Seyed Mohammad Hosseini Kasnavieh; Kehan Koukli; Mohamad Veisi; Mohammad Amerzadeh; Hossein Hosseinifar; Ali Tahmasebi
Volume 11, Issue 4 , October 2023, , Pages 178-183
Abstract
Objective: This study aimed to investigate the necessity of cervical collars in patients with neck problems.Methods: This cross-sectional study was conducted on 114 patients who were admitted to the Haft Tir andRasoul Akram Hospitals (Tehran, Iran) from August to September 2022. The Nexus protocol was ...
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Objective: This study aimed to investigate the necessity of cervical collars in patients with neck problems.Methods: This cross-sectional study was conducted on 114 patients who were admitted to the Haft Tir andRasoul Akram Hospitals (Tehran, Iran) from August to September 2022. The Nexus protocol was used to selectthe patients with cervical collars. According to the protocol, a cervical collar was required for individuals whohad at least one symptom. If none of these symptoms existed, the cervical collar was deemed unnecessary. Thedata were analyzed using the Chi-square test and Fisher’s exact test.Results: Of the 114 trauma patients, the cervical collar was used unnecessarily by 49 (43%) patients. Tendernesswas the most common complication in 62 patients (54.4%). The prevalence of unnecessary cervical collaruse was 37.5% in female trauma patients and 43.88% in male trauma patients, which was not statisticallysignificant (p=0.63). The prevalence of unnecessary cervical collar use in trauma patients with multiple traumawas 39.42% and 80% in patients without multiple trauma, which was statistically significant (p=0.018). Patientswith a medical history had a higher rate of unnecessary use of the cervical collar (47.96%) than those withouta history (12.5%), and this difference was statistically significant (p=0.008).Conclusion: The guidelines for using cervical collars need to be updated by the EMS. Due to the large numberof trauma patients in Iran, cervical collars for necessary conditions can help reduce healthcare expensesand injuries caused by unnecessary cervical collars.
Orhan Delice; Samad Shams Vahdati; Senol Arslan; Alireza Ala; Hossein Hosseinifar; Faride Houshmand; Solomon Habtemariam; Aysa Rezabakhsh
Volume 9, Issue 3 , July 2021, , Pages 138-144
Abstract
Objective: To assess the patient’s satisfaction rate during two distinct registry procedures in the emergency department. Methods: A cross-sectional study was conducted in educational hospitals with a high volume of patient’s admission in Tabriz-Iran and Erzurum-Turkey. In this ...
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Objective: To assess the patient’s satisfaction rate during two distinct registry procedures in the emergency department. Methods: A cross-sectional study was conducted in educational hospitals with a high volume of patient’s admission in Tabriz-Iran and Erzurum-Turkey. In this study, we used a Press Ganey questionnaire as a data collection tool that was filled out with patients or their companions before discharging or referred to other areas (wards). Finally, data were analyzed by using SPSS software version 16. Results: The included patients were from three-admission time courses includes morning, evening, and night shifts. The present study results indicated that the total satisfaction score was two scores higher than the classic one (p <0.001) in the model registry system. Furthermore, the findings of the current study interestingly showed a correlation between satisfaction rate and education level as well as patient’s location. Thus, patients with moderate education levels had a higher satisfaction rate in urban regions when compared with rural regions and higher/lower education levels (p=0.03). Conclusion: Patients’ satisfaction rate with multiple variables can be improved by designing an appropriate registry procedure.
