Unintentional Injuries and Violence among Adults in Northern Jordan: A Hospital-Based Retrospective Study

et al. 2020

Preprint

Background: Violence is a global public health problem leading to injuries, long-term physical, sexual or mental health problems and mortality. The burden of violence-related injuries remains understudied in the Arabian Gulf region. The present study aimed to describe the epidemiology of hospitalized violence-related injuries in Qatar.Methods: A retrospective analysis of trauma registry data from a level 1 trauma center was conducted by including all patients admitted to the hospital for violence-related injuries between June 2010 and June 2017. We analyzed and compared the hospitalized interpersonal and self-inflicted violence groups.Results: The hospitalization rate of violence-related injuries was 4.6 per 100,000 population per year; it was significantly higher in males (5.5/100,000 males/year vs. 1.8/100,000 females/year) and in younger populations, specifically in the 25-34 years age-group (41%). South Asians constituted 55% of the affected study population. Interpersonal violence (76.7%) was the most common mechanism of injury. Significant differences between interpersonal and self-inflicted violence were evident, especially for the type of trauma (i.e. blunt or penetrating), injured body regions, alcohol use, injury severity, need for intubation and psychiatric referral (p<0.05). Overall, in-hospital mortality was 6.4%; with a significantly higher rate in females (16% vs.5%, p=0.001). Outcomes, including length of hospital stay and mortality, were comparable in the two types of violence. Multivariate analysis showed that male gender and alcohol use were predictors for interpersonal violence whereas a high Injury Severity Score and a low Glasgow Coma Scale were predictors of hospital mortality.Conclusions: The rate of hospitalization for violence-related injuries in Qatar is low; however, its burden on the trauma system is of concern. Although it comprised only 9.6% of the study population, females are more likely to get hospitalized following self-inflicted injuries when compared to interpersonal violence. Disproportionate burden of violence in the South Asians and young population warrants an evidence-based public health approach in violence prevention to well address the risk factors.

Section: Discussionsupporting

confidence: 49%

“…Such studies are very rare in the Arabian Gulf region. A hospitalbased retrospective study in Jordan demonstrated that violence (71%) was the most frequent cause of ED visits followed by road tra c injuries (23%) [17].…”

Section: Discussionmentioning

confidence: 99%

Violence–related injuries in a rapidly developing Middle Eastern country: A Retrospective Study from a Level 1Trauma Center

et al. 2020

Preprint

“…A prior study conducted in Jordan in accidents and emergency departments revealed that the violence was the most common reason of injury (71%) and males (87%) were the main victims [11]. Although there is a paucity of information on violence-related injuries in the Arabian Gulf region, there are some studies which addressed the violence-related trauma by focusing either on mechanism of injury, age group or gender.…”

Section: Discussionmentioning

confidence: 99%

Violence –related injuries in a rapidly developing Middle Eastern country: A Retrospective Study from a Level 1Trauma Center

et al. 2020

Preprint

Background Violence is a global public health problem leading to injuries, long-term physical, sexual or mental health problems and mortality. The burden of violence-related injuries remains understudied in the Arabian Gulf region. The present study aimed to describe the epidemiology of violence-related injuries in Qatar. Methods A retrospective analysis of trauma registry data from a level 1 trauma center was conducted by including all patients presented to the hospital following violence-related injuries in the duration between June 2010 and June 2017. Results The incidence rate of violence-related injuries was 4.6 per 100,000 population per year; significantly higher rate in males (5.5/100,000 males/year vs. 1.8/100,000 females/year) and in younger population, specifically in 25-34 years age-group (41%). South Asians (55%) were the principal victims. Interpersonal violence (IPV: 71%) was the major contributor. Three quarters of the pediatric injuries were caused by IPV and mortality was 8% which in fact was higher than the overall mortality. In-hospital mortality was 6.4%. Higher case fatality rate was reported in females (16% vs.5%, p=0.001). Conclusions Although the rate of violence-related injuries in Qatar was low, its disproportionate burden in the South Asians and young population warrants an evidence-based public health approach in violence prevention that addressing the risk factors. In addition, its burden in the pediatric population is also alarming.

“…The mean age in the UAE and our study was 30 and 31 years respectively. Similarly, male predominance among the victims was also evident in the UAE (85%) and Jordan (87%) based studies [17,21].…”

Section: Discussionmentioning

confidence: 68%

“…Such studies based on trauma registry data are very rare in the Arabian Gulf region. A hospital-based retrospective study in Jordan demonstrated that violence (71%) was the most frequent cause of ED visits followed by road tra c injuries (23%) [17] Bala et al studied the prevalence of physical ghting and its associated factors among adolescent population in Qatar [18]. This study was based on a student health survey in school to determine the prevalence and factors associated with being engaged in a physical ght.…”

Section: Discussionmentioning

confidence: 99%

Violence –related injuries in a rapidly developing Middle Eastern country: A Retrospective Study from a Level 1Trauma Center

et al. 2020

Preprint

Background: Violence is a global public health problem leading to injuries, long-term physical, sexual or mental health problems and mortality. The burden of violence-related injuries remains understudied in the Arabian Gulf region. The present study aimed to describe the epidemiology of hospitalized violence-related injuries in Qatar. Methods: A retrospective analysis of trauma registry data from a level 1 trauma center was conducted by including all patients presented to the hospital following violence-related injuries in the duration between June 2010 and June 2017. We analyzed and compared the hospitalized interpersonal and self-inflicted violence groups.Results: The hospitalization rate of violence-related injuries was 4.6 per 100,000 population per year; it was significantly higher in males (5.5/100,000 males/year vs. 1.8/100,000 females/year) and in younger population, specifically in the 25-34 years age-group (41%). South Asians constituted 55% of the affected study population. Interpersonal violence (76.7%) was the commonest type of violence. Significant differences between interpersonal and self-inflicted violence were evident especially the type of trauma (i.e. blunt or penetrating), injured body regions, alcohol use, injury severity, intubation and psychiatric referrals (p<0.05). Overall in-hospital mortality was 6.4%; higher rate was reported in females (16% vs.5%, p=0.001). Outcomes including length of hospital stay and mortality were comparable regardless of the type of violence. Multivariable analysis showed that male gender and Blood Alcohol Concentration (BAC) positivity were predictors for interpersonal violence whereas Injury Severity Score and Glasgow Coma Scale were predictors of mortality among violence patients.Conclusions: The rate of hospitalization for violence-related injuries in Qatar is low; however, its burden on the trauma system is of concern. Although it comprised only 9.6% of the study population, females are more likely to get hospitalized following self-inflicted injuries when compared to interpersonal violence. Disproportionate burden of violence in the South Asians and young population warrants an evidence-based public health approach in violence prevention to well address the risk factors.