@article{ref1,
title="Outcomes of road traffic injuries before and after the implementation of a camera ticketing system: a retrospective study from a large trauma center in Saudi Arabia",
journal="Annals of Saudi medicine",
year="2017",
author="Alghnam, Suliman and Alkelya, Muhamad and Alfraidy, Moath and Al-Bedah, Khalid and Albabtain, Ibrahim Tawfiq and Alshenqeety, Omar",
volume="37",
number="1",
pages="451-459",
abstract="BACKGROUND: Road traffic injuries (RTIs) are the third leading cause of death in Saudi Arabia. Because speed is a major risk factor for severe crash-related injuries, a camera ticketing system was implemented countrywide in mid-2010 by the traffic police in an effort to improve traffic safety. There are no published studies on the effects of the system in Saudi Arabia. <br><br>OBJECTIVE: To examine injury severity and associated mortality at a large trauma center before and after the implementation of the ticketing system. <br><br>DESIGN: Retrospective, analytical. SETTING: Trauma center of a tertiary care center in Riyadh. <br><br>PATIENTS AND METHODS: The study included all trauma registry patients seen in the emergency department for a crash-related injury (automobile occupants, pedestrians, or motorcyclists) between January 2005 and December 2014. Associations with outcome measures were assessed by univariate and multivariate methods. MAIN OUTCOME MEASURE(S): Injury severity score (ISS), Glasgow coma scale (GCS) and mortality. <br><br>RESULTS: The study included all trauma registry patients seen in the emergency department for a crash-related injury. All health outcomes improved in the period following implementation of the ticketing system. Following implementation, ISS scores decreased (-3.1, 95% CI -4.6, -1.6) and GCS increased (0.47, 95% CI 0.08, 0.87) after adjusting for other covariates. The odds of death were 46% lower following implementation than before implementation. When the data were log-transformed to account for skewed data distributions, the results remained statistically significant. <br><br>CONCLUSIONS: This study suggests positive health implications following the implementation of the camera ticketing system. Further investment in public health interventions is warranted to reduce preventable RTIs. LIMITATIONS: The study findings represent a trauma center at a single hospital in Riyadh, which may not generalize to the Saudi population.<p /> <p>Language: en</p>",
language="en",
issn="0256-4947",
doi="10.5144/0256-4947.2017.451",
url="http://dx.doi.org/10.5144/0256-4947.2017.451"
}