EPIDEMIOLOGIC ASPECTS OF TRAUMA IN AL-JOUF REGION, SAUDI ARABIA: A RETROSPECTIVE STUDY
DOI:
https://doi.org/10.22159/ajpcr.2019.v12i18.33792Keywords:
Trauma, Injury, Prevalence, Saudi ArabiaAbstract
Objectives: This study aimed to determine the types, characteristics, and associated factors of trauma in Al-Jouf Region which is located in Northern part of Saudi Arabia.
Methods: The present study was conducted in the Emergency Department of Prince Meteb Hospital in Al-Jouf Region. A total number of 382 patients were enrolled in the present study. A pre-organized data form were designed for each patient attended the Emergency Department of Prince Meteb Hospital from January 2017 to January 2018. It included data about sociodemographic characteristics, type of trauma, and trauma characteristics.
Results: The mean age of the patients was 24.4±13.4 years. Most of the patients (75%) were <30 years old. Males (86.9%) were influenced by trauma more common than females. Most of the patients (84.8%) were from urban areas. Blunt trauma constituted 58.9% while, penetrating trauma 41.1%. The most common cause of trauma was road traffic accidents, which occurred among 40% of patients. The most frequent trauma site was head trauma (49%). Most of the patients (47.9%) reached the hospital within 30 min. Regarding the fate of patients, 46.1% discharged after management, 42.1% admitted to intensive care units, and only 11.8% died. Blunt trauma was significantly higher than penetrating trauma among the young age group. Patients with blunt trauma arrived hospital significantly earlier than patients with penetrating trauma. The fate of patients is significantly better in blunt trauma than penetrating trauma.
Conclusion: Trauma is considered to be a major public health problem, particularly in the young population in Saudi Arabia. Blunt trauma is more common than penetrating trauma, with road traffic accidents representing the majority.
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References
Baker SP. Where have you been and where are you going with injury control? In: Mohan D, Tiwari G, editors. Injury Prevention and Control. New York: Taylor and Francis Publisher; 2000.
Tabish SA, Shah S, Bhat AS, Bhat FA, Shoukat H, Mir MY. Clinical profile and mortality pattern in patients of ballistic trauma. J Int Med Sci Acad 2004;13:247-50.
World Health Organization. Global Burden of Disease. Geneva, Switzerland: World Health Organization; 2004. Available from: http://www.who.int/healthinfo/global_burden_disease/GBD_ report_2004update_full.pdf.
World Health Organization. Disability in the South East Asia Region. Regional Office for South East Asia, New Delhi: World Health Organization; 2013. Available from: http://www.searo.who.int/ entity/disabilities_injury_rehabilitation/topics/disabilityinsear2013. pdf?ua=1.
Hokkam E, Gonna A, Zakaria O, El-Shemally A. Trauma patterns in patients attending the emergency department of Jazan general hospital, Saudi Arabia. World J Emerg Med 2015;6:48-53.
Ali K, Arain GM, Masood AS, Aslam M. Pattern of injuries in trauma patients presenting in accident and emergency department of Jinnah hospital, Lahore. Ann King Edward Med Coll 2006;12:26.
World Health Organization. World Report on Violence and Health. Geneva, Switzerland: World Health Organization; 2002. Available from: http://www.who.int/violence_injury_prevention/violence/world_ report/en/summary_en.pdf.
Zwi AB, Forjuoh S, Murugusampillay S, Odero W, Watts C. Injuries in developing countries: Policy response needed now. Trans R Soc Trop Med Hyg 1996;90:593-5.
Hofman K, Primack A, Keusch G, Hrynkow S. Addressing the growing burden of trauma and injury in low and middle-income countries. Am J Public Health 2005;95:13-7.
Murray CJ, Lopez AD. Alternative projections of mortality and disability by cause 1990-2020: Global burden of disease study. Lancet 1997;349:1498-504.
Ansari S, Akhdar F, Mandoorah M, Moutaery K. Causes and effects of road traffic accidents in Saudi Arabia. Public Health 2000;114:37-9.
World Health Organization. Injuries and Violence: The Facts. Geneva, Switzerland: World Health Organization; 2010. Available from: http:// www.who.int/violence_injury_prevention/key_facts/en.
Al-Turki S. Trauma and ATLS training in Saudi Arabia. Middle East J Emerg Med 2001;1:50-5.
Bhanderi DJ, Choudhary S. A study of occurrence of domestic accidents in semi-urban community. Indian J Community Med 2008;33:104-6.
Smith K. Environmental Hazards. 2nd ed. London, New York: Routledge; 1996.
UNISDR: Prevention Web Saudi Arabia Disaster Statistics. Available from: http://www.preventionweb.net/english/countries/ statistics/?cid=150.
Drever F. Occupational Health Decennial Supplement. 1st ed. London: HMSO; 1995.
Summerfield D. The social, cultural and political dimensions of contemporary war. Med Confl Surviv 1997;13:3-25.
Mizelle HL, Rothrock SG, Silvestri S, Pagane J. Preventable morbidity and mortality from prehospital paralytic assisted intubation: Can we expect outcomes comparable to hospital-based practice? Prehosp Emerg Care 2002;6:472-5.
Morris SC. The team approach to management of the polytrauma patient. Virtual Mentor 2009;11:516-20.
World Health Organization. Injury Surveillance, a Tool for Decision-making: Annual Injury Surveillance Report, Egypt. Regional Office for the Eastern Mediterranean, Arab Republic of Egypt, Ministry of Health: World Health Organization; 2009. Available from: http://www. applications.emro.who.int/dsaf/dsa1087.pdf.
Ahmed M, Shah M, Luby S, Drago-Johnson P, Wali S. Survey of surgical emergencies in a rural population in the northern areas of Pakistan. Trop Med Int Health 1999;4:846-57.
Norouzi V, Feizi I, Vatankhah S, Pourshaikhian M. Calculation of the probability of survival for trauma patients based on trauma score and the injury severity score model in Fatemi hospital in Ardabil. Arch Trauma Res 2013;2:30-5.
Kobusingye OC, Guwatudde D, Owor G, Lett RR. Citywide trauma experience in Kampala, Uganda: A call for intervention. Inj Prev 2002;8:133-6.
Al-Naami MY, Arafah MA, Al-Ibrahim FS. Trauma care systems in Saudi Arabia: An agenda for action. Ann Saudi Med 2010;30:50-8.
World Health Organization. Global Status Report on Road Safety. Geneva, Switzerland: World Health Organization; 2015. Available from: http://www.who.int/violence_injury_prevention/road_safety_ status/2015/en.
Vajda P. Prehospital care of the adult trauma patient. Bratisl Lek Listy 2007;108:371-4.
Kazmi TH, Omair A, Inam SN, Shaikh I, Jamali S. Spectrum of injuries at the emergency department of a tertiary care hospital. J Coll Physicians Surg Pak 2004;14:61.
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