The clinical pattern of intentional injuries at a primary Saudi Arabian trauma center

Purpose The term “intentional injuries” refers to a spectrum of injuries resulting from self-inflicted injuries, interpersonal violence, and group acts of violence. Intentional injuries are underreported in Saudi Arabia. This study aimed to analyze and evaluate the characteristics of intentional inj...

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Main Authors: Bader Hamza Shirah, Hamza Asaad Shirah, Ibrahim Abdulaziz Zabeery, Osama Abdulqader Sogair, Ahmed Medawi Alahmari, Wael Awad Alhaidari, Maher Hamdan Alamri, Waal Nafa Aljabri
Format: Article
Language:English
Published: Korean Society of Traumatology 2022-06-01
Series:Journal of Trauma and Injury
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Online Access:http://jtraumainj.org/upload/pdf/jti-2021-0026.pdf
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author Bader Hamza Shirah
Hamza Asaad Shirah
Ibrahim Abdulaziz Zabeery
Osama Abdulqader Sogair
Ahmed Medawi Alahmari
Wael Awad Alhaidari
Maher Hamdan Alamri
Waal Nafa Aljabri
author_facet Bader Hamza Shirah
Hamza Asaad Shirah
Ibrahim Abdulaziz Zabeery
Osama Abdulqader Sogair
Ahmed Medawi Alahmari
Wael Awad Alhaidari
Maher Hamdan Alamri
Waal Nafa Aljabri
author_sort Bader Hamza Shirah
collection DOAJ
description Purpose The term “intentional injuries” refers to a spectrum of injuries resulting from self-inflicted injuries, interpersonal violence, and group acts of violence. Intentional injuries are underreported in Saudi Arabia. This study aimed to analyze and evaluate the characteristics of intentional injuries in patients who presented to the emergency department of a primary trauma center in Medina, Saudi Arabia in 2013. Methods A prospective cohort database analysis of the clinical patterns and treatment outcomes of 252 patients who had intentional injuries between January and December 2013 was done. Results The proportion of trauma patients with intentional injuries was 1.3%. The mean age was 34.2±9.4 years, 141 patients (56.0%) were male, and 111 (44.1%) were female (male to female ratio, 1.27:1). The majority (n=159, 63.1%) of injuries occurred at night. Most occurred outside the home (n=180, 71.0%). Financial problems (n=62, 24.6%) and social disputes (n=61, 24.2%) were the most common reasons. Sharp objects (n=93, 36.9%) were the most common weapons used. The head and neck were the most commonly injured areas (n=63, 54.4%). Superficial cuts (n=87, 34.5%), were the most common type of injury. Suturing of wounds (n=54, 21.4%) and surgical debridement (n=47, 18.7%) were the most commonly performed modalities of management. Conclusions We conclude that intentional injuries in Saudi Arabia are a health care hazard that is, unfortunately, underreported. The clinical pattern is similar in most aspects to international reports but differs in certain features due to the specific religious and conservative characteristics of the community. Nationwide clinical studies are strongly recommended.
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spelling doaj-art-4a2fe4107f4246109708715cd9de8d112025-01-16T04:51:10ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832022-06-013529910710.20408/jti.2021.00261125The clinical pattern of intentional injuries at a primary Saudi Arabian trauma centerBader Hamza Shirah0Hamza Asaad Shirah1Ibrahim Abdulaziz Zabeery2Osama Abdulqader Sogair3Ahmed Medawi Alahmari4Wael Awad Alhaidari5Maher Hamdan Alamri6Waal Nafa Aljabri7 King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia Department of General Surgery, Al Ansar General Hospital, Medina, Saudi Arabia Department of General Surgery, Al Madinah Al Monawarrah General Hospital, Medina, Saudi Arabia Department of General Surgery, Al Madinah Al Monawarrah General Hospital, Medina, Saudi Arabia Department of General Surgery, Al Madinah Al Monawarrah General Hospital, Medina, Saudi Arabia Department of Accidents and Emergency, Al Ansar General Hospital, Medina, Saudi Arabia Department of Emergency and Trauma, Al Ansar General Hospital, Medina, Saudi Arabia Department of Pharmacy, Al Ansar General Hospital, Medina, Saudi ArabiaPurpose The term “intentional injuries” refers to a spectrum of injuries resulting from self-inflicted injuries, interpersonal violence, and group acts of violence. Intentional injuries are underreported in Saudi Arabia. This study aimed to analyze and evaluate the characteristics of intentional injuries in patients who presented to the emergency department of a primary trauma center in Medina, Saudi Arabia in 2013. Methods A prospective cohort database analysis of the clinical patterns and treatment outcomes of 252 patients who had intentional injuries between January and December 2013 was done. Results The proportion of trauma patients with intentional injuries was 1.3%. The mean age was 34.2±9.4 years, 141 patients (56.0%) were male, and 111 (44.1%) were female (male to female ratio, 1.27:1). The majority (n=159, 63.1%) of injuries occurred at night. Most occurred outside the home (n=180, 71.0%). Financial problems (n=62, 24.6%) and social disputes (n=61, 24.2%) were the most common reasons. Sharp objects (n=93, 36.9%) were the most common weapons used. The head and neck were the most commonly injured areas (n=63, 54.4%). Superficial cuts (n=87, 34.5%), were the most common type of injury. Suturing of wounds (n=54, 21.4%) and surgical debridement (n=47, 18.7%) were the most commonly performed modalities of management. Conclusions We conclude that intentional injuries in Saudi Arabia are a health care hazard that is, unfortunately, underreported. The clinical pattern is similar in most aspects to international reports but differs in certain features due to the specific religious and conservative characteristics of the community. Nationwide clinical studies are strongly recommended.http://jtraumainj.org/upload/pdf/jti-2021-0026.pdfemergencieswounds and injuriessaudi arabia
spellingShingle Bader Hamza Shirah
Hamza Asaad Shirah
Ibrahim Abdulaziz Zabeery
Osama Abdulqader Sogair
Ahmed Medawi Alahmari
Wael Awad Alhaidari
Maher Hamdan Alamri
Waal Nafa Aljabri
The clinical pattern of intentional injuries at a primary Saudi Arabian trauma center
Journal of Trauma and Injury
emergencies
wounds and injuries
saudi arabia
title The clinical pattern of intentional injuries at a primary Saudi Arabian trauma center
title_full The clinical pattern of intentional injuries at a primary Saudi Arabian trauma center
title_fullStr The clinical pattern of intentional injuries at a primary Saudi Arabian trauma center
title_full_unstemmed The clinical pattern of intentional injuries at a primary Saudi Arabian trauma center
title_short The clinical pattern of intentional injuries at a primary Saudi Arabian trauma center
title_sort clinical pattern of intentional injuries at a primary saudi arabian trauma center
topic emergencies
wounds and injuries
saudi arabia
url http://jtraumainj.org/upload/pdf/jti-2021-0026.pdf
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