Behrang Khafafi; Omid Garkaz; Saeed Golfiroozi; Sahar Paryab; Laia Ashouri; Sevda daei; Hamid Reza Mehryar; Mousa Ghelichi-Ghojogh
Volume 10, Issue 3 , July 2022, , Pages 122-127
Abstract
Objective: To compare the ability of quantitative trauma severity assessment methods based on Glasgow comascale, age, and arterial pressure (GAP), revised trauma score (RTS), and injury severity score (ISS) criteria indetermining the prognosis of accidental patients.Methods: This cross-sectional study ...
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Objective: To compare the ability of quantitative trauma severity assessment methods based on Glasgow comascale, age, and arterial pressure (GAP), revised trauma score (RTS), and injury severity score (ISS) criteria indetermining the prognosis of accidental patients.Methods: This cross-sectional study was performed on random patients referred to Imam Khomeini Hospitalin Urmia from March 20, 2020 to September 21, 2020. The data were obtained by using a checklist includesitems such as age, sex, respiration rate, oxygen saturation level, pulse rate, primary blood pressure, initialGlascow coma scale (GCS), patient outcome and injury to different parts of body. After collecting the data, itwas entered into SPSS 18 and analyzed with the descriptive and analytical statistics include an independentt-test and receiver operating characteristic curve (ROC) curves.Results: Out of 1930 studied patients, 365 (18.9%) were women and 1565 (81.1%) were men. The mean age ofpatients was 37.05±17.11 years and women were significantly older than men. The mortality rate was 4.8% andwas significantly more in men compared to women. The mean blood pressure, GCS and oxygen saturation levelwere lower in deceased patients. The mean GAP, ISS and RTS values were 23.13±2.69, 4.07±3.82, 7.72±0.52,respectively. The mean values of GAP and RTS were significantly low in deceased patients whereas the meanISS value was significantly high in the deceased patients. The Area under the curve (AUS) for ISS was greaterthan the other two scoring systems.Conclusion: The findings of the current study showed that all three systems were adequately efficient toprognoses the final outcome in multi-trauma patients but the ISS measure was better than the other two criteria.
Mina Saeednejad; Farideh Sadeghian; Mahsa Fayaz; Dennis Raphael; Rasha Atlasi; Amirmasoud Kazemzadeh Houjaghan; Raziyeh Abedi kichi; Mohammad Hossein Asgardoon; Hossein Zabihi Mahmoudabadi; Zahra Salamati; Zohrehsadat Naji; Vafa Rahimi-Movaghar; Payman Salamati
Volume 8, Issue 4 , October 2020, , Pages 211-217
Abstract
Objective: This study aims to review systematically the association of social determinants of health (SDH) and road traffic deaths (RTD) within scientific literature. Methods: A search strategy was designed and run in EMBASE, PubMed via MEDLINE, Scopus, Web of Science, and Cochrane library. Through title, ...
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Objective: This study aims to review systematically the association of social determinants of health (SDH) and road traffic deaths (RTD) within scientific literature. Methods: A search strategy was designed and run in EMBASE, PubMed via MEDLINE, Scopus, Web of Science, and Cochrane library. Through title, abstract, and full-text screening, all English original papers (except ecological studies) which studied social determinants of health and fatal injuries were included. Papers which studied association between RTD and the education, income, rural settlement, and marital status were evaluated and the related data was extracted from the full-texts. Results: Eleven articles out of 7,897 primary results were selected to be included in the study. Among eight papers studied education, seven confirmed a negative association between years of schooling and RTD. Two out of three articles reported no association between income leveland RTD. Among three papers studied rural settlement, two approved a positive relationship between this determinant and RTD. Both articles studied marital status, confirmed an association between this determinant and RTD. Conclusion: A few papers studied association of social determinants of health (SDH) and RTD. There was an inverse relationship between education and RTD. The evidence for such an association between income, rural settlement, and marital state was scarce. Further investigations are recommended through original research.
Mahnaz Yadollahi; Narges Rahmanian; Kazem Jamali
Volume 6, Issue 4 , October 2018, , Pages 349-354
Abstract
Objective: To determine the indicators predicting the hospital mortality in pedestrian injured patients admitted to a level I trauma center in Southern Iran.Methods: This case control study was conducted in a Level-I trauma hospital in Shiraz. We selected all survived pedestrians who were admitted in ...
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Objective: To determine the indicators predicting the hospital mortality in pedestrian injured patients admitted to a level I trauma center in Southern Iran.Methods: This case control study was conducted in a Level-I trauma hospital in Shiraz. We selected all survived pedestrians who were admitted in the hospital with duration of admission more than 24 hours in one year from March 2016 to February 2017 as control group and compared with all non-survived pedestrian patients who expired in the hospital according to clinical from March 2012 to February 2017. Multiple logistic regression was performed to identify factors of hospital effect on pedestrian mortality and results expressed by Odds Ratios and their confidence intervals (CI) of 95%.Results: A total of 424 survived pedestrian injured patients were compare to 117 non-survived one. Their mean of survived and non-survived patients were 43.79 ± 19.37 and 56.76 ± 18.55 years respectively of which 361 (66.7%) and 180 (33.3%) were men and women, respectively. We found that the gender does not have any relation with hospital mortality (p=0.275). Followed by, age is in relevance with mortality. Glasgow Coma Scale(GCS), Injury Severity Score (ISS), blood urea nitrogen (BUN), platelet (PLT), potassium (K) and hemoglobin (Hb) are significant factor which are associated with mortality. According to logistic analysis GCS ≤8 (p
Salman Khazaei; Shahab Rezaeian; Sakineh Mazharmanesh; Mahin Ahmadi-Pishkuhi; Vali Baigi; Zaher Khazaei; Yousef Veisani
Volume 6, Issue 3 , July 2018, , Pages 233-238
Abstract
Objective: To investigate the epidemiological aspects of all-cause injuries in Hamadan province during a 6-year period.Methods: We conducted a cross-sectional study on injured subjects admitted to private or governmental hospitals in Hamadan province during March 2009 to March 2015. The epidemiological ...
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Objective: To investigate the epidemiological aspects of all-cause injuries in Hamadan province during a 6-year period.Methods: We conducted a cross-sectional study on injured subjects admitted to private or governmental hospitals in Hamadan province during March 2009 to March 2015. The epidemiological characteristics were retrieved from a registry-based system including gender, residency, injury mechanism and date of injury occurrence, outcome of hospitalization (full recovery/disability/death).Results: Totally, 135,925 hospitalized injured cases were recorded. The majority of cases were male (72.6%) and were occurred in urban areas (60%), about 40% of patients were in 20-34 years’ age group, and the highest proportion (30.13%) of injuries occurred in summer. Logistic regression showed that the odds of disability vs. recovery was significantly higher in rural areas [Adjusted odds ratio (AOR) =3.42] and the odds of death vs. recovery was higher among male gender (AOR=1.46). In addition, comparing to the 0-4-year age-group, odds of death were significantly higher in middle aged and elderly victims. Conclusion: Our findings showed that middle age groups, male gender and urban area increase the odds of death. Injured males and old age subjects had the highest odds of death and out of residential area injuries were common cause of leading death injuries.
Haleh Ghaem; Maryam Soltani; Mahnaz Yadollahi; Tanaz Valad Beigi; Atousa Fakherpour
Volume 5, Issue 4 , October 2017, , Pages 273-279
Abstract
Objective: To epidemiologically assess the accidents and incidents in the injured pedestrians referred to Shahid Rajaee Hospital, Shiraz in order to provide basic preventive strategies and reduce injuries and fatalities caused by traffic accidents in pedestrians.Methods: This cross-sectional study was ...
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Objective: To epidemiologically assess the accidents and incidents in the injured pedestrians referred to Shahid Rajaee Hospital, Shiraz in order to provide basic preventive strategies and reduce injuries and fatalities caused by traffic accidents in pedestrians.Methods: This cross-sectional study was conducted on 5840 injured pedestrians referred to Shahid Rajaee Hospital, Shiraz from 2009 to 2014. The baseline characteristic including the demographic and clinical information, the mechanism of injury, injury severity score (ISS) and outcome determinants. We also recorded the outcome measures and the mortality. Multivariate logistic regression analysis was performed to investigate the factors related to mortality rate and Length of Stay (LOS) in hospital.Results: In our study, the history of 5840 injured pedestrians was analyzed. The mean age of the patients was 41.32±19.21 years. Multivariate logistic regression indicated that mortality increased with age. Moreover, the odds of mortality was more in patients with Injury Severity Score (ISS) between 16 and 24 [OR: 12.94, 95% CI (3.78-32.66), p=0.001] and injuries in the head and neck [OR: 7.92, 95% CI (4.18-14.99), p=0.020]. LOS in hospital was also higher in patients with ISS > 25 [OR: 16.65, 95%CI (10.68-25.96), p=0.001].Conclusion: Pedestrians have always been one of the most vulnerable road users. Our study indicated that the adverse consequences and mortalities in pedestrians increased with age. Hence, approaches are required to improve primary prevention programs and reduce deaths and injuries due to this major public health problem.
Robab Mehdizadeh Esfanjani; Homayoun Sadeghi-Bazargani; Mina Goletsani; Reza Mohammadi
Volume 5, Issue 4 , October 2017, , Pages 280-284
Abstract
Objective: To investigate epidemiological aspects of injuries among Iranian children under 7 years of age using obtained data from a national registry.Methods: Injury data were derived from a national-based injury supervision system during 2000–2002. This registry involved all of home-related injuries ...
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Objective: To investigate epidemiological aspects of injuries among Iranian children under 7 years of age using obtained data from a national registry.Methods: Injury data were derived from a national-based injury supervision system during 2000–2002. This registry involved all of home-related injuries for children less than 7 years of age that treated in health or emergency centers. The study population included 25% of Iranian people. The descriptive statistical methods were used for representing the distribution of the variables like age, sex, injury mechanisms, types of injuries, etc. Data were presented as mean ± SD and proportions as appropriate.Results: Of the total 307,064 domestic injuries registered during 2000–2002, 77,500 cases (25.2%) were children. 70% of these children (54581 cases) were in age group of 1-5 years.The large fraction (58.8%) of injuries among children under 7 years of age went back to burn injuries. Cuts and lacerations were at the second level with 17.4%. 51% of injuries had contact with hot liquids. Of all children under 7 years of age injuries, 282 died, 86 were disabled, while the rest improved or being under treatment when recording data.Conclusion: Injuries, particularly burns (especially those who had contact with hot liquids that led into scald), are major public health problem that children under 7 years of age encounter. Therefore, it seems necessary to provide adequate plans to promote children under 7 years of age safety issues.
