Trend of Injury Severity and Road Traffic-Related Mortality in an Arab Middle Eastern Country: A 12-Year Retrospective Observational Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Procedure
2.2. Data Collection
3. Results
3.1. Mortality Findings
3.2. RTIs by Injury Severity Score
3.3. Mechanism of Injury Findings
3.4. RTIs by Season
3.5. Demographic Characteristics of the Injured
4. Discussion
4.1. Main Findings
4.2. National Progress in Reducing RTIs
4.3. Decline in RTI-Associated Fatalities
4.4. Shift Toward Less Severe Injuries
4.5. Changing Patterns of Injury Mechanism
4.6. Seasonal Variation in RTIs
4.7. Changing Demographics of Injured Individuals
5. Strengths
6. Limitations
7. Conclusions and Future Directions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
RTI | Road Traffic Injury |
MCC | Motorcycle Injury |
MVC | Motor Vehicle Crash |
ISS | Injury Severity Score |
PED | Pedestrian Injury |
DoARS | Decade of Action for Road Safety |
NRSS | National Road Safety Strategy |
GDP | Gross Domestic Product |
QNTR | Qatar National Trauma Registry |
QPSA | Qatari Planning and Statistics Authority |
Appendix A
Year | Overall Population Count (%) | Male Population Count (%) | Female Population Count (%) |
---|---|---|---|
2011 | 1,732,717 (100%) | 1,288,590 (74.4%) | 444,127 (25.6%) |
2012 | 1,832,903 (100%) | 1,355,199 (73.9%) | 477,704 (26.1%) |
2013 | 2,003,700 (100%) | 1,477,632 (73.7%) | 526,068 (26.3%) |
2014 | 2,216,180 (100%) | 1,652,037 (74.5%) | 564,143 (25.5%) |
2015 | 2,437,790 (100%) | 1,840,643 (75.5%) | 597,147 (24.5%) |
2016 | 2,617,634 (100%) | 1,975,536 (75.5%) | 642,098 (24.5%) |
2017 | 2,724,606 (100%) | 2,046,047 (75.1%) | 678,559 (24.9%) |
2018 | 2,760,170 (100%) | 2,048,206 (74.2%) | 711,964 (25.8%) |
2019 | 2,799,202 (100%) | 2,064,276 (73.7%) | 734,926 (26.3%) |
2020 | 2,833,679 (100%) | 2,025,902 (71.5%) | 807,777 (28.5%) |
2021 | 2,748,162 (100%) | 1,970,649 (71.7%) | 777,513 (28.3%) |
2022 | 2,932,241 (100%) | 2,121,336 (72.3%) | 810,905 (27.7%) |
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Populations | Characteristics | 2011 Number (%) | 2012 Number (%) | 2013 Number (%) | 2014 Number (%) | 2015 Number (%) | 2016 Number (%) | 2017 Number (%) | 2018 Number (%) | 2019 Number (%) | 2020 Number (%) | 2021 Number (%) | 2022 Number (%) | Total Number (%) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Age in years | 0–9 | 63 (8%) | 53 (6%) | 66 (7%) | 73 (9%) | 55 (6%) | 54 (6%) | 62 (7%) | 52 (6%) | 30 (3%) | 17(2%) | 15 (1%) | 12 (1%) | 552 (5%) |
10–19 | 104 (14%) | 130 (15%) | 127 (14%) | 110 (13%) | 103 (12%) | 86 (9%) | 120 (13%) | 95 (11%) | 80 (9%) | 79(9%) | 112 (11%) | 107 (9%) | 1253 (12%) | |
20–29 | 258 (34%) | 262 (30%) | 303 (34%) | 242 (29%) | 295 (34%) | 298 (33%) | 267 (30%) | 251 (30%) | 283 (33%) | 263(31%) | 326 (33%) | 433 (38%) | 3481 (32%) | |
30–39 | 159 (21%) | 200 (23%) | 175 (19%) | 201 (24%) | 189 (22%) | 233 (25%) | 227 (25%) | 198 (24%) | 225 (26%) | 257(30%) | 268 (27%) | 296 (26%) | 2628 (24%) | |
40–49 | 100 (13%) | 122 (14%) | 115 (13%) | 105 (13%) | 106 (12%) | 137 (15%) | 114 (13%) | 126 (15%) | 141 (16%) | 119(14%) | 164 (16%) | 165 (14%) | 1514 (14%) | |
50–59 | 55 (7%) | 68 (8%) | 78 (9%) | 61 (7%) | 73 (8%) | 69 (8%) | 65 (7%) | 72 (9%) | 66 (8%) | 82(10%) | 72 (7%) | 76 (7%) | 837 (8%) | |
60–69 | 23 (3%) | 24 (3%) | 26 (3%) | 19 (2%) | 28 (3%) | 28 (3%) | 29 (3%) | 28 (3%) | 25 (3%) | 29(3%) | 36 (4%) | 41 (4%) | 336 (3%) | |
70+ | 6 (0.8%) | 10 (1.2%) | 9 (1%) | 13 (1.6%) | 12 (1.4%) | 11 (1.2%) | 17 (1.9%) | 19 (2.3%) | 13 (1.5%) | 10(1.2%) | 9 (0.9%) | 13 (1.1%) | 142 (1.3%) | |
Gender | Overall | 807 | 894 | 926 | 867 | 896 | 961 | 956 | 910 | 895 | 877 | 1034 | 1169 | 11,192 (100%) |
Males | 722 (89.5%) | 806 (90.2%) | 841 (90.8%) | 758 (87.4%) | 808 (90.2%) | 882 (91.8%) | 862 (90.2%) | 809 (88.9%) | 798 (89.2%) | 810 (92.4%) | 925 (89.5%) | 1063 (90.9%) | 10,084 (90.1%) | |
Females | 85 (10.5%) | 88 (9.8%) | 85 (9.2%) | 109 (12.6%) | 88 (9.8%) | 79 (8.2%) | 94 (9.8%) | 101 (11.1%) | 97 (10.8%) | 67 (7.6%) | 109 (10.5%) | 106 (9.1%) | 1108 (9.9%) |
Populations | Characteristics | 2011 Number (%) | 2012 Number (%) | 2013 Number (%) | 2014 Number (%) | 2015 Number (%) | 2016 Number (%) | 2017 Number (%) | 2018 Number (%) | 2019 Number (%) | 2020 Number (%) | 2021 Number (%) | 2022 Number (%) | Total Number |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Length of stay | Total in-hospital | 6 (3–14) | 5 (2–12) | 5 (2–13) | 5 (2–14) | 5 (2–13) | 5 (2–14) | 4 (2–12) | 4 (2–13) | 4 (1–12) | 4 (2–13) | 4 (1–12) | 4 (1–13) | 5 (1–12 |
Shock index | ED | 0.80 ± 0.46 | 0.79 ± 0.48 | 0.76 ± 0.28 | 0.81 ± 0.28 | 0.78 ± 0.27 | 0.79 ± 0.29 | 0.78 ± 0.27 | 0.76 ± 0.30 | 0.78 ± 0.30 | 0.76 ± 0.38 | 0.80 ± 1.49 | 0.74 ± 0.38 | 0.78 ± 0.58 |
prehospital | 124 | 124 | 153 | 165 | 117 | 88 | 81 | 78 | 88 | 110 | 125 | 189 | 1442 (58.6) | |
Mortalities | In-hospital | 81 | 80 | 93 | 104 | 117 | 99 | 113 | 109 | 80 | 43 | 48 | 54 | 1021 (41.4%) |
Injury severity by ISS * | ISS: 0–9 * | 357 (47%) | 402 (47%) | 347 (39%) | 316 (39%) | 358 (42%) | 350 (37%) | 374 (40%) | 338 (39%) | 334 (38%) | 383 (44%) | 465 (46%) | 521 (45%) | 4545 (41.9%) |
ISS: 10–15 * | 184 (24%) | 217 (25%) | 262 (29%) | 222 (27%) | 213 (25%) | 249 (26%) | 257 (28%) | 210 (24%) | 258 (30%) | 244 (28%) | 268 (26%) | 350 (30%) | 2934 (27.1%) | |
ISS: 16–24 * | 128 (17%) | 131 (15%) | 151 (17%) | 143 (18%) | 154 (18%) | 192 (20%) | 162 (17%) | 170 (20%) | 162 (19%) | 144 (17%) | 172 (17%) | 164 (14%) | 1873 (17.3%) | |
ISS: 25–75 * | 97 (13%) | 104 (12%) | 135 (15%) | 135 (17%) | 127 (15%) | 155 (16%) | 139 (15%) | 141 (16%) | 120 (14%) | 96 (11%) | 116 (11%) | 125 (11%) | 1490 (13.7%) | |
Mechanism ofinjury | Bicycle | 31 (3.8%) | 27 (3.0%) | 19 (2.1%) | 35 (4.0%) | 23 (2.6%) | 41 (4.3%) | 29 (3.0%) | 33 (3.6%) | 33 (3.7%) | 36 (4.1%) | 57 (5.5%) | 37 (3.2%) | 401 (3.6%) |
MCC | 21 (2.6%) | 30 (3.4%) | 41 (4.4%) | 45 (5.2%) | 39 (4.4%) | 47 (4.9%) | 43 (4.5%) | 77 (8.5%) | 94 (10.5%) | 116 (13.2%) | 153 (14.8%) | 326 (27.9%) | 1032 (9.2%) | |
MVC | 538 (66.7%) | 613 (68.6%) | 614 (66.3%) | 555 (64.0%) | 587 (65.5%) | 642 (66.8%) | 643 (67.3%) | 582 (64.0%) | 589 (65.7%) | 575 (65.6%) | 678 (65.6%) | 633 (54.1%) | 7249 (64.8%) | |
Pedestrian | 217 (26.9%) | 224 (25.1%) | 252 (27.2%) | 232 (26.8%) | 247 (27.6%) | 231 (24.0%) | 241 (25.2%) | 218 (24.0%) | 180 (20.1%) | 150 (17.1%) | 146 (14.1%) | 173 (14.8%) | 2511 (22.4%) | |
Winter | 213 (26.4%) | 230 (26.0%) | 242 (26.4%) | 246 (27.8%) | 243 (27.6%) | 246 (25.4%) | 245 (26.0%) | 241 (25.6%) | 243 (22.7%) | 264 (30.5%) | 288 (27.9%) | 295 (25.4%) | 2996 (26.9%) | |
Spring | 182 (22.5%) | 205 (23.2%) | 211 (23.0%) | 235 (26.6%) | 222 (25.2%) | 217 (22.4%) | 252 (26.8%) | 248 (26.4%) | 195 (22.3%) | 168 (19.4%) | 232 (22.5%) | 310 (26.7%) | 2667 (24.0%) | |
Summer | 190 (23.5%) | 200 (22.7%) | 203 (22.2%) | 195 (22.0%) | 197 (22.4%) | 261 (27.0%) | 211 (22.4%) | 244 (26.0%) | 220 (25.1%) | 187 (21.6%) | 221 (21.4%) | 261 (22.5%) | 2590 (23.2%) | |
Season of injury | Autumn | 223 (27.6%) | 248 (28.1%) | 260 (28.4%) | 209 (23.6%) | 218 (24.8%) | 243 (25.1%) | 233 (24.8%) | 207 (22.0%) | 218 (24.9%) | 246 (28.4%) | 290 (28.1%) | 295 (25.4%) | 2890 (25.9%) |
Overall | 768 | 872 | 898 | 826 | 862 | 917 | 897 | 842 | 856 | 854 | 1002 | 1142 | 10,736 (100%) |
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Abulkhair, T.; Consunji, R.; El-Menyar, A.; Chichaya, T.F.; Asim, M.; Al-Thani, H. Trend of Injury Severity and Road Traffic-Related Mortality in an Arab Middle Eastern Country: A 12-Year Retrospective Observational Study. Healthcare 2025, 13, 1045. https://doi.org/10.3390/healthcare13091045
Abulkhair T, Consunji R, El-Menyar A, Chichaya TF, Asim M, Al-Thani H. Trend of Injury Severity and Road Traffic-Related Mortality in an Arab Middle Eastern Country: A 12-Year Retrospective Observational Study. Healthcare. 2025; 13(9):1045. https://doi.org/10.3390/healthcare13091045
Chicago/Turabian StyleAbulkhair, Tarik, Rafael Consunji, Ayman El-Menyar, Tongai F. Chichaya, Mohammad Asim, and Hassan Al-Thani. 2025. "Trend of Injury Severity and Road Traffic-Related Mortality in an Arab Middle Eastern Country: A 12-Year Retrospective Observational Study" Healthcare 13, no. 9: 1045. https://doi.org/10.3390/healthcare13091045
APA StyleAbulkhair, T., Consunji, R., El-Menyar, A., Chichaya, T. F., Asim, M., & Al-Thani, H. (2025). Trend of Injury Severity and Road Traffic-Related Mortality in an Arab Middle Eastern Country: A 12-Year Retrospective Observational Study. Healthcare, 13(9), 1045. https://doi.org/10.3390/healthcare13091045