Background: The incidence of abdominal trauma is still underreported from the Arab Middle-East. We aimed to evaluate incidence, causes, clinical presentation, and outcome patients in a newly established center. Materials Methods: A retrospective analysis was conducted at only level I center Qatar for admitted with (2008-2011). Patients demographics, mechanism injury, pattern organ injuries, associated extra-abdominal Injury Severity Score (ISS), Abbreviated Scale, complications, length...

Objectives . To assess the standard practice of care surgeons regarding surgical antibiotic prophylaxis, to identify gaps, and set recommendations. Methods A retrospective analysis data obtained from different units in a single center Qatar over 3-month period 2012. total 101 patients who underwent surgery followed regimes for prophylaxis as per hospital guidelines were included study. Results The overall use was 89%, whereas current did not match recommended protocols 53.5% cases. Prolonged...

Fat embolism syndrome (FES) is a serious clinical disorder occurring after trauma, orthopedic procedures and rarely in non-traumatic patients. emboli develop nearly all patients with bone fractures, but they are usually asymptomatic. Small number of signs symptoms various organ system dysfunction due to either mechanical obstruction capillaries by fat or hydrolysis fatty acids. A triad lung, brain skin involvement an asymptomatic period 24 72 hours. This symptom complex called FES. The...

Overall traumatic brain injury (TBI) incidence and related death rates vary across different age groups. Objectives. To evaluate the incidence, causes, outcome of TBI in adolescents young adult population Qatar.This was a retrospective review all TBIs admitted to trauma center between January 2008 December 2011. Demographics, mechanism injury, morbidity, mortality were analyzed groups.A total 1665 patients with admitted; majority males (92%) mean 28 ± 16 years. The common motor vehicle...

Traumatic workplace-related injuries (WRIs) carry a substantial negative impact on the public health worldwide. We aimed to study incidence and outcomes of WRIs in Qatar. conducted occupational injury surveillance for all WRI patients between 2010 2012. A total 5152 were admitted level 1 trauma unit Qatar, which 1496 (29%) sustained with mean age of<mml:math xmlns:mml="http://www.w3.org/1998/Math/MathML" id="M1"><mml:mn>34.3</mml:mn><mml:mo>±</mml:mo><mml:mn>10.3</mml:mn></mml:math>. Fall...

Background As trauma systems mature, they are expected to improve patient care, reduce in-hospital complications and optimize outcomes. Qatar has a single center, at the Hamad General Hospital, which serves as hub for system that was verified level 1 by Accreditation Canada International Distinction program in 2014. We hypothesized this international accreditation major step, maturation process of system, positively impacted reduced improved outcomes patients such rapidly developing country....

Background: We aimed to assess the prognostic value of Rotterdam and Marshall scoring systems predict in-hospital mortality in patients with traumatic brain injury (TBI).Methods: A retrospective analysis was conducted for TBI who underwent head computerized tomography (CT) scan at a Level I trauma center between 2011 2018. Receiver operating characteristic (ROC) curves were used determine cutoff values predicting mortality.Results: total 1035 included mean age 30 years. The scores higher...

Background: We aimed to evaluate the clinical significance of abnormal rotational thromboelastometry (ROTEM) findings in trauma patients and investigate relationships between FIBTEM-maximum clot firmness (MCF), fibrinogen concentration patient outcomes. Methods: A retrospective cohort analysis was conducted on adult who underwent on-admission ROTEM testing January 2020 2021. Univariate analyses compared data based injury severity, (normal vs. abnormal), initial hypofibrinogenemia). ROC curve...

Background: Motor vehicle crashes and falls account for most of the spine fractures with subsequent serious disability. Aim: To define incidence, causes, outcome spinal fractures. Materials Methods: Data were collected retrospectively from trauma registry database all traumatic injuries admitted to section surgery in Qatar November 2007 December 2009. Results: Among 3712 patients who surgery, 442 (12%) injured had a mean age 33.2 ± 12 years. The male female ratio was 11.6:1. (36.5%) height...

Introduction: Restraint systems (seat belts and airbags) are important tools that improve vehicle occupant safety during motor crashes (MVCs). We aimed to identify the pattern impact of utilization passenger restraint on outcomes MVC victims in Qatar.Methods: A retrospective study was conducted for all admitted patients who sustained MVC-related injuries between March 2011 2014 inclusive.Results: Out 2,730 road traffic injury cases, 1,830 (67%) injuries, whom 88% were young males, 70%...

Objectives. To study the effect of prehospital intubation (PHI) on survival patients with isolated severe traumatic brain injury (ISTBI). Method. Retrospective analyses all intubated ISTBI between 2008 and 2011 were studied. Comparison was made those who in PHI versus trauma resuscitation unit (TRU). Results. Among 1665 TBI patients, 160 met inclusion criteria (105 underwent PHI, 55 TRU). group younger age had lower median scene motor GCS (P = 0.001). Ventilator days hospital length stay...

Bispectral index (BIS) monitoring in multiple trauma patients has become a common practice the sedation levels. We aimed to assess utility of BIS intensive care unit (ICU).A prospective observational study was conducted ICU at Hamad General Hospital Qatar between 2011 and 2012. Patients were divided two groups: Group I (without monitoring) II (with monitoring). The depth clinically evaluated with Ramsey Sedation Scale, changes vital signs Glasgow Coma Scale (GCS) level. Use sedatives,...

Traumatic injuries accounted for substantial burden of morbidity and mortality (M M) worldwide. Despite better socioeconomic conditions living standards, the incidence trauma is rising in Eastern Mediterranean Region (EMR). Road traffic are leading cause high fatality rate young economically productive adults our region. The provision care at high-volume, accredited center by a team dedicated full-time professional health-care providers has been shown to improve quality outcomes victims....

Multiple organ dysfunction syndrome (MODS) is a systemic, dysfunctional inflammatory response that requires long intensive care unit (ICU) stay. It characterized with high mortality rate depending on the number of organs involved. has been recognized failure does not occur as an all-or-none rule, but rather range exists resulting in clinical failure. In absence gold standard scoring or tool for early diagnosis prediction MODS, novel bio-clinical mandatory. Moreover, understanding...

Background: We sought to evaluate the predictor role of initial serum level calcium and magnesium in hospitalized traumatic brain injury (TBI) patients. Materials methods: A retrospective analysis all TBI patients admitted Hamad Trauma Center (HTC), between June 2016 May 2021 was conducted. Initial electrolyte levels were obtained. comparative clinical variables with abnormal normal performed. Logistic regression that showed a significant difference (p < 0.05) bivariate performed calculate...

We aimed to evaluate whether early administration of high plasma red blood cells ratios influences outcomes in injured patients who received massive transfusion protocol (MTP).A retrospective analysis was conducted at the only level 1 national trauma center Qatar for all adult patients(≥18 years old) MTP (≥10 units) packed cell (PRBC) during initial 24 h post traumatic injury. Data were analyzed with respect FFB:PRBC ratio [(high ≥ 1:1.5) (HMTP) vs. (low < (LMTP)] given first 4 post-injury...

Abstract Background This study aimed to determine the incidence and outcome of post‐traumatic ( PT ) intra‐abdominal hypertension IAH abdominal compartment syndrome ACS after advances in haemostatic resuscitation. Methods is a prospective cohort from J anuary 2009– D ecember 2011 involving patients with haemorrhagic shock. Patients' demographics, fluid resuscitation (&lt;24 h) damage control laparotomy DCL ), morbidity mortality were assessed. Patients divided into group 1 (no 2 needed)....

Objectives: We aimed to analyze the pattern and outcome of traumatic neck injury (TNI) in a small population. Materials Methods: It is retrospective analysis all TNI patients who were admitted trauma center between 2008 2012. Patients’ demographics, details TNI, associated injuries, hospital course, mortality analyzed. Results: A total 51 cases included revealing an overall incidence 0.61/100,000 The mean age was 31 ± 9 years. most frequent mechanism motor vehicle crash (29.4%) followed by...

The mechanism and outcome of traumatic abdominal injury (TAI) varies worldwide. Moreover, data comparing TAIs in each compartment are lacking. We aimed to assess from the academic point view, TAI based on its anatomical compartments. conducted a retrospective study for patients between 2008 2011 Qatar. Patients were categorized according involved (C): intrathoracic (ITC), retroperitoneal (RPC), true abdomen (TAC), pelvic (PAC) group. Chi Square test, One-Way ANOVA multivariate regression...

Qatar is a rapidly developing country in which expatriate workers constitute the majority of population. Also, an example right-sided road driving convention (RDC) country. The aim our study to analyse traffic-related pedestrian injuries (TRPI) amongst expatriates relation RDC. A retrospective analysis prospectively collected data TRPI patients who were admitted only Level I trauma centre between 2009 and 2011 was performed. Demographics, origin, time injury, injury severity score (ISS),...

Background: We aimed to assess the management and outcome of occult pneumothorax determine factors associated with failure observational in patients blunt chest trauma (BCT). Methods: Patients BCT were retrospectively identified from database over 4 years. Data analyzed compared on basis initial (conservative vs. tube thoracostomy). Results: Across study period, 1928 admitted BCT, which 150 (7.8%) found have pneumothorax. The mean patient age was 32.8 ± 13.7 years, majority male (86.7%)....