Secular Trend, Seasonal Variation, Epidemiological Pattern, and Outcome of Traumatic Head Injuries Due to Road Traffic Accidents in Aseer, Saudi Arabia

Mubarak Ali Algahtany
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Mubarak Ali Algahtany: Division of Neurosurgery, Department of Surgery, College of Medicine, King Khalid University, Abha 62512-2291, Saudi Arabia

IJERPH, 2021, vol. 18, issue 12, 1-10

Abstract: Road traffic accidents (RTAs) are a leading cause of traumatic head injury (THI) and are regarded as a public health problem in Saudi Arabia. This hospital-based retrospective study aims to provide data on the frequency, type, and distribution of RTA-related THIs over the past decade; demonstrate their time trend and seasonality; and decipher age and sex differences in RTA-related THIs and their outcome. The results showed a decline in the number of RTA-related THIs between 2010 and 2019. The patients had a mean age of 26.16 ± 16.27 years, and the male-to-female ratio was 10.8:1. Head injury with multiple lesions was the most common diagnosis, followed by cerebral contusion and skull fracture (32.1%, 12.9%, and 11.2%, respectively). Subdural hematoma (SDH) and skull fracture were significantly more common in patients aged ?60 years (standard residual > 1.96), and significantly less common in those aged ?17 years (standard residual < 1.96), compared to other age groups. Males experienced significantly more SDHs than females (standard residual = ?2.8, p = 0.029). The length of hospital stay was positively correlated with age (Spearman’s rho = 0.057, p = 0.046). No seasonal variation was found.

Keywords: road traffic accident; traumatic head injury; trend; seasonal variation; Saudi Arabia (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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