Mansuri Farah A, Al-Zalabani Abdulmohsen H, Zalat Marwa M, Qabshawi Reem I
Department of Family and Community Medicine, College of Medicine, Taibah University, Al-Madinah Al-Munawwarah, Kingdom of Saudi Arabia. E-mail.
Saudi Med J. 2015 Apr;36(4):418-24. doi: 10.15537/smj.2015.4.10003.
To identify the changing trends and crucial preventive approaches to road traffic accidents (RTAs) adopted in the Kingdom of Saudi Arabia (KSA) over the last 2.5 decades, and to analyze aspects previously overlooked.
This systematic review was based on evidence of RTAs in KSA. All articles published during the last 25 years on road traffic accident in KSA were analyzed. This study was carried out from December 2013 to May 2014 in the Department of Family and Community Medicine, Taibah University, Al-Madinah Al-Munawwarah, KSA.
Road traffic accidents accounted for 83.4% of all trauma admissions in 1984-1989, and no such overall trend was studied thereafter. The most frequently injured body regions as reported in the latest studies were head and neck, followed by upper and lower extremities, which was found to be opposite to that of the studies reported earlier. Hospital data showed an 8% non-significant increase in road accident mortalities in contrast to police records of a 27% significant reduction during the years 2005-2010. Excessive speeding was the most common cause reported in all recent and past studies.
Disparity was common in the type of reporting of RTAs, outcome measures, and possible causes over a period of 2.5 decade. All research exclusively looked into the drivers' faults. A sentinel surveillance of road crashes should be kept in place in the secondary and tertiary care hospitals for all regions of KSA.
确定沙特阿拉伯王国在过去25年中道路交通意外事故（RTAs）的变化趋势及关键预防措施，并分析此前被忽视的方面。
本系统评价基于沙特阿拉伯王国道路交通意外事故的证据。分析了过去25年中发表的所有关于沙特阿拉伯王国道路交通意外事故的文章。本研究于2013年12月至2014年5月在沙特阿拉伯麦地那穆纳瓦拉泰巴大学家庭与社区医学系开展。
1984 - 1989年，道路交通意外事故占所有创伤入院病例的83.4%，此后未对这一总体趋势进行研究。最新研究报告中受伤最频繁的身体部位是头部和颈部，其次是上肢和下肢，这与早期报告的研究结果相反。医院数据显示道路事故死亡率无显著增加，增幅为8%，而警方记录显示在2005 - 2010年期间显著下降了27%。超速是所有近期和过去研究中报告的最常见原因。
在25年的时间里，道路交通意外事故的报告类型、结果指标和可能原因方面存在差异很常见。所有研究都只关注了驾驶员的过错。沙特阿拉伯王国所有地区的二级和三级医疗机构都应建立道路交通事故哨点监测。
