Sajed Arabian; Ali Davoodi; Mehrdad Karajizadeh; Najmeh Naderi; Najmeh Bordbar; Golnar Sabetian
Volume 12, Issue 2 , April 2024, , Pages 81-87
Abstract
Objective: This study aimed to determine the rate of readmission for trauma patients in ICUs, as well as thefactors that predict this outcome.Methods: This retrospective cohort study was conducted at Emtiaz Hospital, a level I referral trauma center(Shiraz, Iran). It analyzed the ICU readmission rates ...
Read More
Objective: This study aimed to determine the rate of readmission for trauma patients in ICUs, as well as thefactors that predict this outcome.Methods: This retrospective cohort study was conducted at Emtiaz Hospital, a level I referral trauma center(Shiraz, Iran). It analyzed the ICU readmission rates among trauma patients over three years. The requireddata were extracted from the Iranian Intensive Care Registry (IICUR), which included patient demographics,injury severity, physiological parameters, and clinical outcomes. Statistical analysis was performed using SPSSversion 25.0. Descriptive statistics and different statistical tests, such as T-tests, Mann-Whitney tests, Chisquare tests, and logistic binary regression test were utilized.Results: Among the 5273 patients discharged from the ICU during the study period, 195 (3.7%) were readmittedduring the same hospitalization. Patients readmitted to the ICU had a significantly higher mean age (54.83±22.73years) than those who were not readmitted (47.08 years, p<0.001). Lower Glasgow Coma Scale (GCS) scoresat admission and discharge were associated with ICU readmission, implying that neurological status andreadmission risk were correlated with each other. Furthermore, respiratory challenges were identified as theleading cause of unexpected readmission, including respiratory failure, hypoxic respiratory failure, respiratorydistress, and respiratory infections such as pneumonia. Injury patterns analysis revealed a higher frequency ofpoly-trauma and head and neck injuries among patients readmitted to the ICU.Conclusion: This study underscored the importance of ICU readmission among trauma patients, with a highreadmission rate during the same hospitalization. By developing comprehensive guidelines and optimizingdischarge processes, healthcare providers could potentially mitigate ICU readmissions and associatedcomplications, ultimately enhancing patient outcomes and resource utilization in trauma ICU settings. Thisresearch provided valuable insights to inform evidence-based practices and improve the quality of care deliveryfor trauma patients in intensive care settings.
Maryam Hosseini; Leila Shayan; Mahnaz Yadollahi; Mehrdad Karajizadeh
Volume 11, Issue 3 , July 2023, , Pages 132-137
Abstract
Objective: To identify the distinctive features of acutely injured patients who were presented to the emergency department (ED) and their association with mortality and surgical intervention outcomes.Methods: This cross-sectional study was conducted on all trauma patients resuscitated in the ED of ShahidRajaee ...
Read More
Objective: To identify the distinctive features of acutely injured patients who were presented to the emergency department (ED) and their association with mortality and surgical intervention outcomes.Methods: This cross-sectional study was conducted on all trauma patients resuscitated in the ED of ShahidRajaee (Emtiaz) Trauma Hospital (Shiraz, Iran) from May 2018 to June 2019. Demographic information, themechanism of trauma, trauma type, injured body regions, criteria of abbreviated injury scale (AIS) score,injury severity score (ISS), and surgical intervention was all taken into consideration. The items related to themortality and surgical performance outcomes among the patients were analyzed.Results: Of all 1281 cases, 82.9% were men, and the mean age of the patients was 37.9±19.1 years. The mostcommon mechanism of injury was a car accident, and the thorax was the most prevalent injured area of thebody. The majority of the patients had moderate blunt trauma. The mechanism of trauma, ISS, and the severityof head trauma were all significantly correlated with operation interventions. Moreover, age, the mechanismand type of trauma, ISS, and the necessity for the surgery were significantly associated with death occurrence.Additionally, head, thorax, and abdomen trauma were significantly related to a high mortality rate.Conclusion: Age, trauma mechanism and type, ISS, and the necessity for surgery were significantly associatedwith the mortality rate of injured patients. The severity of the trauma, particularly head injuries and themechanism of damage were important determinants in concern for surgery the necessity.
Mahnaz Yadollahi; Pooria Fazeli; Muhammad Ali Naqi; Mehrdad Karajizadeh; Sattar Parsaiyan
Volume 11, Issue 1 , January 2023, , Pages 41-46
Abstract
Objective: According to the reports of the World Health Organization approximately 300,000 deaths occuryearly worldwide due to burns or burn-associated injuries. This study aims to review the epidemiology of burnsin pediatrics and adolescents in Fars province between 2017 and 2018.Methods: This is a ...
Read More
Objective: According to the reports of the World Health Organization approximately 300,000 deaths occuryearly worldwide due to burns or burn-associated injuries. This study aims to review the epidemiology of burnsin pediatrics and adolescents in Fars province between 2017 and 2018.Methods: This is a cross-sectional study that investigated all people ≤18 years old who suffered from burninjuries in Fars province between 2017 and 2018. We use data from the file of burn patients which was providedby pre-hospital emergency services of Fars province. This data comprises demographic information (age andgender), burn-related information (type, degree, and severity of burns), mode of transfer (outpatient surgery ortransfer to hospital) and the outcome of the disease (death before arrival to the hospital or alive).Results: The average age of the subjects of this study was 5.8±8.9. We also categorized the subjects into fourage groups, 1-4, 5-8, 9-13 and 15-18 years. The number of boys who suffered from burn injuries is significantlymore than the girls (p=0.011). Also, there is a remarkable correlation between burn with age (p<0.001) andburn with disease outcome (p=0.01). The Most common cause of burns in boys was nonchemical hot objectsand liquids (28.5%). Likewise, the possibility of mortality in burn patients who faced an electric shock was22.66%. ([95%CI=2.32-220.63], p<0.001 OR=22.66).Conclusion: This study shows that pediatrics and adolescents ≤ 4 have the most burn injuries, and boys havetwice as many burn events as girls. More importantly, the most common cause of burns in both genders wasburning with non-chemical hot objects and liquids, in particular, in the age group of 1-4 years, in which eventhappens at home.
Mahnaz Yadollahi; Mehrdad Karajizadeh; Najmeh Bordbar; Zahra Ghahramani; Leila Shayan
Volume 10, Issue 3 , July 2022, , Pages 110-115
Abstract
Objective: To evaluate the effect of COVID-19 pandemic on the incidence and mortality rate of road trafficinjuries in Shiraz, Iran.Methods: This cross-sectional study was performed on the data of patients who admitted by road trafficaccidents 18 months before the outbreak of COVID-19 and 18 months after ...
Read More
Objective: To evaluate the effect of COVID-19 pandemic on the incidence and mortality rate of road trafficinjuries in Shiraz, Iran.Methods: This cross-sectional study was performed on the data of patients who admitted by road trafficaccidents 18 months before the outbreak of COVID-19 and 18 months after COVID-19 in the largest providerof trauma level 1 care services in southern Iran. SPSS 19 software was used to analyze the data.Results: A significant decrease of 12.8% was observed in the number of patients admitted by road trafficaccidents during the COVID-19 pandemic period compared to the same period before the pandemic (p<0.0001).But the death toll from road traffic accidents has increased significantly during the COVID-19 pandemic periodcompared to the same period before the pandemic (p=0.01).Conclusion: Due to the COVID-19 restrictions, it seems that factors such as restrictions on suburban travel,closure of public and recreational spaces, reduction of intra-city traffic, people staying at home and a significantreduction in injuries caused by traffic accidents, is reasonable. On the other hand, these restrictions, quarantines,and COVID disease itself can lead to confusion, anxiety, fear of infection, and thus avoid or delay the searchfor health care and increase mortality. Therefore, planning and policy-making is essential in order to preparethe correct guidance for seeking treatment.
