Population-based incidence and cost of non-fatal injuries in Iran: a consistent under-recognized public health concern

Hafezi-Nejad, Nima; Rahimi‐Movaghar, Afarin; Motevalian, Seyed Abbas; Amin-Esmaeili, Ma­soumeh; Sharifi, Vandad; Hajebi, Ahmad; Radgoodarzi, Reza; Hefazi, Mitra; Eslami, Vahid; Karimi, Hasti; Saadat, Soheil; Mohammad, Kazem; Rahimi‐Movaghar, Vafa

doi:10.1016/j.puhe.2015.01.016

Cited by 6 publications

(4 citation statements)

References 48 publications

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“…Assessment of injuries reflected a high proportion of disability and loss of life at all ages and in both sexes 6 . In Iran, the data show that the financial burden of RTC was about 6 billion dollars in 2006 13 .…”

Section: Discussionmentioning

confidence: 99%

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Assessment of mechanism, type and severity of injury in multiple trauma patients: A cross sectional study of a trauma center in Iran

Reihani

Pirazghandi

Bolvardi

et al. 2017

Chinese Journal of Traumatology

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PurposeTo accurately assess the mechanism, type and severity of injury in Iranian multiple trauma patients of a trauma center.MethodsPatients with multiple traumas referring to the emergency department of Hasheminejad University Hospital in Mashhad, Iran, entered this cross sectional study from March 2013 to December 2013. All the patients with injury severity score (ISS) > 9 were included in this study. Data analysis was performed by SPSS software (Version 11.5) and P values less than 0.05 were considered as significant differences.ResultsAmong the 6306 hospitalized trauma patients during this period, 148 had ISS>9. The male female ratio was 80%. The mean age of the patients was (33.5 ± 19.3) years. And 71% of the patients were younger than 44 years old. There were 19 (13%) deaths from which 68.5% were older than 44 years old. The mean transfer time from the injury scene to hospital was (55 ± 26) minutes. The most frequent mechanisms of injury were motorcycle crashes and falling from height, which together included 66.2% of all the injuries. A total of 84% of hospital deaths occurred after the first 24 h of hospitalization. Head and neck were the most common body injured areas with a prevalence of 111 cases (75%).ConclusionMotorcycle crashes have high frequency in Iran. Since most victims are young males, injury prevention strategies should be considered to reduce the burden of injuries.

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Section: Discussionmentioning

confidence: 99%

“…RTC was the leading cause of DALYs in males and the fourth cause in females with 1.071 million and 235,000 DALYs, respectively 6 . Based on the recent population-based study, the annual incidence rate of all injuries for Iranian is estimated at 905 per 1000 population, accounting for approximately nine injuries per ten persons 7 .…”

Section: Introductionmentioning

confidence: 99%

Assessment of mechanism, type and severity of injury in multiple trauma patients: A cross sectional study of a trauma center in Iran

Reihani

Pirazghandi

Bolvardi

et al. 2017

Chinese Journal of Traumatology

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“…Trauma mortality rate in the world and in our country, Iran, is respectively 99 and 43 cases per 100,000 people 4 . The mean incidence rate of different traumas resulting in hospitalization in Iran has been reported to be 168 cases per 1000 people, 5 much beyond data in other countries 6, 7…”

Section: Introductionmentioning

confidence: 93%

Return to work after trauma: A survival analysis

Abedzadeh-Kalahroudi

Razi

Sehat

et al. 2017

Chinese Journal of Traumatology

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PurposeTo evaluate the return to work (RTW) rate, time and predictors among trauma patients using survival analysis.MethodsThis cohort study was conducted with a three-month follow-up on 300 trauma patients hospitalized in Shahid Beheshti Hospital, Kashan, Iran in 2014. The data were collected through conducting interviews and referring to patients' medical records during their hospital stay and follow-up information at one & three months after discharge from hospital. Final analysis was conducted on the data retrieved from 273 patients. Data were analyzed by chi-square test, Mann–Whitney U test and survival analysis method.ResultsThe rate of RTW at the end of the first and the third follow-up months was respectively 21.6% and 61.2%. Survival analysis showed that the RTW time (Time between admission to first return to work) was significantly longer among patients with illiteracy, drug abuse, hospitalization history in the intensive care unit, low socioeconomic status, non-insurance coverage, longer hospital stay, multiple and severe injuries as well as severe disability.ConclusionOur findings indicated that trauma has profound effects on the rate and time of RTW. Besides disability, many personal and clinical factors can affect the outcome of RTW.

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“…Based on the reports represented by Hafezi-Nejad et al [7] for both sexes and all ages of Iranian people about 15% of deaths happened due to traumas. Moreover, one of the main leading causes of happening these kinds of traumas in Iran are RTCs.…”

Section: Introductionmentioning

confidence: 99%

A Review of Assessment and Treatment of Trauma in Emergency Department

2020

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Background:Traumatic injuries are the major destructive causes of human disability and in some situations, they could cause mortality. Preparing an appropriate procedure for the management and treatment of trauma patients is still a big challenge. Anyway, through immediate diagnosis and management of trauma patients in emergency departments mainly in trauma golden hour most appropriate outcomes could be achieved. The initial examination of trauma patients should be carried out in the trauma golden hour by most appropriate diagnosis equipment prepared in the emergency trauma care unit. Objective:The present study was performed for reviewing the most appropriate techniques and equipment of diagnosis and management of traumatic injuries. Material and Method:For obtaining the most appropriate outcomes, a comprehensive review carried out through the general medical databases of PubMed, Embase, Google Scholar, MEDLINE, databases of Cochrane Library, Allied and Complementary Medicine Database and Allied Health Literature of CINAHL on care system of patients who suffer from various kinds of trauma were searched up to March 2020. Finally, the total number of 73 articles were selected for reviewing the newest available data around the main objective of the present study. Results:Trauma patients who detected with serious injuries in their vital organs should be managed through an appropriate standardized guideline. This comprehensive guideline is categorized into fourteen critical steps that provide general information about the importance, objective, initial actions, required equipment and staff and also the overall knowledge of any step in diagnosis and management of trauma patients. Conclusion:The prepared comprehensive guideline for appropriate management of trauma patients is a precise effective method for immediate management of trauma patients in trauma care units of emergency departments. The most critical situation such as severely injured patients, airway management, protecting breathing and circulation, major neurologic problems and the difficulties with clinical examination of whole-body could be managed through following the prepared guideline.

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Population-based incidence and cost of non-fatal injuries in Iran: a consistent under-recognized public health concern

Cited by 6 publications

References 48 publications

Assessment of mechanism, type and severity of injury in multiple trauma patients: A cross sectional study of a trauma center in Iran

Assessment of mechanism, type and severity of injury in multiple trauma patients: A cross sectional study of a trauma center in Iran

Return to work after trauma: A survival analysis

A Review of Assessment and Treatment of Trauma in Emergency Department

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