In the last two decades, there have been major improvements in the trauma system in the United Arab Emirates (UAE). We aimed to study the changes in the incidence, type, severity, and outcome of trauma of hospitalized child-bearing age women in Al-Ain City, UAE, during that time. Data from two separate trauma registries of Al-Ain Hospital, which were prospectively collected from March 2003 to March 2006 and January 2014 to December 2017, were analyzed retrospectively. All women aged 15–49 years were studied. The two periods were compared. Trauma incidence of hospitalized child-bearing age women was reduced by 47% during the second period. There were no significant differences in the mechanism of injury between the two periods. Road traffic collision was the main cause of injury (44% and 42%, respectively) followed by fall down (26.1% and 30.8%, respectively). The location of injury was significantly different (p = 0.018), with a strong trend of more home injuries in the second period (52.8% compared with 44%, p = 0.06). There was a strong statistical trend of mild traumatic brain injury (GCS 13–15) in the second period (p = 0.067, Fisher’s Exact test). Those who had normal GCS of 15 were significantly higher in the second period compared with those in the first period (95.3% compared with 86.4%, p < 0.001, Fisher’s Exact test) despite having more anatomical injury severity of the head (AIS 2 (1–5) compared with 1 (1–5), p = 0.025). The NISS was significantly higher in the second period (median (range) NISS 5 (1–45) compared with 4 (1–75), p = 0.02). Despite that, mortality was the same (1.6% compared with 1.7%, p = 0.99) while the length of hospital stay was significantly less (mean (SD) 5.6 (6.3) days compared with 10.6 (13.6) days, p < 0.0001). The incidence of trauma in hospitalized child-bearing-age women was reduced by 47% over the last 15 years. Road traffic collisions and falls are the leading cause of injury in our setting. Home injuries increased over time. The mortality remained stable despite the increased severity of injured patients. More injury prevention efforts should target home injuries.

中文翻译：

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育龄妇女创伤流行病学的变化

在过去的二十年里，阿拉伯联合酋长国 (UAE) 的创伤系统有了重大改进。我们旨在研究阿联酋艾因市住院育龄妇女创伤发生率、类型、严重程度和结果的变化。回顾性分析了从 2003 年 3 月至 2006 年 3 月和 2014 年 1 月至 2017 年 12 月前瞻性收集的艾恩医院两个独立创伤登记处的数据。对所有 15-49 岁的女性进行了研究。两个时期进行了比较。住院育龄妇女的外伤发生率在第二阶段下降了 47%。两个时期的损伤机制没有显着差异。道路交通碰撞是造成伤害的主要原因（分别为 44% 和 42%），其次是跌倒（26.1% 和 30.8%，分别）。受伤地点有显着差异 (p = 0.018)，第二阶段家庭受伤的趋势明显增加（52.8% 比 44%，p = 0.06）。第二阶段轻度创伤性脑损伤 (GCS 13–15) 有很强的统计趋势（p = 0.067，Fisher 精确检验）。尽管头部的解剖损伤更严重 (AIS 2 ( 1–5) 与 1 (1–5) 相比，p = 0.025)。第二阶段的 NISS 显着更高（NISS 中位数（范围）5 (1–45) 与 4 (1–75) 相比，p = 0.02）。尽管如此，死亡率是相同的（1.6% 对 1.7%，p = 0。99) 而住院时间明显更短（平均 (SD) 5.6 (6.3) 天与 10.6 (13.6) 天相比，p < 0.0001）。在过去 15 年中，住院育龄妇女的创伤发生率降低了 47%。在我们的环境中，道路交通碰撞和跌倒是造成伤害的主要原因。家庭伤害随着时间的推移而增加。尽管受伤患者的严重程度有所增加，但死亡率仍保持稳定。更多的伤害预防工作应该针对家庭伤害。尽管受伤患者的严重程度有所增加，但死亡率仍保持稳定。更多的伤害预防工作应该针对家庭伤害。尽管受伤患者的严重程度有所增加，但死亡率仍保持稳定。更多的伤害预防工作应该针对家庭伤害。