Pedestrian injuries in the United Arab Emirates
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Published on: August 25, 2020
Ashraf F Hefny1, Hani O Eid, Fikri M Abu-Zidan
1a Department of Surgery , Al Rahba Hospital , Abu Dhabi , United Arab Emirates.
Insights
Pedestrian trauma in the UAE results in high mortality, primarily due to severe head injuries. Improved road safety education and law enforcement are crucial to reduce pedestrian injuries and fatalities.
Area of Science:
- Trauma surgery
- Public health
- Road safety research
Background:
- Road traffic collisions pose a significant threat to pedestrians globally.
- Understanding injury patterns and outcomes is vital for developing effective prevention strategies.
Purpose of the Study:
- To analyze the anatomical distribution, severity, and outcomes of hospitalized pedestrian trauma patients in Al Ain, UAE.
- To identify key factors contributing to mortality and inform preventive measures.
Main Methods:
- Prospective data collection from March 2003 to October 2007 at Al Ain Hospital.
- Inclusion criteria: pedestrian trauma patients admitted for >24 hours or deceased.
- Analysis of demographic data, injury patterns, severity scores, and hospital stay.
Main Results:
- 318 patients studied; 87.7% were male, median age 31 years.
- Lower limb (57.2%) and head (46.9%) were most commonly injured regions.
- Overall mortality was 9.4%, with severe head injury being the leading cause of death.
Conclusions:
- Pedestrian trauma in the UAE has a high mortality rate.
- Urgent implementation of enhanced pedestrian safety measures, including driver/pedestrian education and stricter traffic law enforcement, is recommended.
- Targeted interventions are needed to reduce morbidity and mortality from road traffic injuries.
Abstract:
We aimed to study the anatomical distribution, severity, and outcome of hospitalised trauma pedestrian patients in Al Ain, United Arab Emirates (UAE), so as to improve preventive measures. All pedestrian trauma patients who were involved with a road traffic collision and admitted to Al Ain Hospital for more than 24 hours or who died in the hospital were included in the study. Data were prospectively collected during March 2003-October 2007. Three hundred and eighteen patients were studied, 279 (87.7%) were males. Median (range) age was 31 (1-75) years. UAE nationals were significantly younger than non-nationals (median (range) age of 14 (2-75) years compared with 33 (1-75) years, p = 0.001, Mann-Whitney U-test). The lower limb (57.2%) was the most common injured region followed by the head (46.9%). The median (range) Injury Severity Score of patients was 5 (1-45). The median (range) total hospital stay was 11.3 (1-130) days. Thirty patients died (overall mortality 9.4%). In conclusion, mortality of pedestrian injured patients in the UAE is high. Severe head injury was the main cause of death. Measures to improve pedestrian safety should be adopted so as to reduce morbidity and mortality. These include educating drivers and pedestrians on road safety and enforcement of traffic safety laws.
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