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一个阿拉伯中东国家的损伤严重程度和道路交通相关死亡率趋势:一项为期12年的回顾性观察研究。

Trend of Injury Severity and Road Traffic-Related Mortality in an Arab Middle Eastern Country: A 12-Year Retrospective Observational Study.

作者信息

Abulkhair Tarik, Consunji Rafael, El-Menyar Ayman, Chichaya Tongai F, Asim Mohammad, Al-Thani Hassan

机构信息

Trauma Surgery Section, Hamad Medical Corporation, Doha 3050, Qatar.

Weill Cornell Medicine, Doha 24144, Qatar.

出版信息

Healthcare (Basel). 2025 May 1;13(9):1045. doi: 10.3390/healthcare13091045.

DOI:10.3390/healthcare13091045
PMID:40361822
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12071599/
Abstract

Road traffic injuries (RTIs) significantly contribute to disability and death in Qatar. This observational study aimed to explore RTI mortality and injury severity trends from 2011 to 2022. Data from the national trauma database were analyzed retrospectively for mortality rates, injury severity, and characteristics of the injured populations over the years (2011-2022). RTIs represented around 61.3% ( = 12,644) of 20,642 trauma hospitalizations over 12 years. The aggregate RTI mortality rate decreased from 12 to 8 per 100,000 persons, with a mean patient age of 31.8 years. The sum of deaths was 2464, comprising 1022 (41%) in-hospital and 1442 (59%) out-of-hospital fatalities. Among in-hospital deaths, bike-related mortalities totaled 35 (3%), motorcycle-related mortalities 53 (5%), motor vehicle mortalities 561 (55%), and pedestrian mortalities 373 (36%). Based on the injury severity score (ISS), RTIs were divided into four categories, namely, mild (ISS: 1-9), moderate (ISS: 10-15), severe (ISS: 16-24), and fatal (ISS: 25-75). The ISS ranged from 12 to 14, while the median ranged from 10 to 12. The injury frequency showed that mild injuries comprised 40.6% (4545), moderate injuries 26.2% (2934 subjects), and severe 16.7% (1873 subjects). Profound injuries accounted for 13.3% (1490 subjects). Severe and fatal injuries combined dropped from 30% in 2011 to 25% by 2022. Inversely, moderate injuries increased from 24% to 30%, representing a downward trend of the injury severity. Motorcycle-related injuries rose from around 3% to 28% between 2011 and 2022. Motor vehicle and pedestrian injuries declined from about 67% to 54% and 27% to 15%, respectively. Winter, Autumn, Spring, and Summer accounted for 27%, 26%, 24%, and 23% of the total injuries (11,153), respectively. RTI in-hospital mortality and injury severity decreased over the study period. Injury prevention programs should target frequent injury seasons and high-risk populations, such as motorcyclists.

摘要

道路交通事故(RTIs)在卡塔尔导致了大量残疾和死亡。本观察性研究旨在探讨2011年至2022年期间道路交通事故死亡率和伤害严重程度的趋势。对国家创伤数据库中的数据进行回顾性分析,以了解多年来(2011 - 2022年)的死亡率、伤害严重程度以及受伤人群的特征。在12年的20,642例创伤住院病例中,道路交通事故约占61.3%(n = 12,644)。道路交通事故的总死亡率从每10万人12例降至8例,患者平均年龄为31.8岁。死亡总数为2464例,其中1022例(41%)在医院死亡,1442例(59%)在院外死亡。在医院死亡病例中,与自行车相关的死亡有35例(3%),与摩托车相关的死亡53例(5%),机动车相关死亡561例(55%),行人死亡373例(36%)。根据损伤严重程度评分(ISS),道路交通事故分为四类,即轻度(ISS:1 - 9)、中度(ISS:10 - 15)、重度(ISS:16 - 24)和致命(ISS:25 - 75)。ISS范围为12至14,中位数范围为10至12。伤害频率显示,轻度伤害占40.6%(4545例),中度伤害占26.2%(2934例),重度伤害占16.7%(1873例)。重伤占13.3%(1490例)。重度和致命伤害合计从2011年的30%降至2022年的25%。相反,中度伤害从24%增至30%,呈现出伤害严重程度的下降趋势。2011年至2022年期间,与摩托车相关的伤害从约3%增至28%。机动车和行人伤害分别从约67%降至54%和从27%降至15%。冬季、秋季、春季和夏季分别占总伤害病例(11,153例)的27%、26%、24%和23%。在研究期间,道路交通事故的医院死亡率和伤害严重程度有所下降。伤害预防计划应针对伤害频发季节和高危人群,如摩托车骑行者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a35c/12071599/d115d437940f/healthcare-13-01045-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a35c/12071599/bec8505450e6/healthcare-13-01045-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a35c/12071599/a29b5a3481d7/healthcare-13-01045-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a35c/12071599/3e3bb35eefd3/healthcare-13-01045-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a35c/12071599/d115d437940f/healthcare-13-01045-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a35c/12071599/bec8505450e6/healthcare-13-01045-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a35c/12071599/a29b5a3481d7/healthcare-13-01045-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a35c/12071599/3e3bb35eefd3/healthcare-13-01045-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a35c/12071599/d115d437940f/healthcare-13-01045-g004.jpg

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