Evidence map›Paper›PMID 36600205›Full record

ArticleBMC public health2023

Impact of easing COVID-19 lockdown restrictions on traumatic injuries in Riyadh, Saudi Arabia: one-year experience at a major trauma centre.

Rayan Jafnan Alharbi, Rami Al-Jafar, Sharfuddin Chowdhury, Muhammad Aziz Rahman, Ateeq Almuwallad, Abdullah Alshibani, Virginia Lewis

Abstract read
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Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

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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

7 authors.

Rayan Jafnan AlharbiDepartment of Emergency Medical Service, College of Applied Medical Sciences, Jazan University, 45142, Al Maarefah Rd, Jazan, Saudi Arabia. rjalharbi@jazanu.edu.sa.ORCID 0000-0002-0504-3240
Rami Al-JafarDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.
Sharfuddin ChowdhuryTrauma Center, King Saud Medical City, Riyadh, Saudi Arabia.
Muhammad Aziz RahmanSchool of Health, Federation University Australia, Berwick, VIC, Australia.
Ateeq AlmuwalladDepartment of Emergency Medical Service, College of Applied Medical Sciences, Jazan University, 45142, Al Maarefah Rd, Jazan, Saudi Arabia.
Abdullah AlshibaniDepartment of Emergency Medical Services, College of Applied Medical Sciences, King Saud bin, Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Virginia LewisAustralia Institute for Primary Care and Ageing (AIPCA), La Trobe University, Melbourne, VIC, Australia.ORCID 0000-0001-7802-625X

Funding

King Salman Center for Disability Research KSRG-2022-069
6 · The paper itself

Abstract

introductionLockdown restrictions due to the COVID-19 pandemic have reduced the number of injuries recorded. However, little is known about the impact of easing COVID-19 lockdown restrictions on the nature and outcome of injuries. This study aims to compare injury patterns prior to and after the easing of COVID-19 lockdown restrictions in Saudi Arabia.

methodData were collected retrospectively from the Saudi TraumA Registry for the period between March 25, 2019, and June 21, 2021. These data corresponded to three periods: March 2019-February 2020 (pre-restrictions, period 1), March 2020-June 2020 (lockdown, period 2), and July 2020-June 2021 (post easing of restrictions, period 3). Data related to patients' demographics, mechanism and severity of injury, and in-hospital mortality were collected and analysed.

resultsA total of 5,147 traumatic injury patients were included in the analysis (pre-restrictions n = 2593; lockdown n = 218; post easing of lockdown restrictions n = 2336). An increase in trauma cases (by 7.6%) was seen in the 30-44 age group after easing restrictions (n = 648 vs. 762, p < 0.01). Motor vehicle crashes (MVC) were the leading cause of injury, followed by falls in all the three periods. MVC-related injuries decreased by 3.1% (n = 1068 vs. 890, p = 0.03) and pedestrian-related injuries decreased by 2.7% (n = 227 vs. 143, p < 0.01); however, burn injuries increased by 2.2% (n = 134 vs. 174, p < 0.01) and violence-related injuries increased by 0.9% (n = 45 vs. 60, p = 0.05) post easing of lockdown restrictions. We observed an increase in in-hospital mortality during the period of 12 months after easing of lockdown restrictions-4.9% (114/2336) compared to 12 months of pre-lockdown period-4.3% (113/2593).

conclusionThis is one of the first studies to document trauma trends over a one-year period after easing lockdown restrictions. MVC continues to be the leading cause of injuries despite a slight decrease; overall injury cases rebounded towards pre-lockdown levels in Saudi Arabia. Injury prevention needs robust legislation with respect to road safety measures and law enforcement that can decrease the burden of traumatic injuries.

Indexed as

COVID-19Trauma CentersCommunicable Disease ControlHumansPandemicsRetrospective StudiesSaudi ArabiaCovid-19Easing restrictionsInjuryMajor traumaMotor Vehicle CrashesPandemic

Identifiers

PMID36600205
PMCPMC9812537

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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.