Latifi Rifat, El-Menyar Ayman, El-Hennawy Hany, Al-Thani Hassan
Trauma Surgery Section, Department of Surgery, Hamad Medical Corporation, P.O. Box 3050, Doha, Qatar ; Department of Surgery, University of Arizona, P.O. Box 245063, Tucson, AZ, USA ; Weill Cornell Medical College, P.O. Box 24144, Doha, Qatar.
Weill Cornell Medical College, P.O. Box 24144, Doha, Qatar ; Clinical Research, Trauma Surgery Section, Hamad General Hospital, P.O. Box 3050, Doha, Qatar.
ScientificWorldJournal. 2014 Feb 16;2014:250540. doi: 10.1155/2014/250540. eCollection 2014.
Rollover car crashes (ROCs) are serious public safety concerns worldwide.
To determine the incidence and outcomes of ROCs with or without ejection of occupants in the State of Qatar.
A retrospective study of all patients involved in ROCs admitted to Level I trauma center in Qatar (2011-2012). Patients were divided into Group I (ROC with ejection) and Group II (ROC without ejection).
A total of 719 patients were evaluated (237 in Group I and 482 in Group II). The mean age in Group I was lower than in Group II (24.3 ± 10.3 versus 29 ± 12.2; P = 0.001). Group I had higher injury severity score and sustained significantly more head, chest, and abdominal injuries in comparison to Group II. The mortality rate was higher in Group I (25% versus 7%; P = 0.001). Group I patients required higher ICU admission rate (P = 0.001). Patients in Group I had a 5-fold increased risk for age-adjusted mortality (OR 5.43; 95% CI 3.11-9.49), P = 0.001).
ROCs with ejection are associated with higher rate of morbidity and mortality compared to ROCs without ejection. As an increased number of young Qatari males sustain ROCs with ejection, these findings highlight the need for research-based injury prevention initiatives in the country.
翻车事故是全球严重的公共安全问题。
确定卡塔尔国翻车事故中有无乘客弹出的发生率及后果。
对卡塔尔一级创伤中心收治的所有翻车事故患者进行回顾性研究（2011 - 2012年）。患者分为第一组（有弹出的翻车事故）和第二组（无弹出的翻车事故）。
共评估719例患者（第一组237例，第二组482例）。第一组的平均年龄低于第二组（24.3±10.3对29±12.2；P = 0.001）。与第二组相比，第一组的损伤严重程度评分更高，头部、胸部和腹部损伤明显更多。第一组的死亡率更高（25%对7%；P = 0.001）。第一组患者的重症监护病房收治率更高（P = 0.001）。第一组患者经年龄调整后的死亡风险增加了5倍（比值比5.43；95%可信区间3.11 - 9.49），P = 0.001）。
与无弹出的翻车事故相比，有弹出的翻车事故的发病率和死亡率更高。由于越来越多的卡塔尔年轻男性发生有弹出的翻车事故，这些发现凸显了该国开展基于研究的伤害预防举措的必要性。
