Traumatic spinal injuries in Saudi Arabia: a retrospective single-centre medical record review

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...

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Main Authors: Rizwan Suliankatchi Abdulkader, Mohammad O Alawad, Nasser Alenezi, Bander S Alrashedan, Mohammed Alsabieh, Abdulrahman Alnasser, Saad Surur
Format: Article
Language:English
Published: BMJ Publishing Group 2020-11-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/10/11/e039768.full
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author Rizwan Suliankatchi Abdulkader
Mohammad O Alawad
Nasser Alenezi
Bander S Alrashedan
Mohammed Alsabieh
Abdulrahman Alnasser
Saad Surur
author_facet Rizwan Suliankatchi Abdulkader
Mohammad O Alawad
Nasser Alenezi
Bander S Alrashedan
Mohammed Alsabieh
Abdulrahman Alnasser
Saad Surur
author_sort Rizwan Suliankatchi Abdulkader
collection DOAJ
description 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.
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spelling doaj-art-772e77f2815247cea35082c363e03c8e2024-11-27T05:35:13ZengBMJ Publishing GroupBMJ Open2044-60552020-11-01101110.1136/bmjopen-2020-039768Traumatic spinal injuries in Saudi Arabia: a retrospective single-centre medical record reviewRizwan Suliankatchi Abdulkader0Mohammad O Alawad1Nasser Alenezi2Bander S Alrashedan3Mohammed Alsabieh4Abdulrahman Alnasser5Saad Surur6Department of Statistics, National Institute of Epidemiology, Chennai, Tamil Nadu, IndiaDepartment of Orthopaedic Surgery, King Saud Medical City, Riyadh, Saudi ArabiaDepartment of Orthopaedic Surgery, King Saud Medical City, Riyadh, Saudi ArabiaDepartment of Orthopaedic Surgery, King Saud Medical City, Riyadh, Saudi ArabiaCollege of Medicine, King Saud University, Riyadh, Riyadh Province, Saudi ArabiaDepartment of Orthopaedic Surgery, King Saud Medical City, Riyadh, Saudi ArabiaDepartment of Orthopaedic Surgery, King Saud Medical City, Riyadh, Saudi ArabiaObjectives 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.https://bmjopen.bmj.com/content/10/11/e039768.full
spellingShingle Rizwan Suliankatchi Abdulkader
Mohammad O Alawad
Nasser Alenezi
Bander S Alrashedan
Mohammed Alsabieh
Abdulrahman Alnasser
Saad Surur
Traumatic spinal injuries in Saudi Arabia: a retrospective single-centre medical record review
BMJ Open
title Traumatic spinal injuries in Saudi Arabia: a retrospective single-centre medical record review
title_full Traumatic spinal injuries in Saudi Arabia: a retrospective single-centre medical record review
title_fullStr Traumatic spinal injuries in Saudi Arabia: a retrospective single-centre medical record review
title_full_unstemmed Traumatic spinal injuries in Saudi Arabia: a retrospective single-centre medical record review
title_short Traumatic spinal injuries in Saudi Arabia: a retrospective single-centre medical record review
title_sort traumatic spinal injuries in saudi arabia a retrospective single centre medical record review
url https://bmjopen.bmj.com/content/10/11/e039768.full
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