دورية أكاديمية
أعرض في EDS

Outcomes of road traffic injuries before and after the implementation of a camera ticketing system: a retrospective study from a large trauma center in Saudi Arabia.

التفاصيل البيبلوغرافية
العنوان: Outcomes of road traffic injuries before and after the implementation of a camera ticketing system: a retrospective study from a large trauma center in Saudi Arabia.
المؤلفون: Alghnam S; Dr. Suliman Abdulah Alghnam, King Abdulah International Research Center (KAIMRC), Population Health, PO Box 22490,, Riyadh, 11426, Saudi Arabia,, T: 0539468887, ghnams@ngha.med.sa, ORCID: http://orcid.org/0000-0001-5817-0481., Alkelya M, Alfraidy M, Al-Bedah K, Albabtain IT, Alshenqeety O
المصدر: Annals of Saudi medicine [Ann Saudi Med] 2017 Jan-Feb; Vol. 37 (1), pp. 1-9.
نوع المنشور: Evaluation Study; Journal Article
اللغة: English
بيانات الدورية: Publisher: King Faisal Specialist Hospital and Research Centre Country of Publication: Saudi Arabia NLM ID: 8507355 Publication Model: Print Cited Medium: Internet ISSN: 0975-4466 (Electronic) Linking ISSN: 02564947 NLM ISO Abbreviation: Ann Saudi Med Subsets: MEDLINE
أسماء مطبوعة: Publication: 2012- : Riyadh : King Faisal Specialist Hospital and Research Centre
Original Publication: [Riyadh, Saudi Arabia : King Faisal Specialist Hospital and Research Center and King Saud University College of Medicine, c1985-
مواضيع طبية MeSH: Outcome Assessment, Health Care* , Program Evaluation*, Accidents, Traffic/*statistics & numerical data , Trauma Centers/*statistics & numerical data , Wounds and Injuries/*epidemiology, Adult ; Automobile Driving/statistics & numerical data ; Emergency Service, Hospital/statistics & numerical data ; Female ; Glasgow Coma Scale ; Humans ; Injury Severity Score ; Male ; Middle Aged ; Retrospective Studies ; Saudi Arabia/epidemiology ; Wounds and Injuries/etiology ; Young Adult
مستخلص: Background: Road traffic injuries (RTIs) are the third leading cause of death in Saudi Arabia. Because speed is a major risk factor for severe crash-related injuries, a camera ticketing system was implemented countrywide in mid-2010 by the traffic police in an effort to improve traffic safety. There are no published studies on the effects of the system in Saudi Arabia.
Objective: To examine injury severity and associated mortality at a large trauma center before and after the implementation of the ticketing system.
Design: Retrospective, analytical.
Setting: Trauma center of a tertiary care center in Riyadh.
Patients and Methods: The study included all trauma registry patients seen in the emergency department for a crash-related injury (automobile occupants, pedestrians, or motorcyclists) between January 2005 and December 2014. Associations with outcome measures were assessed by univariate and multivariate methods.
Main Outcome Measure(s): Injury severity score (ISS), Glasgow coma scale (GCS) and mortality.
Results: The study included all trauma registry patients seen in the emergency department for a crash-related injury. All health outcomes improved in the period following implementation of the ticketing system. Following implementation, ISS scores decreased (-3.1, 95% CI -4.6, -1.6) and GCS increased (0.47, 95% CI 0.08, 0.87) after adjusting for other covariates. The odds of death were 46% lower following implementation than before implementation. When the data were log-transformed to account for skewed data distributions, the results remained statistically significant.
Conclusions: This study suggests positive health implications following the implementation of the camera ticketing system. Further investment in public health interventions is warranted to reduce preventable RTIs.
Limitations: The study findings represent a trauma center at a single hospital in Riyadh, which may not generalize to the Saudi population.
References: J Trauma. 1997 Dec;43(6):922-5; discussion 925-6. (PMID: 9420106)
Traffic Inj Prev. 2015;16(6):587-92. (PMID: 25551701)
Saudi Med J. 2015 Apr;36(4):418-24. (PMID: 25828277)
Traffic Inj Prev. 2016 Jul 3;17(5):488-94. (PMID: 26507461)
BMJ. 2012 Aug 15;345:e5166. (PMID: 22896030)
Injury. 2014 Nov;45(11):1693-9. (PMID: 24950798)
Ann Adv Automot Med. 2013;57:365-8. (PMID: 24406979)
J Pediatr Surg. 2011 Aug;46(8):1557-63. (PMID: 21843724)
J Safety Res. 2008;39(1):101-10. (PMID: 18325421)
Int J Emerg Med. 2015 Dec;8(1):70. (PMID: 26347359)
Inj Prev. 2012 Apr;18(2):75-80. (PMID: 21795288)
Accid Anal Prev. 2013 Nov;60:148-57. (PMID: 24056286)
Epidemiol Rev. 2012;34:1-3. (PMID: 22180470)
N Engl J Med. 1997 Feb 13;336(7):453-8. (PMID: 9017937)
Int J Health Sci (Qassim). 2012 Jan;6(1):31-41. (PMID: 23267302)
J Trauma Acute Care Surg. 2014 Aug;77(2):193-7. (PMID: 25058240)
World J Surg. 2014 Aug;38(8):1882-91. (PMID: 24817407)
N Engl J Med. 2013 Aug 1;369(5):448-57. (PMID: 23902484)
Am J Public Health. 2009 Sep;99(9):1638-44. (PMID: 19608953)
Best Pract Res Clin Rheumatol. 2008 Aug;22(4):725-39. (PMID: 18783747)
Inj Prev. 2010 Feb;16(1):12-6. (PMID: 20179029)
Traffic Inj Prev. 2016 Oct 2;17(7):686-91. (PMID: 26889569)
Ann Saudi Med. 2014 Jul-Aug;34(4):291-6. (PMID: 25811200)
Cochrane Database Syst Rev. 2010 Oct 06;(10):CD004607. (PMID: 20927736)
Prev Chronic Dis. 2014 Oct 02;11:E169. (PMID: 25275806)
J Surg Res. 2011 Mar;166(1):40-4. (PMID: 20828742)
Accid Anal Prev. 1990 Dec;22(6):549-59. (PMID: 2275738)
تواريخ الأحداث: Date Created: 20170203 Date Completed: 20170302 Latest Revision: 20240331
رمز التحديث: 20240331
مُعرف محوري في PubMed: PMC6148978
DOI: 10.5144/0256-4947.2017.1
PMID: 28151450
قاعدة البيانات: MEDLINE
الوصف
تدمد:0975-4466
DOI:10.5144/0256-4947.2017.1