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

Ann Saudi Med. 2017 Jan-Feb;37(1):1-9. doi: 10.5144/0256-4947.2017.1.


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.

Objective: To examine injury severity and associated mortality at a large trauma center before and after the implementation of the ticketing system.

Design: Retrospective, analytical.

Setting: Trauma center of a tertiary care center in Riyadh.

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.

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.

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.

Publication types

  • Evaluation Study

MeSH terms

  • Accidents, Traffic / statistics & numerical data*
  • Adult
  • Automobile Driving / statistics & numerical data
  • Emergency Service, Hospital / statistics & numerical data
  • Female
  • Glasgow Coma Scale
  • Humans
  • Injury Severity Score
  • Male
  • Middle Aged
  • Outcome Assessment, Health Care*
  • Program Evaluation*
  • Retrospective Studies
  • Saudi Arabia / epidemiology
  • Trauma Centers / statistics & numerical data*
  • Wounds and Injuries / epidemiology*
  • Wounds and Injuries / etiology
  • Young Adult