Rollover Car Crashes with Ejection: A Deadly Combination—An Analysis of 719 Patients

Rollover car crashes (ROCs) are serious public safety concerns worldwide. Objective. To determine the incidence and outcomes of ROCs with or without ejection of occupants in the State of Qatar. Methods. A retrospective study of all patients involved in ROCs admitted to Level I trauma center in Qatar...

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Main Authors: Rifat Latifi, Ayman El-Menyar, Hany El-Hennawy, Hassan Al-Thani
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2014/250540
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author Rifat Latifi
Ayman El-Menyar
Hany El-Hennawy
Hassan Al-Thani
author_facet Rifat Latifi
Ayman El-Menyar
Hany El-Hennawy
Hassan Al-Thani
author_sort Rifat Latifi
collection DOAJ
description Rollover car crashes (ROCs) are serious public safety concerns worldwide. Objective. To determine the incidence and outcomes of ROCs with or without ejection of occupants in the State of Qatar. Methods. A retrospective study of all patients involved in ROCs admitted to Level I trauma center in Qatar (2011-2012). Patients were divided into Group I (ROC with ejection) and Group II (ROC without ejection). Results. A total of 719 patients were evaluated (237 in Group I and 482 in Group II). The mean age in Group I was lower than in Group II (24.3±10.3 versus 29±12.2; P=0.001). Group I had higher injury severity score and sustained significantly more head, chest, and abdominal injuries in comparison to Group II. The mortality rate was higher in Group I (25% versus 7%; P=0.001). Group I patients required higher ICU admission rate (P=0.001). Patients in Group I had a 5-fold increased risk for age-adjusted mortality (OR 5.43; 95% CI 3.11–9.49), P=0.001). Conclusion. ROCs with ejection are associated with higher rate of morbidity and mortality compared to ROCs without ejection. As an increased number of young Qatari males sustain ROCs with ejection, these findings highlight the need for research-based injury prevention initiatives in the country.
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spelling doaj-art-093bb7ecbefe4f7e82697c663f8cbf6b2025-02-03T06:00:10ZengWileyThe Scientific World Journal2356-61401537-744X2014-01-01201410.1155/2014/250540250540Rollover Car Crashes with Ejection: A Deadly Combination—An Analysis of 719 PatientsRifat Latifi0Ayman El-Menyar1Hany El-Hennawy2Hassan Al-Thani3Trauma Surgery Section, Department of Surgery, Hamad Medical Corporation, P.O. Box 3050, Doha, QatarWeill Cornell Medical College, P.O. Box 24144, Doha, QatarTrauma Surgery Section, Department of Surgery, Hamad Medical Corporation, P.O. Box 3050, Doha, QatarTrauma Surgery Section, Department of Surgery, Hamad Medical Corporation, P.O. Box 3050, Doha, QatarRollover car crashes (ROCs) are serious public safety concerns worldwide. Objective. To determine the incidence and outcomes of ROCs with or without ejection of occupants in the State of Qatar. Methods. A retrospective study of all patients involved in ROCs admitted to Level I trauma center in Qatar (2011-2012). Patients were divided into Group I (ROC with ejection) and Group II (ROC without ejection). Results. A total of 719 patients were evaluated (237 in Group I and 482 in Group II). The mean age in Group I was lower than in Group II (24.3±10.3 versus 29±12.2; P=0.001). Group I had higher injury severity score and sustained significantly more head, chest, and abdominal injuries in comparison to Group II. The mortality rate was higher in Group I (25% versus 7%; P=0.001). Group I patients required higher ICU admission rate (P=0.001). Patients in Group I had a 5-fold increased risk for age-adjusted mortality (OR 5.43; 95% CI 3.11–9.49), P=0.001). Conclusion. ROCs with ejection are associated with higher rate of morbidity and mortality compared to ROCs without ejection. As an increased number of young Qatari males sustain ROCs with ejection, these findings highlight the need for research-based injury prevention initiatives in the country.http://dx.doi.org/10.1155/2014/250540
spellingShingle Rifat Latifi
Ayman El-Menyar
Hany El-Hennawy
Hassan Al-Thani
Rollover Car Crashes with Ejection: A Deadly Combination—An Analysis of 719 Patients
The Scientific World Journal
title Rollover Car Crashes with Ejection: A Deadly Combination—An Analysis of 719 Patients
title_full Rollover Car Crashes with Ejection: A Deadly Combination—An Analysis of 719 Patients
title_fullStr Rollover Car Crashes with Ejection: A Deadly Combination—An Analysis of 719 Patients
title_full_unstemmed Rollover Car Crashes with Ejection: A Deadly Combination—An Analysis of 719 Patients
title_short Rollover Car Crashes with Ejection: A Deadly Combination—An Analysis of 719 Patients
title_sort rollover car crashes with ejection a deadly combination an analysis of 719 patients
url http://dx.doi.org/10.1155/2014/250540
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