Trends and characteristics of injuries in the State of Qatar: hospital-based study

Background: Blunt thoracic trauma is the third most common injury in poly-trauma patients following head and extremities injuries; this study aimed at investigating the prevalence of blunt chest trauma and its injury pattern, mechanism of injury, length of hospital stay, treatment period, and risk factors. Methods: In this cross-sectional study, 7,410 patients, who referred to Shahid Rajaee hospital, during years 2010 to 2014 were selected through census sampling. The participants' demographic data, mechanism of injury, type of thoracic injury, location of fracture, length of stay, and injury severity scores (ISS) were recorded.Results: Most patients were male (5498, 74.2%), 63.3% were 15 to 40 years old, and their mean age was 37.53 ± 0.21 years. The most commonly reported mechanism of injury was car accident (2,999, 40.5%) followed by falls (1,529,20.6%, and motorbike accidents (964, 13.1%). Head, neck and thorax injuries were most common comorbidities in thorax trauma patients. The mortality rate was 1.5%. Indeed, the patients, who had rib fracture (P = 0.01) (OR3.66, CI [1.36 -9.82]), and multiple injuries of thorax (P < 0.001) (OR 8.10,.73]), had a higher mortality risk. Conclusions:The risk of blunt thoracic injuries was higher among specific types of injuries. Additionally, patients with blunt chest trauma, who had the risk factors of mortality required preventative measures and careful management in order to prevent traumarelated deaths.Keywords: Thoracic Injuries, Trauma, Blunt BackgroundTrauma is the leading cause of death in patients under 40 years of age (1) and the fourth leading cause of death globally (2, 3). World health organization (WHO) announced in 2004 that trauma was the fourth main cause of death in Iran, and would turn into the third cause of death by 2020 (4).With regards to the prevalence of thoracic trauma compared to other types of trauma, it is an important cause of morbidity and mortality, which has led to approximately 25% of trauma-related deaths in the United States (5). Thoracic trauma is the third most frequent injury after head and extremities in patients with multiple trauma (5). In addition, approximately 0.06% of disability cases per year are caused by chest trauma (6). Blunt thoracic injuries are the third most common injury in poly-trauma patients following head and extremities trauma (7). Blunt chest trauma is directly responsible for 25% of all trauma deaths (8).Generally, more than 50% of blunt chest trauma cases occur in fatal accidents and a large number of them are caused by motor vehicle crashes (63% to 78%), followed by falls, blows from blunt objects, or explosive devices (10% to 17%) (9).Blunt traumatic injuries (BTI) represent a high incidence of morbidity and mortality worldwide (10). The most common mechanisms of blunt trauma are road traffic accidents (RTAs), falls, and being struck by heavy objects (11,12).Patients with blunt chest trauma may be at a significant risk of developing respiratory failure (13). Some studies have also reported that up to ...

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“…The most common mechanisms of blunt trauma are road traffic accidents (RTAs), falls, and being struck by heavy objects (11,12).…”

Section: Introductionmentioning

confidence: 99%

Blunt Thoracic Injury Mortality and Clinical Presentation

Yadollahi¹,

Arabi²,

Mahmoudi³

et al. 2018

Trauma Mon

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“…The correlation coefficient between traffic accidents and life expectancy at birth during 1996-2010 was -0.19 for males and -0.13 for females, although statistically insignificant the negative correlations suggests that the elimination or even partial reduction of accidents as a cause of death would give an important gain in life expectancy among men [24]. Few accidents are due purely to chance; but many are preventable through information, education and measures like improved planning and design of the environment.…”

Section: Resultsmentioning

confidence: 99%

“…Few accidents are due purely to chance; but many are preventable through information, education and measures like improved planning and design of the environment. As road accidents account for about two-thirds of the overall accident mortality in Qatar [24][25][26][27] and the number of cars has also increased substantially during the last 15 years [28], it seems reasonable to suggest that programmes to prevent fatal motor vehicle accidents should be given priority in economic planning [25][26]. Preventive actions should be aimed, specifically the introduction of safety elements (seat belts.…”

Section: Resultsmentioning

confidence: 99%

Trends of Cause and Sex-Specific Mortality, and Its Impact on the Life Expectancy among Qatari Population

Bener¹,

Yousafzai²,

ur-Rehman³

et al. 2013

PHF

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Abstract-The study aimed to assess the changes in the cause and sex-specific mortality and the life expectancy in Qatar from 1996-2010. Method: the electronic database, from the tertiary healthcare providers at the Hamad Medical Corporation (HMC), and vital health statistics from Supreme Council of Health in Qatar was utilized to assess the impact of cause and sex-specific mortality on life expectancy at birth. Correlation between life expectancy at birth to causes such as cardiovascular diseases (CVD), traffic accidents, malignant neoplasm, endocrine diseases and congenital abnormalities was measured, so as to compare the potential gains from the elimination of these causes. Result: in Qatar, considering the time period of 1996-2010, the gain in life expectancy at birth was 3.6 years for men and 2.3 years for women. Overall, all cause mortality rate was 176.7 per 100,000 during 1996-2010. The mortality related to circulatory system ranked first, with mean annual mortality rate of 38.7 per 100,000, followed by road traffic accidents (27.18). Among males, mean annual mortality due to traffic accidents and circulatory systems declined from 1996 to 2010. Among females, mean mortality rate due to neoplasm mildly increased from 20.0/100,000 in 1996 to 24.8/100,000 in 2010, and that due to prenatal conditions among females declined from 12.0/100,000 in 1996, to 6.9/100,000 in 2010. Among both males and females, the mean mortality for circulatory system declined during 1996 to 2010. Overall, except for road traffic accidents (r=-0.130, p=0.494), illdefined conditions (r=-0.235, p= 0.212), and endocrine disease (r=-0.135, p=0.476) all other leading causes of mortality showed significant negative correlation with life expectancy at birth. Conclusion: increases in life expectancy in Qatar were mostly achieved by reductions in all causes mortality, and especially from reductions in mortality from the circulatory and endocrine system diseases, and prenatal and congenital deaths. The present study provided useful information which can help the policy makers in more effective allocation of resources for public health programs in Qatar.

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“…A vast majority of workers (64%) did not use protective devicesTuma et al 2013 [26]Epidemiology of workplace-related fall from height and cost of trauma care in QatarIncidence of fall related WRI was 86.7 per 100,000 and associated death rate was 8.44 per 100,000 workers.Bener et al 2011. [41]Trends and characteristics of head and neck injury from falls: A hospital based study, QatarAmong 1952 patients who were treated at a major trauma center for head and neck injuries, nearly half of them suffered from falls during workBener et al 2012 [34]Trends and characteristics of injuries in the State of Qatar: hospital-based studyThis 5-year study demonstrated that overwhelming majority were non-Qatari males and over 50% of 46,701 injuries were related to WRIs. Common injuries included injuries of head and neck, extremities, and back.Khan et al 2005 [30]Study of Patients with Heat Stroke Admitted to the Intensive Care Unit of Hamad General Hospital, Doha, Qatar During Summer 2004.This case series highlighted the WRIs resulting from heat stroke and its medical complications during the hot summer months…”

Section: The Burden Of Wris In the Gcc And Neighboring Countriesmentioning

confidence: 99%

Work related injuries in Qatar: a framework for prevention and control

Mehmood

Maung

Consunji

et al. 2018

J Occup Med Toxicol

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Work related injuries (WRIs) are a growing public health concern that remains under-recognized, inadequately addressed and largely unmeasured in low and middle-income countries (LMIC’s). However, even in high-income countries, such as those in Gulf Cooperating Council (GCC) like Qatar, there are challenges in assuring the health and safety of its labor population. Countries in the GCC have been rapidly developing as a result of the economic boom from the petrochemical industry during the early seventies. Economic prosperity has propelled the migration of workers from less developed countries to make up for the human resource deficiency to develop its infrastructure, service and hospitality industries. Although these countries have gradually made huge gains in health, economy and human development index, including improvements in life expectancy, education, and standard of living, there remains a high incidence of work-related injuries especially in jobs in the construction and petrochemical sector. Currently, there is scarcity of literature on work-related injuries, especially empirical studies documenting the burden, characteristics and risk factors of work injuries and the work injured population, which includes large numbers of migrant workers in many GCC countries. This paper will focus on the current understanding of WRIs in those countries and identify the gaps in current approaches to workplace injury prevention, outlining current status of WRI prevention efforts in Qatar, and propose a framework of concerted action by multi-sectoral engagement.

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Trends and characteristics of injuries in the State of Qatar: hospital-based study

Cited by 23 publications

References 17 publications

Blunt Thoracic Injury Mortality and Clinical Presentation

Blunt Thoracic Injury Mortality and Clinical Presentation

Trends of Cause and Sex-Specific Mortality, and Its Impact on the Life Expectancy among Qatari Population

Work related injuries in Qatar: a framework for prevention and control

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