Gender-based trauma outcomes and predictors of postinjury in-hospital mortalities: A multicenter analysis from the national trauma registry of Iran

Salamati, Payman; Saberian, Lillian; Baigi, Vali; Zafarghandi, Mohammadreza; Naghdi, Khatereh; Ozlaty, Melika; Bahrami, Somayeh; Madadi, Nima; Rahimi‐Movaghar, Vafa; Sadeghi‐Bazargani, Homayoun; Fakharian, Esmaeil; Pahlavanhosseini, Hamid; Piri, SeyedMohammad; Khormali, Moein; Mirzamohamadi, Sara

doi:10.4103/atr.atr_64_21

Cited by 3 publications

(1 citation statement)

References 24 publications

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“…In our study, among 532 patients with an abdomen injury, 78.9% of them were caused by blunt trauma and 76% by RTI. Most victims were men and middle-aged people, like our previous report about gender differences in trauma and other trauma reports [15][16][17]. Most abdominal injury victims had primary education, as a previous study from NTRI observed primary education as a predominant educational level [18].…”

Section: Discussionsupporting

confidence: 60%

Patterns and outcomes of patients with abdominal injury: a multicenter study from Iran

Mirzamohamadi,

HajiAbbasi,

Baigi

et al. 2024

BMC Emerg Med

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Background Injury is one of the leading causes of death worldwide, and the abdomen is the most common area of trauma after the head and extremities. Abdominal injury is often divided into two categories: blunt and penetrating injuries. This study aims to determine the epidemiological and clinical characteristics of these two types of abdominal injuries in patients registered with the National Trauma Registry of Iran (NTRI). Methods This multicenter cross-sectional study was conducted with data from the NTRI from July 24, 2016, to May 21, 2023. All abdominal trauma patients defined by the International Classification of Diseases; 10th Revision (ICD-10) codes were enrolled in this study. The inclusion criteria were one of the following: hospital length of stay (LOS) of more than 24 h, fatal injuries, and trauma patients transferred from the ICU of other hospitals. Results Among 532 patients with abdominal injuries, 420 (78.9%) had a blunt injury, and 435 (81.7%) of the victims were men. The most injured organs in blunt trauma were the spleen, with 200 (47.6%) and the liver, with 171 (40.7%) cases, respectively. Also, the colon and small intestine, with 42 (37.5%) cases, had the highest number of injuries in penetrating injuries. Blood was transfused in 103 (23.5%) of blunt injured victims and 17 (15.2%) of penetrating traumas (p = 0.03). ICU admission was significantly varied between the two groups, with 266 (63.6%) patients in the blunt group and 47 (42%) in penetrating (p < 0.001). Negative laparotomies were 21 (28%) in penetrating trauma and only 11 (7.7%) in blunt group (p < 0.001). In the multiple logistic regression model after adjusting, ISS ≥ 16 increased the chance of ICU admission 3.13 times relative to the ISS 1–8 [OR: 3.13, 95% CI (1.56 to 6.28), P = 0.001]. Another predictor was NOM, which increased ICU chance 1.75 times more than OM [OR: 1.75, 95% CI (1.17 to 2.61), p = 0.006]. Additionally, GCS 3–8 had 5.43 times more ICU admission odds than the GCS 13–15 [OR:5.43, 95%CI (1.81 to 16.25), P = 0.002] respectively. Conclusion This study found that the liver and spleen are mostly damaged in blunt injuries. Also, in most cases of penetrating injuries, the colon and small intestine had the highest frequency of injuries compared to other organs. Blunt abdominal injuries caused more blood transfusions and ICU admissions. Higher ISS, lower GCS, and NOM were predictors of ICU admission in abdominal injury victims.

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Section: Discussionsupporting

confidence: 60%

Patterns and outcomes of patients with abdominal injury: a multicenter study from Iran

Mirzamohamadi,

HajiAbbasi,

Baigi

et al. 2024

BMC Emerg Med

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Isolated and non-isolated hand burns at the National Trauma Registry of Iran

Salamati,

Zafarghandi

2024

Burns

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Trauma Profile in Shahroud: An 8-Year Report of a Hospital-Based Trauma Registry

Hassan Zadeh Tabatabaei,

Baigi,

Zafarghandi

et al. 2024

J Res Health Sci

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Background: Trauma is a significant public health concern in Iran, with high mortality and morbidity rates. This study aimed to assess trauma patients’ profiles in Shahroud, Iran. Study Design: A cross-sectional study. Methods: The study involved trauma patients who met specific criteria at Imam Hossein hospital in Shahroud, Iran, between 2016 and 2023, using the National Trauma Registry of Iran (NTRI). The relationship between injury characteristics and the cause of injury was analyzed using chi-square test and post hoc analysis. Quintile regression models assessed the association of demographic and clinical variables with length of stay. Results: Among 3513 trauma patients, road traffic crashes (RTCs) had a higher percentage of injuries with the Glasgow Coma Scale (GCS) between 9 and 12 (1.7%) compared to falls (0.3%) (P<0.001). Falls caused more moderate cases with injury severity scores (ISS) ranging from 9 to 15 (22.7%) than RTCs (17.1%) (P<0.001). RTC-related injuries required more ventilation (2.7%) and intensive care unit (ICU) admissions (11.1%) than falls (P<0.001). After adjusting for age, GCS, ISS, and body region, fall had a median length of stay nine hours shorter than RTCs (95% CI = -16.2, -1.8). Conclusion: Significant injury pattern differences were observed between RTCs and falls. RTCs had higher frequencies of injuries resulting in GCS scores between 9 and 12, while falls had higher frequencies of moderate ISS scores. In addition, patients with RTC-related injuries required more mechanical ventilation and ICU admissions. Moreover, after adjusting for various factors, patients with RTC-related injuries had a significantly longer hospital stay compared to those with fall-related injuries.

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Gender-based trauma outcomes and predictors of postinjury in-hospital mortalities: A multicenter analysis from the national trauma registry of Iran

Cited by 3 publications

References 24 publications

Patterns and outcomes of patients with abdominal injury: a multicenter study from Iran

Patterns and outcomes of patients with abdominal injury: a multicenter study from Iran

Isolated and non-isolated hand burns at the National Trauma Registry of Iran

Trauma Profile in Shahroud: An 8-Year Report of a Hospital-Based Trauma Registry

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