大流行后时代道路交通伤害的评估：一家主要创伤中心对临床特征和结果的两年半回顾。
Evaluation of road traffic injuries in the post-pandemic era: a two-and-a-half-year review of clinical characteristics and outcomes at a major trauma center.
作者信息
Alharbi Rayan Jafnan, Almuwallad Ateeq, Al-Wathinani Ahmed, Alghamdi Abdulrhman, Maguen Elsie, Chowdhury Sharfuddin
机构信息
Emergency Medical Services Program, Department of Nursing, College of Nursing and Health Sciences, Jazan University, Al Maarefah Rd., Jazan, 45142, Saudi Arabia.
Department of Emergency Medical Services, Prince Sultan Bin Abdulaziz College for Emergency Medical Services, King Saud University, Riyadh, 11541, Saudi Arabia.
出版信息
Int J Emerg Med. 2025 Apr 29;18(1):86. doi: 10.1186/s12245-025-00817-3.
BACKGROUND
Road traffic crash-related injuries (RTCs) pose a significant public health challenge. In Saudi Arabia, a notable decline in RTC-related injuries was observed from 2016 to 2020 during the pre-pandemic era. However, the status and outcomes of RTCs following the pandemic remain largely unexplored. This study aimed to review the first two and a half years of characteristics and outcomes of RTCs in the post-pandemic era in Riyadh, Saudi Arabia.
METHOD
Data was obtained from the Saudi TraumA Registry- STAR during the pre-pandemic period from August 2017 to March 2020 and the post-pandemic period from July 2020 to December 2022. Data were collected on patient demographics, injury details, prehospital and in-hospital vital signs, and in-hospital outcomes. Logistic regression analysis was performed to examine the association between different variables and in-hospital mortality.
RESULTS
A total of 6,577 patients sustained a road injury during the study period, pre-pandemic phase n = 2,809 (42.8%) and post-pandemic phase n = 3,768 (57.2%). An increase in trauma cases by 14.4% was seen in the post-pandemic period (motor vehicle drivers 10.1%, motor vehicle passengers 1.9%, motorcycles 1.3%, and pedestrians 1.2%, p < 0.001). In the post-pandemic period, there was an increase in head injuries by 3.3% (p = 0.013), lower extremity injuries by 3.1% (p = 0.003), and injuries to the upper extremity by 1.3% (p = 0.018). There was a notable increase in the proportion of cases requiring intensive care unit admission by 5.6% (p = 0.001) in the post-pandemic period. In-hospital mortality was 278 (4.2%), pre-pandemic 113 cases (1.7%), and post-pandemic 165 cases (2.5%), p = 0.478.
CONCLUSION
This study revealed a shift in the distribution of cases across age groups, mechanism of injury, injury severity, and outcomes, with notable changes in percentages and varying degrees of increases in cases after the pandemic. It is worth investing in increasing road traffic safety and reducing injuries to minimise the burden of RTC-related injuries in Saudi Arabia.
背景
道路交通事故相关伤害对公共卫生构成重大挑战。在沙特阿拉伯，在疫情前时代，2016年至2020年期间道路交通事故相关伤害显著下降。然而，疫情后道路交通事故的状况和结果在很大程度上仍未得到探索。本研究旨在回顾沙特阿拉伯利雅得疫情后时代头两年半道路交通事故的特征和结果。
方法
数据取自沙特创伤登记处（STAR），涵盖疫情前时期（2017年8月至2020年3月）和疫情后时期（2020年7月至2022年12月）。收集了患者人口统计学、损伤细节、院前和院内生命体征以及院内结果的数据。进行逻辑回归分析以检验不同变量与院内死亡率之间的关联。
结果
在研究期间，共有6577名患者遭受道路伤害，疫情前阶段n = 2809（42.8%），疫情后阶段n = 3768（57.2%）。疫情后时期创伤病例增加了14.4%（机动车驾驶员增加10.1%，机动车乘客增加1.9%，摩托车骑行者增加1.3%，行人增加1.2%，p < 0.001）。在疫情后时期，头部受伤增加了3.3%（p = 0.013），下肢受伤增加了3.1%（p = 0.003），上肢受伤增加了1.3%（p = 0.018）。疫情后时期需要入住重症监护病房的病例比例显著增加了5.6%（p = 0.001）。院内死亡率为278例（4.2%），疫情前113例（1.7%），疫情后165例（2.5%），p = 0.478。
结论
本研究揭示了各年龄组、损伤机制、损伤严重程度和结果方面病例分布的变化，疫情后病例百分比有显著变化且有不同程度的增加。值得投资提高道路交通安全并减少伤害，以尽量减轻沙特阿拉伯道路交通事故相关伤害的负担。
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