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ABSTRACT: Objectives
To describe the patterns and outcomes of traumatic spinal injuries (TSIs) in a tertiary care trauma centre in Riyadh, Saudi Arabia.Design
Retrospective medical record review.Setting
Level 1 trauma centre for all patients presented from 1 February 2016 to 31 December 2018.Participants and data
Records of patients presenting with any spinal trauma were reviewed, and the data obtained included age, gender, nationality (as Saudi and non-Saudi), date of presentation, site of fracture/injury, associated injuries, mechanism of injury, presence of neurological involvement and hospital mortality.Main outcomes
Frequencies of different types of TSI across various subgroups.Results
We identified 692 patients who presented with TSI throughout the study period. The mean age was 36.9 years. Males represented 83.2% (n=576) of the sample size, and the most common mechanism of injury was motor vehicle collision (MVC), accounting for 66.8% of cases (n=462), while fall-related injuries were seen in 31.6% of cases (n=219). A total of 454 (65.6%) of all patients were Saudi, and 332 (73.1%) of the TSIs in Saudis were due to MVC. Non-Saudi cases accounted for 238 (34.4%) of all patients, and 89 (37.4%) of the non-Saudi injuries were due to falls from height, and this association was statistically significant (p<0.001).Conclusion
TSI was not thoroughly examined in Saudi Arabia; therefore, this study is considered the first to be done in the Kingdom using a representative sample. The fact that non-Saudi patients had a higher proportion of falls as a mechanism of injury should be taken into consideration in terms of raising awareness and taking more safety precautions, as most construction workers tend to be expatriates.
SUBMITTER: Alawad MO
PROVIDER: S-EPMC7668378 | biostudies-literature | 2020 Nov
REPOSITORIES: biostudies-literature
Alawad Mohammad O MO Alenezi Nasser N Alrashedan Bander S BS Alsabieh Mohammed M Alnasser Abdulrahman A Abdulkader Rizwan Suliankatchi RS Surur Saad S
BMJ open 20201114 11
<h4>Objectives</h4>To describe the patterns and outcomes of traumatic spinal injuries (TSIs) in a tertiary care trauma centre in Riyadh, Saudi Arabia.<h4>Design</h4>Retrospective medical record review.<h4>Setting</h4>Level 1 trauma centre for all patients presented from 1 February 2016 to 31 December 2018.<h4>Participants and data</h4>Records of patients presenting with any spinal trauma were reviewed, and the data obtained included age, gender, nationality (as Saudi and non-Saudi), date of pres ...[more]