Consunji Rafael, Malik Shahnaz, El-Menyar Ayman, Mollazehi Monira, Al-Thani Hassan, Peralta Ruben
Hamad Injury Prevention Program, Hamad Trauma Center, Hamad Medical Corporation, Doha, Qatar.
Qatar Med J. 2020 Mar 2;2020(1):3. doi: 10.5339/qmj.2020.3. eCollection 2020.
Road traffic injuries are the leading cause of death in Qatar but their epidemiology in children has not been fully described. This paper will describe the epidemiology of pediatric road traffic injuries (pRTIs) in Qatar, in order to understand the relationships among risk factors, mechanisms of injury, use of safety equipment, and according to child developmental stages. The primary sample for this study was drawn from all pRTIs (0-18 years) from January 2010 to December 2012-motor vehicle occupants, passengers and drivers, pedestrians, cyclists, motorcyclists, and all-terrain vehicle (ATV) drivers and passengers-seen at the trauma registry of the Hamad Trauma Center, the national Level I Trauma Referral Center of Qatar. During those two years, the Trauma Center attended to 4864 patients, 443 (9.1%) of whom were pRTIs, 83% were male, and 71% were non-Qatari. Only 1.2% of injured passengers and drivers were restrained. All fatalities were passengers or drivers; the overall mortality rate was 3.4%. The motor vehicle crash (MVC) mortality rate was 6.2%, with the longest mean length of hospital stay 10.5 days and highest Intensive Care Unit (ICU) admission rate 35.7%. Older adolescents (15-18 years) comprised 56.4% of total MVC mortality. One-in-four (25%) pedestrian victims was Qatari. They had the lowest mean Injury Severity Score (9.6); 73% were nine years or younger. ATV victims had a 27% ICU admission rate; 48.4% were 10-14 years old. Older adolescents made up only 17% of the pediatric population of Qatar, yet 40% of pRTI victims and 80% of pRTI deaths. Forty-two percent of injured older adolescents were drivers, with half (21%) of those underage. There are clear and distinct age and mechanism-specific patterns of pRTIs among children in Qatar that must be used to guide road safety policy and program formulation for underage pedestrians and drivers. Proven interventions that increase seatbelt and child restraint use and graduated driver licensing must be considered.
道路交通事故是卡塔尔的主要死因，但儿童道路交通事故的流行病学情况尚未得到充分描述。本文将描述卡塔尔儿童道路交通事故（pRTIs）的流行病学情况，以便了解风险因素、损伤机制、安全设备使用情况之间的关系，并根据儿童发育阶段进行分析。本研究的主要样本来自2010年1月至2012年12月期间哈马德创伤中心（卡塔尔国家一级创伤转诊中心）创伤登记处记录的所有pRTIs（0至18岁）——机动车驾乘人员、乘客和司机、行人、骑自行车的人、骑摩托车的人以及全地形车（ATV）司机和乘客。在这两年间，创伤中心共接待了4864名患者，其中443名（9.1%）为pRTIs患者，83%为男性，71%为非卡塔尔人。只有1.2%的受伤乘客和司机系了安全带。所有死亡者均为乘客或司机；总体死亡率为3.4%。机动车碰撞（MVC）死亡率为6.2%，平均住院时间最长为10.5天，重症监护病房（ICU）收治率最高为35.7%。年龄较大的青少年（15至18岁）占MVC总死亡率的56.4%。四分之一（25%）的行人受害者是卡塔尔人。他们的平均损伤严重程度评分最低（9.6）；73%的年龄在9岁及以下。ATV受害者的ICU收治率为27%；48.4%的年龄在10至14岁之间。年龄较大的青少年仅占卡塔尔儿童人口的17%，但却是pRTIs受害者的40%以及pRTIs死亡者的80%。42%的受伤年龄较大的青少年是司机，其中一半（21%）未达法定年龄。卡塔尔儿童中pRTIs存在明确且独特的年龄和机制特异性模式，必须利用这些模式来指导针对未成年行人和司机的道路安全政策及项目制定。必须考虑采取已证实的干预措施，以提高安全带和儿童约束装置的使用率，并实施分级驾照制度。
