Rostom Alaa H, Suboh Duha, Dweikat Tasneem, Hindi Inam, Farounyeh Zain, Shawahna Ramzi
Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
An-Najah National University Hospital, Nablus, 44839, Palestine.
BMC Emerg Med. 2024 Dec 18;24(1):229. doi: 10.1186/s12873-024-01153-0.
Road traffic injuries are a global public health challenge. This study was conducted to describe the epidemiological patterns of road traffic injuries in a large tertiary care hospital in the West Bank of Palestine. In addition, associations between the different variables of the victims and the patterns of road traffic injuries were also assessed.
This study was conducted in a retrospective cohort observational design between January 2021 and July 2023 at a large tertiary care hospital in Nablus, Palestine. The data were collected from the electronic medical record system of the large tertiary care hospital using a data collection form.
A total of 1,544 victims of traffic road injuries were included in this study. Lower limb (43.0%), neck (41.2), and upper limb (39.8%) injuries were the most common types of road traffic injuries sustained by the victims admitted to the large tertiary care hospital. The victims who were 30 years or older were more likely to sustain back injuries (aOR = 1.71, 95% CI: 1.20-2.45) pelvic injuries (aOR = 1.84, 95% CI: 1.08-3.12), chest injuries (aOR = 1.59, 95% CI: 1.06-2.38), and neck injuries (aOR = 2.54, 95% CI: 1.68-3.82) compared to the victims who were younger than 30 years. The victims who did not use seatbelts were more likely to sustain abdominal injuries (aOR = 1.88, 95% CI: 1.34-2.63) and head injuries (aOR = 1.49, 95% CI: 1.06-2.10) compared to the victims who used seatbelts. The victims who did not have the airbag deployed were more likely (aOR = 1.85, 95% CI: 1.31-2.63) to sustain neck injuries compared to the victims who had the airbag deployed.
The epidemiological patterns of road traffic injuries in a large tertiary care hospital in Nablus, Palestine were described and the associations between the different variables of the victims and the patterns of road traffic injuries were assessed. The findings indicated a need to design measures to prevent/minimize these injuries. Future studies are still needed to determine the best measures to avoid/minimize the incidence of serious road traffic injuries.
道路交通伤害是一项全球性的公共卫生挑战。本研究旨在描述巴勒斯坦西岸一家大型三级护理医院中道路交通伤害的流行病学模式。此外，还评估了受害者的不同变量与道路交通伤害模式之间的关联。
本研究采用回顾性队列观察设计，于2021年1月至2023年7月在巴勒斯坦纳布卢斯的一家大型三级护理医院进行。数据通过数据收集表从该大型三级护理医院的电子病历系统中收集。
本研究共纳入1544名道路交通伤害受害者。下肢损伤（43.0%）、颈部损伤（41.2%）和上肢损伤（39.8%）是入住该大型三级护理医院的受害者最常见的道路交通伤害类型。与30岁以下的受害者相比，30岁及以上的受害者更易发生背部损伤（调整后比值比[aOR]=1.71，95%置信区间[CI]：1.20-2.45）、骨盆损伤（aOR=1.84, 95% CI：1.08-3.12）、胸部损伤（aOR=1.59, 95% CI：1.06-2.38）和颈部损伤（aOR=2.54, 95% CI：1.68-3.82）。与使用安全带的受害者相比，未使用安全带的受害者更易发生腹部损伤（aOR=1.88, 95% CI：1.34-2.63）和头部损伤（aOR=1.49, 95% CI：1.06-2.10）。与安全气囊已弹出的受害者相比，安全气囊未弹出的受害者更易发生颈部损伤（aOR=1.85, 95% CI：1.31-2.63）。
描述了巴勒斯坦纳布卢斯一家大型三级护理医院中道路交通伤害的流行病学模式，并评估了受害者的不同变量与道路交通伤害模式之间的关联。研究结果表明需要设计预防/减少这些伤害的措施。未来仍需开展研究以确定避免/减少严重道路交通伤害发生率 的最佳措施。
