ArticleInternational journal of emergency medicine2025
Evaluation of road traffic injuries in the post-pandemic era: a two-and-a-half-year review of clinical characteristics and outcomes at a major trauma center.
Article in International journal of emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundRoad traffic crash-related injuries (RTCs) pose a significant public health challenge. In Saudi Arabia, a notable decline in RTC-related injuries was observed from 2016 to 2020 during the pre-pandemic era. However, the status and outcomes of RTCs following the pandemic remain largely unexplored. This study aimed to review the first two and a half years of characteristics and outcomes of RTCs in the post-pandemic era in Riyadh, Saudi Arabia.
methodData was obtained from the Saudi TraumA Registry- STAR during the pre-pandemic period from August 2017 to March 2020 and the post-pandemic period from July 2020 to December 2022. Data were collected on patient demographics, injury details, prehospital and in-hospital vital signs, and in-hospital outcomes. Logistic regression analysis was performed to examine the association between different variables and in-hospital mortality.
resultsA total of 6,577 patients sustained a road injury during the study period, pre-pandemic phase n = 2,809 (42.8%) and post-pandemic phase n = 3,768 (57.2%). An increase in trauma cases by 14.4% was seen in the post-pandemic period (motor vehicle drivers 10.1%, motor vehicle passengers 1.9%, motorcycles 1.3%, and pedestrians 1.2%, p < 0.001). In the post-pandemic period, there was an increase in head injuries by 3.3% (p = 0.013), lower extremity injuries by 3.1% (p = 0.003), and injuries to the upper extremity by 1.3% (p = 0.018). There was a notable increase in the proportion of cases requiring intensive care unit admission by 5.6% (p = 0.001) in the post-pandemic period. In-hospital mortality was 278 (4.2%), pre-pandemic 113 cases (1.7%), and post-pandemic 165 cases (2.5%), p = 0.478.
conclusionThis study revealed a shift in the distribution of cases across age groups, mechanism of injury, injury severity, and outcomes, with notable changes in percentages and varying degrees of increases in cases after the pandemic. It is worth investing in increasing road traffic safety and reducing injuries to minimise the burden of RTC-related injuries in Saudi Arabia.
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