Comparison of trauma management between two major trauma services in Riyadh, Kingdom of Saudi Arabia and Melbourne, Australia
Introduction The burden of injury in the Kingdom of Saudi Arabia (KSA) has increased in recent years, but the country has lacked a consistent methodology for collecting injury data. A trauma registry has been established at a large public hospital in Riyadh from which these data are now available.Ob...
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BMJ Publishing Group
2021-05-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/11/5/e045902.full |
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| author | Peter Cameron Mark Fitzgerald Arul Earnest Mohammad Alsenani Faisal A Alaklobi Jane Ford Waleed Hashem Sharfuddin Chowdhury Ahmed Alenezi |
| author_facet | Peter Cameron Mark Fitzgerald Arul Earnest Mohammad Alsenani Faisal A Alaklobi Jane Ford Waleed Hashem Sharfuddin Chowdhury Ahmed Alenezi |
| author_sort | Peter Cameron |
| collection | DOAJ |
| description | Introduction The burden of injury in the Kingdom of Saudi Arabia (KSA) has increased in recent years, but the country has lacked a consistent methodology for collecting injury data. A trauma registry has been established at a large public hospital in Riyadh from which these data are now available.Objectives We aimed to provide an overview of trauma epidemiology by reviewing the first calendar year of data collection for the registry. Risk-adjusted analyses were performed to benchmark outcomes with a large Australian major trauma service in Melbourne. The findings are the first to report the trauma profile from a centre in the KSA and compare outcomes with an international level I trauma centre.Methods This was an observational study using records with injury dates in 2018 from the registries at both hospitals. Demographics, processes and outcomes were extracted, as were baseline characteristics. Risk-adjusted endpoints were inpatient mortality and length of stay. Binary logistic regression was used to measure the association between site and inpatient mortality.Results A total of 2436 and 4069 records were registered on the Riyadh and Melbourne databases, respectively. There were proportionally more men in the Saudi cohort than the Australian cohort (86% to 69%). The Saudi cohort was younger, the median age being 36 years compared with 50 years, with 51% of injuries caused by road traffic incidents. The risk-adjusted length of stay was 4.4 days less at the Melbourne hospital (95% CI 3.95 days to 4.86 days, p<0.001). The odds of in-hospital death were also less (OR 0.25; 95% CI 0.15 to 0.43, p<0.001).Conclusions This is the first hospital-based study of trauma in the kingdom that benchmarks with an individual international centre. There are limitations to interpreting the comparisons, however the findings have established a baseline for measuring continuous improvement in outcomes for KSA trauma services. |
| format | Article |
| id | doaj-art-7dc6b6be69bc4cd1ad9bbeb39762212b |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2021-05-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-7dc6b6be69bc4cd1ad9bbeb39762212b2025-08-20T02:18:46ZengBMJ Publishing GroupBMJ Open2044-60552021-05-0111510.1136/bmjopen-2020-045902Comparison of trauma management between two major trauma services in Riyadh, Kingdom of Saudi Arabia and Melbourne, AustraliaPeter Cameron0Mark Fitzgerald1Arul Earnest2Mohammad Alsenani3Faisal A Alaklobi4Jane Ford5Waleed Hashem6Sharfuddin Chowdhury7Ahmed Alenezi81 School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia7 School of Translational Medicine, Faculty of Medicine, Monash University, Melbourne, Victoria, AustraliaSchool of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, AustraliaTrauma Service, King Saud Medical City, Riyadh, Saudi ArabiaPaediatric Unit, King Saud Medical City, Riyadh, Saudi ArabiaAlfred Health Trauma Registry, Alfred Hospital, Melbourne, Victoria, AustraliaCentre of Excellence, King Saud Medical City, Riyadh, Saudi ArabiaTrauma Center, King Saud Medical City, Riyadh, Saudi ArabiaExecutive Office, King Saud Medical City, Riyadh, Saudi ArabiaIntroduction The burden of injury in the Kingdom of Saudi Arabia (KSA) has increased in recent years, but the country has lacked a consistent methodology for collecting injury data. A trauma registry has been established at a large public hospital in Riyadh from which these data are now available.Objectives We aimed to provide an overview of trauma epidemiology by reviewing the first calendar year of data collection for the registry. Risk-adjusted analyses were performed to benchmark outcomes with a large Australian major trauma service in Melbourne. The findings are the first to report the trauma profile from a centre in the KSA and compare outcomes with an international level I trauma centre.Methods This was an observational study using records with injury dates in 2018 from the registries at both hospitals. Demographics, processes and outcomes were extracted, as were baseline characteristics. Risk-adjusted endpoints were inpatient mortality and length of stay. Binary logistic regression was used to measure the association between site and inpatient mortality.Results A total of 2436 and 4069 records were registered on the Riyadh and Melbourne databases, respectively. There were proportionally more men in the Saudi cohort than the Australian cohort (86% to 69%). The Saudi cohort was younger, the median age being 36 years compared with 50 years, with 51% of injuries caused by road traffic incidents. The risk-adjusted length of stay was 4.4 days less at the Melbourne hospital (95% CI 3.95 days to 4.86 days, p<0.001). The odds of in-hospital death were also less (OR 0.25; 95% CI 0.15 to 0.43, p<0.001).Conclusions This is the first hospital-based study of trauma in the kingdom that benchmarks with an individual international centre. There are limitations to interpreting the comparisons, however the findings have established a baseline for measuring continuous improvement in outcomes for KSA trauma services.https://bmjopen.bmj.com/content/11/5/e045902.full |
| spellingShingle | Peter Cameron Mark Fitzgerald Arul Earnest Mohammad Alsenani Faisal A Alaklobi Jane Ford Waleed Hashem Sharfuddin Chowdhury Ahmed Alenezi Comparison of trauma management between two major trauma services in Riyadh, Kingdom of Saudi Arabia and Melbourne, Australia BMJ Open |
| title | Comparison of trauma management between two major trauma services in Riyadh, Kingdom of Saudi Arabia and Melbourne, Australia |
| title_full | Comparison of trauma management between two major trauma services in Riyadh, Kingdom of Saudi Arabia and Melbourne, Australia |
| title_fullStr | Comparison of trauma management between two major trauma services in Riyadh, Kingdom of Saudi Arabia and Melbourne, Australia |
| title_full_unstemmed | Comparison of trauma management between two major trauma services in Riyadh, Kingdom of Saudi Arabia and Melbourne, Australia |
| title_short | Comparison of trauma management between two major trauma services in Riyadh, Kingdom of Saudi Arabia and Melbourne, Australia |
| title_sort | comparison of trauma management between two major trauma services in riyadh kingdom of saudi arabia and melbourne australia |
| url | https://bmjopen.bmj.com/content/11/5/e045902.full |
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