Department of Community Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.
Biostatistics, Epidemiology and Scientific Computing Department, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
BMC Pediatr. 2021 Sep 25;21(1):424. doi: 10.1186/s12887-021-02886-8.
Injury is the leading cause of death among Saudi children. Despite that, much remains unknown on the epidemiology and the extent of burden. This scoping review aims to describe previous literature on injury burden, including types, causes, and outcomes.
We conducted a scoping literature search of English published articles on injuries among Saudi children between 0 to 18 years old using Scopus, MEDLINE, and Web of Science between January 2000 and December 2020. The primary outcome was the type and the cause of childhood injuries. Data extraction was based on specified data elements that included study characteristics and epidemiological parameters. The STROBE checklist was used to assess the quality of publications.
The initial review identified 3,384 studies. Of which, 36 studies met the inclusion criteria. A total of 20,136 children were included; of them, 69% were males. Among studies that examined overall injuries, falls represented 31.9%, while 25.1% were due to Motor Vehicle Collision (MVC). The leading cause of fractures was falls (37.9%), followed by MVC (21.5%). The leading cause was flames (52.1%) followed by scald (36.4%) for burns. While for poisoning, medications were the leading cause of (39.9%), followed by toxic household products (25.7%). Weighted mortality rates were 5.2% for overall injuries, 8.3% for fractures of the skull and spine, and 17.4% for burns.
MVC and falls are associated with the highest share of injuries in the kingdom. These findings can guide prevention efforts to reduce injury burden and improve population health. Further population-based research is warranted to explore the determinants of childhood injuries across all regions of Saudi Arabia.
在沙特，儿童因伤致死是主要死因。尽管如此，有关其流行病学和负担程度的信息仍十分有限。本范围界定综述旨在描述沙特儿童伤害负担的相关文献，包括伤害类型、原因和结局。
我们检索了 2000 年 1 月至 2020 年 12 月间在 Scopus、MEDLINE 和 Web of Science 上发表的沙特儿童 0 至 18 岁间的英文文献，以确定有关儿童伤害的研究。主要结局是儿童伤害的类型和原因。数据提取基于包括研究特征和流行病学参数在内的特定数据元素。采用 STROBE 检查表评估出版物的质量。
初步检索共识别出 3384 项研究，其中 36 项符合纳入标准。共纳入 20136 名儿童，其中 69%为男性。在研究总体伤害的研究中，跌倒占 31.9%，机动车碰撞（MVC）占 25.1%。骨折的主要原因是跌倒（37.9%），其次是 MVC（21.5%）。烧伤的主要原因是火焰（52.1%），其次是烫伤（36.4%）。中毒的主要原因是药物（39.9%），其次是有毒家用产品（25.7%）。总体伤害的加权死亡率为 5.2%，颅骨和脊柱骨折的死亡率为 8.3%，烧伤的死亡率为 17.4%。
MVC 和跌倒导致沙特儿童伤害的比例最高。这些发现可以指导预防工作，以减轻伤害负担，改善人群健康。需要进一步开展基于人群的研究，以探讨沙特阿拉伯所有地区儿童伤害的决定因素。
