Demographic Profiles of Adult Trauma During a 5 Year Period (2007-2011) in Kashan, IR Iran

Abstract

BackgroundTrauma, in addition to mortality and disability experienced by an individual, imposes direct and indirect economic and social costs on a community. Traditionally, trauma is a disease of young and middle age adults, an age group which is known to be the most dynamic and economically productive of the community. Increasing our knowledge concerning the etiology and patterns of trauma seems to be the most profitable and accessible way to prevent injuries of this nature.ObjectivesThis study was designed to evaluate the epidemiology of adult trauma in Kashan, Iran.Patients and MethodsThe current study used a retrospective cross-sectional approach, enrolling all trauma adults (20 - 60 y) admitted to the Shahid Beheshti Hospital, Kashan, between 2007 and 2011. Age, gender, place of residence, work status, educational level, urban/rural location of the accident, method of transportation to hospital, injured body areas of the victims and therapeutic interventions, were extracted from the data registry and analyzed through descriptive statistics using SPSS software.ResultsA total of 22 564 patients were included in this study. Mean age of the victims was 33.18 ± 10.90 years and the male/female ratio was 4:1. Most of the victims were manual workers (61%), and they had completed primary and junior high school level education (49.4%), they were also more likely to be residents of urban areas (88.6%). Regarding the place of injury, most accidents occurred on city streets (43.8%). Approximately 40% of the total victims were transferred to the hospital by emergency medical services (EMS). During the study period, 260 deaths were recorded and among these, 76% were related to traffic accidents.ConclusionsRegarding the high prevalence of trauma found in manual workers with low educational levels and motorbike users, the establishment of an integrated program aimed at improving public knowledge on the use of safety and protective measures in work environments should be implemented. The use of safety protective equipment by cyclists, motorbikers and car passengers should also be enforced.

Modeling of Individual and Organizational Factors Affecting Traumatic Occupational Injuries Based on the Structural Equation Modeling: A Case Study in Large Construction Industries

“…Also, the relationship between ATF and ASR was significantly positive. In other words, the more ATF increase, the more the occupational traumatic injuries were improved (24-25, 28). …”

“…An individual factor is considered as one of the causal factors of occupational accidents’ severity. The IF included some observed indicator variables such as average age, working experience, education, and marital status (22, 25, 26, 28). Also, organizational factor is one of the most important occupational accidents’ factors in construction.…”

“…Furthermore, they did not mention the portion of any factors and relationship of the variables and the combined effects of individual and organizational factors on traumatic occupational injuries (6, 8, 22, 25, 26, 28). Structural equation modeling (SEM) is a comprehensive statistical approach and strong analysis technique of multivariable regressions and a comprehensive statistical approach used to testing hypotheses about interrelations of latent and observes variables (18, 29, 30).…”

Epidemiological, Clinical and Radiological Characteristics of Patients with Head Trauma

“…Trauma is one of the leading causes of mortality and morbidity in young and middle age adults (20). In the present study, most cases of head trauma occurred among people aged 20-24 and 25-44 years.…”

“…These groups of patients are active community groups, and this could be due to a higher prevalence of high-risk behavior in these age groups. These statistics are varying in different societies; results show that the most common brain injury is related to the third decade of life in developed countries (20)(21)(22)(23). Chiu et al revealed that the most common age group 20-29 years in Taiwan (24) and in a study that done in Norway, the most common head injury was reported in the 0-4 and above 75 years age groups.…”