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沙特阿拉伯两家重症监护病房收治的道路交通事故患者的临床和流行病学特征——一项横断面研究

Clinical and epidemiological characteristics of road traffic accidents patients received at 2 intensive care units in Saudi Arabia-A cross-sectional study.

作者信息

AbdelRazik Mohamed, Alquwaiz Ibrahim Abdulrahman, Khojah Abdulaziz Abdulrahman, Alshahrani Abdullah Yahya, Aldakkan Osamah Zeid, Alhumaydani Naif Khalid, Alqahtani Faisal Turki

机构信息

Department of General Surgery, College of Medicine, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia.

College of Medicine, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia.

出版信息

J Family Med Prim Care. 2021 Oct;10(10):3863-3868. doi: 10.4103/jfmpc.jfmpc_879_21. Epub 2021 Nov 5.

DOI:10.4103/jfmpc.jfmpc_879_21
PMID:34934693
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8653438/
Abstract

BACKGROUND

Road traffic accidents (RTAs) lead to major trauma, which is the greatest cause of morbidity and mortality worldwide. The purpose of the study was to determine the clinical epidemiological profiles of the patients received in intensive care units (ICU) with road traffic injuries (RTIs).

METHODS

The study, which included 300 patients, was conducted at emergency departments and two reference ICUs in Saudi Arabia. The patients were of varying ages and genders from different demographic backgrounds with different modes of injuries, varying degrees of shock, and multiple types of injury. Study variables included demographics, clinical presentations, and the types of fractures and lacerations.

RESULTS

Most of our study population was male ( = 273; 91%). Car accidents were found to be the prevalent cause of injury ( = 267; 89.0% cases). Only 21.7% of the study population ( = 65) needed ICU admission compared to non-ICU patients ( = 235; 78.3%). Injuries to the chest ( = 0.0001), abdomen ( = 0.0001), upper limbs ( = 0.022), and spine ( = 0.001) significantly contributed to ICU admissions.

CONCLUSION

The burden on ICUs due to RTIs can be reduced in Saudi Arabia by adopting strict preventive measures against RTAs.

摘要

背景

道路交通事故(RTAs)会导致严重创伤,这是全球发病和死亡的最大原因。本研究的目的是确定在重症监护病房(ICU)接受治疗的道路交通伤(RTIs)患者的临床流行病学特征。

方法

该研究纳入了300名患者,在沙特阿拉伯的急诊科和两个参考ICU进行。患者年龄、性别各异,来自不同人口背景,受伤方式不同,休克程度不同,且有多种类型的损伤。研究变量包括人口统计学、临床表现以及骨折和撕裂伤的类型。

结果

我们的研究人群中大多数为男性(n = 273;91%)。发现汽车事故是主要的受伤原因(n = 267;89.0%的病例)。与非ICU患者(n = 235;78.3%)相比,只有21.7%的研究人群(n = 65)需要入住ICU。胸部损伤(p = 0.0001)、腹部损伤(p = 0.0001)、上肢损伤(p = 0.022)和脊柱损伤(p = 0.001)显著增加了入住ICU的比例。

结论

在沙特阿拉伯,通过采取严格的道路交通事故预防措施,可以减轻道路交通伤对ICU造成的负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30d7/8653438/3ff70265ad12/JFMPC-10-3863-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30d7/8653438/3b0f81a8a3e4/JFMPC-10-3863-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30d7/8653438/da987f3d6e80/JFMPC-10-3863-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30d7/8653438/3ff70265ad12/JFMPC-10-3863-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30d7/8653438/3b0f81a8a3e4/JFMPC-10-3863-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30d7/8653438/da987f3d6e80/JFMPC-10-3863-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/30d7/8653438/3ff70265ad12/JFMPC-10-3863-g003.jpg

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