Trauma Service, King Saud Medical City, Riyadh, Saudi Arabia.
Paediatric Unit, King Saud Medical City, Riyadh, Saudi Arabia.
BMJ Open. 2021 May 18;11(5):e045902. doi: 10.1136/bmjopen-2020-045902.
The burden of injury in the Kingdom of Saudi Arabia (KSA) has increased in recent years, but the country has lacked a consistent methodology for collecting injury data. A trauma registry has been established at a large public hospital in Riyadh from which these data are now available.
We aimed to provide an overview of trauma epidemiology by reviewing the first calendar year of data collection for the registry. Risk-adjusted analyses were performed to benchmark outcomes with a large Australian major trauma service in Melbourne. The findings are the first to report the trauma profile from a centre in the KSA and compare outcomes with an international level I trauma centre.
This was an observational study using records with injury dates in 2018 from the registries at both hospitals. Demographics, processes and outcomes were extracted, as were baseline characteristics. Risk-adjusted endpoints were inpatient mortality and length of stay. Binary logistic regression was used to measure the association between site and inpatient mortality.
A total of 2436 and 4069 records were registered on the Riyadh and Melbourne databases, respectively. There were proportionally more men in the Saudi cohort than the Australian cohort (86% to 69%). The Saudi cohort was younger, the median age being 36 years compared with 50 years, with 51% of injuries caused by road traffic incidents. The risk-adjusted length of stay was 4.4 days less at the Melbourne hospital (95% CI 3.95 days to 4.86 days, p<0.001). The odds of in-hospital death were also less (OR 0.25; 95% CI 0.15 to 0.43, p<0.001).
This is the first hospital-based study of trauma in the kingdom that benchmarks with an individual international centre. There are limitations to interpreting the comparisons, however the findings have established a baseline for measuring continuous improvement in outcomes for KSA trauma services.
近年来，沙特阿拉伯王国（KSA）的受伤负担有所增加，但该国缺乏收集伤害数据的一致方法。目前，利雅得的一家大型公立医院已经建立了一个创伤登记处，可以从该登记处获取这些数据。
我们旨在通过审查该登记处首个日历年度的数据收集情况，提供创伤流行病学概述。对风险调整后的分析结果与墨尔本一家大型澳大利亚主要创伤服务机构进行基准比较。这些发现首次报告了 KSA 中心的创伤概况，并与国际一级创伤中心的结果进行了比较。
这是一项观察性研究，使用来自两家医院登记处的 2018 年受伤日期的记录。提取了人口统计学、过程和结果以及基线特征。风险调整后的终点为住院患者死亡率和住院时间。二元逻辑回归用于衡量地点与住院患者死亡率之间的关联。
利雅得和墨尔本数据库分别登记了 2436 份和 4069 份记录。沙特队列中的男性比例高于澳大利亚队列（86%比69%）。沙特队列的年龄更轻，中位数年龄为 36 岁，而澳大利亚队列为 50 岁，51%的损伤是由道路交通事件引起的。墨尔本医院的风险调整后住院时间减少了 4.4 天（95%CI 3.95 天至 4.86 天，p<0.001）。住院期间死亡的几率也较小（OR 0.25；95%CI 0.15 至 0.43，p<0.001）。
这是王国首家与国际单个中心进行基准比较的基于医院的创伤研究。然而，在解释这些比较时存在一定的局限性，但这些发现为衡量沙特阿拉伯创伤服务机构的结果持续改善奠定了基础。
