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The Scientific World Journal
Volume 2014, Article ID 250540, 7 pages
Research Article

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

1Trauma Surgery Section, Department of Surgery, Hamad Medical Corporation, P.O. Box 3050, Doha, Qatar
2Department of Surgery, University of Arizona, P.O. Box 245063, Tucson, AZ, USA
3Weill Cornell Medical College, P.O. Box 24144, Doha, Qatar
4Clinical Research, Trauma Surgery Section, Hamad General Hospital, P.O. Box 3050, Doha, Qatar

Received 1 November 2013; Accepted 9 January 2014; Published 16 February 2014

Academic Editors: E. De Bree and A. Shamiyeh

Copyright © 2014 Rifat Latifi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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 ( versus ; ). 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%; ). Group I patients required higher ICU admission rate (). Patients in Group I had a 5-fold increased risk for age-adjusted mortality (OR 5.43; 95% CI 3.11–9.49), ). 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.