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道路交通伤害的频率及性质:来自沙特阿拉伯哈伊勒的一万多名患者的数据

Frequency and Nature of Road Traffic Injuries: Data of More than 10,000 Patients from Ha'il, Saudi Arabia.

作者信息

Ahmed Saeed, Mahmood Muzammal, Rizvi Syed Asad Hasan, Siddiqui Amna A, Shahid Naureen, Akram Wafa A, Bano Sajila

机构信息

Surgery, Civil Hospital Karachi, Karachi, PAK.

Emergency Medicine, King Khalid Hospital, Hail, SAU.

出版信息

Cureus. 2019 Jan 5;11(1):e3830. doi: 10.7759/cureus.3830.

Abstract

Background Road traffic accidents (RTAs) have become a major issue in today's world. They have caused the loss of more than a million lives in the last decade and are substantially increasing every day. Injuries due to RTAs can cause significant morbidity and mortality. These injuries can be sorted by the type, body region, gender, and age group. We aimed to highlight the frequency and nature of road traffic injuries (RTIs) according to these variables in Ha'il, the Kingdom of Saudi Arabia. Methods A retrospective study was conducted in King Khalid Hospital, Ha'il. Data on the cases of RTIs were collected, which presented to the hospital emergency department from January 1, 2016, to December 31, 2017. Data analysis was then performed using IBM Statistical Package for the Social Sciences 17.0 (SPSS, IBM, NY, USA). Frequencies were calculated using descriptive statistics, and graphs were generated. Results A total of 10,855 patients with RTIs were encountered at the hospital emergency department. Out of these, 8035 patients were males (74.02%) while 2820 were females (25.97%). Fractures of one or more sites were the most common type of injury, encountered in 5173 patients (47.66%). Lacerations occurred in 3487 patients (32.12%). Crush injuries were encountered in 1190 patients (10.96%) while penetrating injuries occurred in 844 patients (7.78%). Abdominal and pelvic visceral injuries were present in 103 patients (0.95%) while thoracic visceral injuries were present in 39 patients (0.36%). Amputations occurred in 19 patients (0.18%). Conclusion Our study highlights the frequency and nature of road traffic injuries that present in the emergency department. As suggested by the high frequency of specific types of injuries, special training should be provided to healthcare professionals to address and treat fractures, head and neck injuries, and serious lacerations effectively.

摘要

背景 道路交通事故(RTAs)已成为当今世界的一个主要问题。在过去十年中,它们已导致超过100万人丧生,且每天都在大幅增加。道路交通事故造成的伤害可导致显著的发病率和死亡率。这些伤害可按类型、身体部位、性别和年龄组进行分类。我们旨在根据沙特阿拉伯王国哈伊勒的这些变量,突出道路交通事故伤害(RTIs)的频率和性质。方法 在哈伊勒的哈立德国王医院进行了一项回顾性研究。收集了2016年1月1日至2017年12月31日期间到医院急诊科就诊的道路交通事故伤害病例数据。然后使用IBM社会科学统计软件包17.0(SPSS,IBM,纽约,美国)进行数据分析。使用描述性统计计算频率,并生成图表。结果 在医院急诊科共遇到10855例道路交通事故伤害患者。其中,8035例为男性(74.02%),而2820例为女性(25.97%)。一个或多个部位的骨折是最常见的伤害类型,5173例患者(47.66%)出现这种情况。3487例患者(32.12%)出现撕裂伤。1190例患者(10.96%)出现挤压伤,844例患者(7.78%)出现穿透伤。103例患者(0.95%)出现腹部和盆腔内脏损伤,39例患者(0.36%)出现胸部内脏损伤。19例患者(0.18%)出现截肢。结论 我们的研究突出了急诊科道路交通事故伤害的频率和性质。鉴于特定类型伤害的高频率,应向医疗保健专业人员提供特殊培训,以有效处理和治疗骨折、头部和颈部损伤以及严重撕裂伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/646d/6402722/9f2f2d7a6177/cureus-0011-00000003830-i01.jpg

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