Pirhossein Kolivand; Peyman Saberian; Fereshte Karimi; Mehdi Raadabadi; Samad Azari; Soheila Rajaie
Volume 12, Issue 2 , April 2024, , Pages 2-7
Abstract
Objective: Trauma-related injuries are the leading cause of death and disability in the active population, withdevastating economic, health, and social consequences for nations. TThis study aimed to assess the economicburden of injuries in Iran.Methods: In this study, the economic impact of trauma in ...
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Objective: Trauma-related injuries are the leading cause of death and disability in the active population, withdevastating economic, health, and social consequences for nations. TThis study aimed to assess the economicburden of injuries in Iran.Methods: In this study, the economic impact of trauma in Iran in 2019 was estimated using a prevalence-basedapproach. The prevalence was estimated based on available statistics in Iran and the GBD website. Directmedical expenditures were calculated using a top-down approach. The cost of lost production due to injuriesand premature death was also estimated using the DALY value. Microsoft Excel 2019 and Stata softwareversion 13.0 were used for the analysis.Results: In Iran, approximately 16,500,000 individuals were estimated to have sustained injuries in a singleyear. The average direct medical expenses for each trauma patient were around $226. Fractures contributedto 39% of the financial impact of trauma. The overall economic burden of trauma in Iran was calculatedto be $10,214,403,423. Approximately 66% of this economic burden was attributed to lost productivity andpremature death resulting from trauma, while direct medical costs made up 34%.Conclusion: The economic burden of trauma in Iran is expected to significantly rise in the future. It maybe necessary to enhance awareness of injury-related mortality and disability, improve therapies, and expandevidence-based interventions to reduce the economic impact of injuries.
Peyman Saberian; Arman Shafiee; Parisa Hasani-Sharamin; Hosein Rafiemanesh; Alireza Baratloo
Volume 11, Issue 3 , July 2023, , Pages 154-161
Abstract
Objective: Considering the growing use of emergency medical services (EMS), we evaluated the level ofpublic awareness of emergency situations in Iran.Methods: This cross-sectional study was conducted from August 2021 to January 2023 on Iranian residentsin Tehran, who were older than 18 years old. The ...
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Objective: Considering the growing use of emergency medical services (EMS), we evaluated the level ofpublic awareness of emergency situations in Iran.Methods: This cross-sectional study was conducted from August 2021 to January 2023 on Iranian residentsin Tehran, who were older than 18 years old. The participants were directed to a URL for an online surveylink and asked to select their preferred options for the predetermined scenarios. We divided the participantsinto three groups: abuse, misuse, and non-use. At least 12 correct answers were required to qualify asacceptable knowledge and practice responses (KP score). Then, the relationship between participants’ baselinecharacteristics and their level of awareness was investigated.Results: Totally, 3864 people participated in the study, of whom 50.5% were men. The participants’ agesranged from 18 to 90 years old, with a mean age of 40.01±11.30 years. In general, the rate of abuse, misuse,and not-use in at least one scenario was 74.5%, 64%, and 70.4%, respectively. The results of the multivariableregression analysis indicated that female sex (OR=1.29), a higher education level (OR=3.36), a higher incomelevel (OR=1.64), and Turkish ethnicity (OR=1.20) were significantly associated with the correct KP score.Conclusion: The degree of inappropriate utilization of EMS services in Iran was significant. We found thatthe proper knowledge regarding the appropriate use of EMS was significantly associated with the participant’slevel of education, academic field, job, and income.
Mostafa Sadeghi; Peyman Saberian; Parisa Hasani-Sharamin; Fatemeh Dadashi; Sepideh Babaniamansour; Ehsan Aliniagerdroudbari
Volume 9, Issue 2 , April 2021, , Pages 67-72
Abstract
Objective: To assess the possible factors associated with increasing risk of COVID-19 among EMTs. Methods: This study was a case-control study conducted in Tehran, Iran. Case group was consisted of confirmed COVID-19 EMTs based on the results of reverse transcriptase polymerase chain reaction and/or lung ...
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Objective: To assess the possible factors associated with increasing risk of COVID-19 among EMTs. Methods: This study was a case-control study conducted in Tehran, Iran. Case group was consisted of confirmed COVID-19 EMTs based on the results of reverse transcriptase polymerase chain reaction and/or lung computed tomography scan. Healthy EMTs were randomly selected as control group. Patients were asked to fill out a checklist including demographic data, data related to the work situation (such as number of missions and type of mask and cloth) and PPE precautions. Results: Sixty-eight patients and 148 healthy persons took part in this study as case and control group, respectively. Having two EMTs involved directly in taking care of patients (p <0.001) and working with a confirmed case teammate (p <0.001), considering the precautions such as seal check after wearing the mask (p=0.015), covering the hair with a medical hat (p <0.001), not using personal items despite protective clothing (p <0.001), and avoiding contact with the outer surface of clothing while removing (p <0.001) had significant difference in two groups. Conclusion: We found that the type and method of use of PPE were correlated with the increasing risk of COVID-19 in EMTs. Also, we found that when two EMTs were involved directly in taking care of the patients, and those who worked with a confirmed case teammate, more frequently affected.
