Alsofayan Yousef M, Alghnam Suliman A, Alkhorisi Ahmad M, Almalki Hani A, Alsaihani Majed D, Almazroa Monerah A, Alharbi Abdullah K, Hajjam Roaa M, Alhajjaj Fahad S, Alowais Jalal M
Executive Directorate of Medical Affairs, Saudi Red Crescent Authority, Riyadh, Saudi Arabia.
King Abdullah International Medical Research Center, King Saud Bin Abdulaziz University For Health Sciences, King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, Saudi Arabia.
Saudi J Med Med Sci. 2022 May-Aug;10(2):111-116. doi: 10.4103/sjmms.sjmms_59_22. Epub 2022 Apr 28.
Road traffic injuries are a leading cause of death in Saudi Arabia. Studies have examined the impact of the COVID-19 pandemic on traffic injuries treated in healthcare institutions, but its impact on patients seeking emergency medical transport for traffic injuries remains unclear.
This study aimed to determine changes in traffic injuries' distribution and outcomes among patients seeking emergency medical transport before, during, and after the COVID-19 restrictions were imposed in Saudi Arabia.
This is a nationwide retrospective study of all injuries reported to the Saudi Red Crescent Authority (SRCA) between January 1, 2020, and May 31, 2021. The cases in the study were categorized based on the following three time periods: (1) Pre-restriction (January 1 to March 23, 2020), (2) restriction (March 24 to June 21, 2020), and (3) post-restriction (June 22, 2020, to May 31, 2021).
A total of 142,763 cases of traffic-related injuries were recorded at the SRCA during the study period: pre-restriction, 27,811 (19.5%); restriction, 14,414 (10.1%); post-restriction, 100,538 (70.4%). Males accounted for most cases throughout the study period, but a significant increase in the number of females was observed in the post-restriction period compared with the first two timeframes (12.2% vs. 3.4% and 3.4%, respectively; < 0.01). During the restriction period, the rate of mortality was the highest, and rollover crashes were significantly higher (18.2% vs. 14.0% and 14.6%; < 0.01). Overall, pedestrians were almost three times more likely to die following injuries than occupants or drivers (OR = 2.7).
Further prevention programs to reduce traffic injuries are needed to improve traffic safety and improve population health.
道路交通事故是沙特阿拉伯的主要死因。已有研究探讨了新冠疫情对医疗机构收治的交通伤的影响，但其对因交通伤寻求紧急医疗转运的患者的影响仍不明确。
本研究旨在确定沙特阿拉伯实施新冠疫情限制措施之前、期间和之后，寻求紧急医疗转运的患者中交通伤的分布和结局变化。
这是一项对2020年1月1日至2021年5月31日期间向沙特红新月会（SRCA）报告的所有损伤进行的全国性回顾性研究。研究中的病例根据以下三个时间段进行分类：（1）限制措施实施前（2020年1月1日至3月23日），（2）限制措施实施期间（2020年3月24日至6月21日），以及（3）限制措施实施后（2020年6月22日至2021年5月31日）。
研究期间，SRCA共记录了142,763例交通相关损伤病例：限制措施实施前27,811例（19.5%）；限制措施实施期间14,414例（10.1%）；限制措施实施后100,538例（70.4%）。在整个研究期间，男性病例占大多数，但与前两个时间段相比，限制措施实施后女性病例数量显著增加（分别为12.2% 对3.4%和3.4%；<0.01）。在限制措施实施期间，死亡率最高，翻车事故显著增多（18.2%对14.0%和14.6%；<0.01）。总体而言，行人受伤后死亡的可能性几乎是乘客或司机的三倍（比值比=2.7）。
需要进一步开展预防计划以减少交通伤，从而提高交通安全并改善民众健康。
