Evidence map›Paper›PMID 34085544›Full record

ArticleAnnals of Saudi medicine

Pediatric trauma at a single center in the Qassim region of Saudi Arabia.

Hakem Alomani, Abdulbaset Fareed, Hassan Ibrahim, Ahmed Shaltoot, Ahmed Elhalawany, Mohammad Alhajjaj, Abdullah Dakhel, Muath Alshammasi, Osamah Almosallam

Abstract read
In one paragraph

Article in Annals of Saudi medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
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  5. Observational
  6. Restraint Use for Child Occupants in Dubai, United Arab Emirates.International journal of environmental research and public health · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Hakem AlomaniFrom the Pediatric Intensive Care Unit, Maternity and Children Hospital, Buraidah, Qassim, Saudi Arabia.
Abdulbaset FareedFrom the Pediatric Intensive Care Unit, Maternity and Children Hospital, Buraidah, Qassim, Saudi Arabia.
Hassan IbrahimFrom the Pediatric Intensive Care Unit, Maternity and Children Hospital, Buraidah, Qassim, Saudi Arabia.
Ahmed ShaltootFrom the Pediatric Intensive Care Unit, Maternity and Children Hospital, Buraidah, Qassim, Saudi Arabia.
Ahmed ElhalawanyFrom the Pediatric Intensive Care Unit, Maternity and Children Hospital, Buraidah, Qassim, Saudi Arabia.
Mohammad AlhajjajFrom the Pediatric Intensive Care Unit, Maternity and Children Hospital, Buraidah, Qassim, Saudi Arabia.
Abdullah DakhelFrom the Pediatric Intensive Care Unit, Maternity and Children Hospital, Buraidah, Qassim, Saudi Arabia.
Muath AlshammasiFrom the Pediatric Intensive Care Unit, Maternity and Children Hospital, Buraidah, Qassim, Saudi Arabia.
Osamah AlmosallamFrom the Department of Surgery, College of Medicine, Qassim University, Buraidah, Qassim, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTrauma is one of the leading causes of pediatric mortality so the prevention of pediatric trauma is an important goal of any healthcare system. There are only a few studies on pediatric trauma in Saudi Arabia. The availability of data is vital for healthcare leaders in planning for healthcare services.

objectiveAssess the epidemiology, patterns, and outcome of trauma in the pediatric population in the Qassim region in Saudi Arabia.

designDescriptive medical records review.

settingA single-center, academic specialized pediatric referral hospital. PATIENTS AND

methodsWe reviewed all electronic and paper records for children (<14 years of age) admitted with a diagnosis of trauma to Maternity and Childrens Hospital (MCH) in Buraidah city in the two-year period between January 2017 and December 2018.

main outcome measureType of injury, length of stay, and mortality. SAMPLE SIZE: 133 children.

resultIn this cohort, 77 cases (58%) were admitted to the pediatric intensive care unit (PICU) and 56 (42%) to the pediatric surgery ward. The median (interquartile range) age was 5 (1.1-8) years, and 92 (69%) were boys. The most frequent trauma was road traffic accidents, accounting for 70 cases (52%), followed by fall from a height for 40 (30%) cases. Traumatic brain injury was the most frequent type of injury, accounting for 56 cases (42%), and blunt abdominal trauma was in 11 cases (8.3%). Neurosurgery was the primary subspecialty actively involved in 62 cases (47%). Of the injured children who were admitted to PICU, 36 (46%) needed mechanical ventilation support, while 7 (9%) of those admitted to PICU required the insertion of intra-costal drainage. The mortality in our study was 3.7% (5 cases); 4 of 5 deaths were secondary to road traffic accidents.

conclusionPediatric trauma is a serious problem in our region with high mortality compared to international benchmarks. Road traffic accidents are the leading type of pediatric trauma, followed by falls from height. Further studies and perhaps national efforts are needed to identify ways to prevent road traffic accidents, and optimize the data registry and trauma services. LIMITATION: There were many missing data and incomplete files that affect accuracy and preclude generalization. CONFLICT OF INTEREST: None.

Indexed as

Accidents, TrafficWounds and InjuriesAccidental FallsChildChild, PreschoolFemaleHumansInjury Severity ScoreMalePregnancyRetrospective StudiesSaudi ArabiaTrauma Centers

Identifiers

PMID34085544
PMCPMC8176378

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.