Patterns of trauma injuries and predictors of in-hospital mortality in patients admitted to a tertiary care setting in Saudi Arabia
| Autor: | Abeer Al-Suwailem, Mostafa A. Abolfotouh, Suliman Al-Teriqi, Ra’ed Hijazi, Alanoud Al-Marzoug |
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| Rok vydání: | 2016 |
| Předmět: |
Pediatrics
medicine.medical_specialty In hospital mortality business.industry Retrospective cohort study Critical Care and Intensive Care Medicine Logistic regression Tertiary care 03 medical and health sciences 0302 clinical medicine Blunt 030220 oncology & carcinogenesis Emergency Medicine medicine 030211 gastroenterology & hepatology In patient business Socioeconomic status Cause of death |
| Zdroj: | Journal of Emergency Medicine, Trauma and Acute Care. 2016 |
| ISSN: | 1999-7094 1999-7086 |
| DOI: | 10.5339/jemtac.2016.icepq.24 |
| Popis: | Background: Trauma is a major cause of death worldwide that can result death or permanent disability. Globally, 6–10% of all deaths are attributed to traumatic injuries. In Saudi Arabia, trauma is a public burden as a result of its socioeconomic impact. Our aim is to describe the pattern of traumatic injuries and predictors of in-hospital mortality among patients admitted through the ED of King Abdulaziz Medical City. Methods: A retrospective cohort study was conducted on 3786 trauma-injured patients admitted from 2012 to 2014. Data on: patient characteristics, trauma characteristics and outcome characteristics, were extracted from a prospectively collected database. Logistic regression analysis and ROC curve were applied. Results: Of 3786, (77.5%) of victims were males, (29.8%) injuries occurred in the age group (15–25 years). Blunt injuries constituted (87.1%), followed by burns (7%), intentional injuries (5%) and drowning & foreign body (1%). Data showed seasonal variation with two main peaks in March and August (p Conclusions: Our recommendation is targeted to ED policy makers to recognize the patterns of injury and the seasonal variation to structure and distribute the facilities and staff in a cost-effective manner. Also, enforcing trauma preventative measures should be encouraged. Secondly, for ED physicians to enhance the use of in-hospital predictors of mortality. Finally, educational programs targeting the general population are essential to cover all aspects. |
| Databáze: | OpenAIRE |
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