tests. In addition, the mechanism of injury and the frequency of missing data were evaluated. RESULTS: 10 847 patients from the trauma registry were included. Over 9% of all patients died either before or after being treated at the hospital. Patients who were older than 14 years of age (more likely to be male) sustained traffic-related injuries and died in the hospital as compared to patients who were younger than or equal to years of age. Deceased patients were severely injured as measured by injury severity score and Glasgow Coma Scale (P<.001). Overall, the most frequent type of injury was related to traffic (52.0%), followed by falls (23.4%). Missing values were mostly prevalent in traffic-related variables, such as seatbelt use (70.2%). CONCLUSION: This registry is a key step toward addressing the burden of injuries in SA. Improved injury classification using the International Classification of Disease-external cause codes may improve the quality of the registry and allow comparison with other populations. Most importantly, injury prevention in SA requires further investment in data collection and research to improve outcomes. |
| first_indexed | 2024-12-23T11:52:06Z |
| format | Article |
| id | doaj.art-07ae97d0354642dda99ce7df3db0c610 |
| institution | Directory Open Access Journal |
| issn | 0256-4947 0975-4466 |
| language | English |
| last_indexed | 2024-12-23T11:52:06Z |
| publishDate | 2014-07-01 |
| publisher | King Faisal Specialist Hospital and Research Centre |
| record_format | Article |
| series | Annals of Saudi Medicine |
| spelling | doaj.art-07ae97d0354642dda99ce7df3db0c6102022-12-21T17:48:10ZengKing Faisal Specialist Hospital and Research CentreAnnals of Saudi Medicine0256-49470975-44662014-07-0134429129610.5144/0256-4947.2014.291asm-4-291Burden of traumatic injuries in Saudi Arabia: lessons from a major trauma registry in Riyadh, Saudi ArabiaSuliman Alghnam0Muhamad Alkelya1Khalid Al-Bedah2Saleem Al-Enazi3From the King Abdullah International Research Center, Population Health, Riyadh, Saudi Arabia; Department of Surgery, King Abdulaziz Medical City, Riyadh, Saudi ArabiaFrom the King Abdullah International Research Center, Population Health, Riyadh, Saudi Arabia; Department of Surgery, King Abdulaziz Medical City, Riyadh, Saudi ArabiaFrom the King Abdullah International Research Center, Population Health, Riyadh, Saudi Arabia; Department of Surgery, King Abdulaziz Medical City, Riyadh, Saudi ArabiaFrom the King Abdullah International Research Center, Population Health, Riyadh, Saudi Arabia; Department of Surgery, King Abdulaziz Medical City, Riyadh, Saudi ArabiaBACKGROUND AND OBJECTIVES: In Saudi Arabia (SA), injuries are the second leading cause of death; however, little is known about their frequencies and outcomes. Trauma registries play a major role in measuring the burden on population health. This study aims to describe the population of the only hospital-based trauma registry in the country and highlight challenges and potential opportunities to improve trauma data collection and research in SA. DESIGN AND SETTINGS: Using data between 2001 and 2010, this retrospective study included patients from a large trauma center in Riyadh, SA. PATIENTS AND METHODS: A staff nurse utilized a structured checklist to gather information on patients' demographic, physiologic, anatomic, and outcome variables. Basic descriptive statistics by age group (≤14 vs >14 years) were calculated, and differences were assessed using student t and chi-square tests. In addition, the mechanism of injury and the frequency of missing data were evaluated. RESULTS: 10 847 patients from the trauma registry were included. Over 9% of all patients died either before or after being treated at the hospital. Patients who were older than 14 years of age (more likely to be male) sustained traffic-related injuries and died in the hospital as compared to patients who were younger than or equal to years of age. Deceased patients were severely injured as measured by injury severity score and Glasgow Coma Scale (P<.001). Overall, the most frequent type of injury was related to traffic (52.0%), followed by falls (23.4%). Missing values were mostly prevalent in traffic-related variables, such as seatbelt use (70.2%). CONCLUSION: This registry is a key step toward addressing the burden of injuries in SA. Improved injury classification using the International Classification of Disease-external cause codes may improve the quality of the registry and allow comparison with other populations. Most importantly, injury prevention in SA requires further investment in data collection and research to improve outcomes.https://www.annsaudimed.net/doi/full/10.5144/0256-4947.2014.291 |
| spellingShingle | Suliman Alghnam Muhamad Alkelya Khalid Al-Bedah Saleem Al-Enazi Burden of traumatic injuries in Saudi Arabia: lessons from a major trauma registry in Riyadh, Saudi Arabia Annals of Saudi Medicine |
| title | Burden of traumatic injuries in Saudi Arabia: lessons from a major trauma registry in Riyadh, Saudi Arabia |
| title_full | Burden of traumatic injuries in Saudi Arabia: lessons from a major trauma registry in Riyadh, Saudi Arabia |
| title_fullStr | Burden of traumatic injuries in Saudi Arabia: lessons from a major trauma registry in Riyadh, Saudi Arabia |
| title_full_unstemmed | Burden of traumatic injuries in Saudi Arabia: lessons from a major trauma registry in Riyadh, Saudi Arabia |
| title_short | Burden of traumatic injuries in Saudi Arabia: lessons from a major trauma registry in Riyadh, Saudi Arabia |
| title_sort | burden of traumatic injuries in saudi arabia lessons from a major trauma registry in riyadh saudi arabia |
| url | https://www.annsaudimed.net/doi/full/10.5144/0256-4947.2014.291 |
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