The epidemiologic aspects of trauma in the elderly in Shiraz hospital 1383

Nader, Falah; Rakeei, S M

doi:10.29252/jmj.5.1.2.41

Cited by 5 publications

(8 citation statements)

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“…The mean hospital stay was longer in patients with head trauma in our study, as well. In our study, there was a significant positive correlation between the duration of hospital stay and age, mortality, and surgery, which was in line with the results of studies conducted by Zamani, Nader, Soltani and Abasi Moghadam ( 18 , 36 , 41 , 42 ). In general, hospital stay is longer in the elderly patients when compared to other age groups and depends on the type of disease, concomitant diseases, and type of intervention.…”

Section: Discussionsupporting

confidence: 92%

“…Injuries of the lower limbs, especially the femoral neck and intertrochanteric fracture, were the most common among the hospitalized elderly ( 35 ) followed by skull and brain injuries (12.2%) and injuries of the upper limbs. According to some studies, fractures of the upper limbs, vertebrae, hip, and head trauma closely follow hip fracture, which is similar to our results ( 29 , 36 , 37 ). Adam reported that fractures of the lower limbs were the most common and brain damage was detected in 9% of the patients who fell on the same level ( 28 ).…”

Section: Discussionsupporting

confidence: 92%

“…The mean hospital stay was 7.33 days in our study, 7.63 days in a study by Nader ( 36 ), 7.23 days in a study by Soltani ( 41 ), 7.99 days in a study by Zamani ( 18 ), 16.3 days in head trauma patients in a study by Abasi Moghadam ( 42 ), 9 days in a study by Vu ( 43 ), and 4-15 days in a study by Das ( 44 ). The mean hospital stay was longer in patients with head trauma in our study, as well.…”

Section: Discussionsupporting

confidence: 50%

“…Other studies have also reported death due to falls or due to accidents in general. Nader et al reported death in 6.28% and 2.5% of the people who were hospitalized due to accidents and falls, respectively ( 36 ). Death was reported in 17.2% of the patients with femur fracture in a study by Zamani ( 18 ), in 11% of falls and 25% of falls from height in a study by Aschkenasy ( 46 ), in 6% of falls in a study by Siracuse ( 47 ), and 13% in head trauma patients in a study by Harvey ( 32 ).…”

Section: Discussionmentioning

confidence: 99%

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Fall-Related Injuries in Community-Dwelling Older Adults in Qom Province, Iran, 2010-2012

et al. 2014

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Background:Falls and related injuries are common health problems in the elderly. Fractures, brain and internal organ injuries and death are the common consequences of the falls, which result in dependence, decreased self-efficacy, fear of falling, depression, restricted daily activities, hospitalization and admission to the nursing home and impose costs on the individual and the society.Objectives:The purpose of this study was to determine the types of fall-related injuries and the related risk factors in the elderly population of Qom province, Iran.Patients and Methods:This retrospective study was performed on 424 elderly people (65 years and over) referred to Shahid Beheshti Hospital, Qom, Iran, due to falls between 2010 and 2012. The ICD-10 codes of external causes of injury from w00 to w19 related to falls were selected from the health information system of the hospital and demographic variables of the patients and external causes of falls were extracted after accessing the files of the patients. Data were analyzed using SPSS version 18 (SPSS Inc., USA). The duration of hospital stay and its relationship with underlying variables were investigated using t test and ANOVA. The level of significance was considered P < 0.05.Results:Among 424 elderly people, 180 cases (42.45%) were male and the mean age of the patients was 78.65 ± 7.70 years. Fall on the same level from slipping, tripping, and stumbling was the most common external cause with 291 victims (68.60%), and hip fracture in 121 patients (29.00%), intertrochanteric fracture in 112 patients (26.90%), and traumatic brain injury in 51 patients (12.20%) were the most common causes of hospital stay. The mean hospital stay was 7.33 ± 3.63 days.Conclusions:Lower limb fracture and traumatic brain injury were the most common causes of hospitalization, which resulted in the longest hospital stay and highest hospitalization costs in the elderly.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 50%

Section: Discussionmentioning

confidence: 99%

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Fall-Related Injuries in Community-Dwelling Older Adults in Qom Province, Iran, 2010-2012

et al. 2014

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“…Elderly with hip fractures following falls have 20% to 30% mortality within one year of fracture ( 6 ). In a study in Shiraz, 24.6% of elderly remained disabled following trauma ( 13 ). Fall-related injuries are often associated with considerable long-term morbidity.…”

Section: Introductionmentioning

confidence: 99%

Dependency in Activities of Daily Living Following Limb Trauma in Elderly Referred to Shahid Beheshti Hospital, Kashan-Iran in 2013

2014

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Background:Activities of daily living (ADL) are an important indicator of health and independence in elderly. It provides useful information for proper planning in the field of elderly care. Trauma in elderly population is frequent and can negatively affect the independence in ADL.Objectives:The purpose of the present study was to evaluate elderly independence in activities of daily living (ADL) following limb trauma and its related factors in patients referred to trauma emergency ward of Shahid Beheshti Hospital, Kashan, Iran, in 2013.Patients and Methods:This descriptive study was conducted on 200 traumatic patients admitted to trauma emergency ward of Shahid Beheshti Hospital in 2013. The questionnaire used in this study had three parts as demographic data, information related to trauma and ISADL (independency scale of activities of daily living). ISADL was completed in emergency ward to declare pretraumatic status; it was also completed 1 and 3 months after trauma. Statistical analysis was conducted by Chi-square test, One-way and two-factor ANOVA, and Multiple regression analysis. Data analysis was conducted using SPSS software, version 16.Results:The average age of participants was 70.57 ± 9.05 years. In total, 80.5% of the elderly were completely independent in ISADL before trauma; this decreased to 13.5% one month after trauma. Besides, 32% of the elderly were completely or relatively dependent three months after trauma. Two-factor ANOVA showed a significant association between the scores of ISADL, the time interval and the type and location of an injured organ, and having the surgery as a treatment.Conclusions:More than three-quarters of the elderly were independent in ISADL before the trauma, but trauma in elderly patients had a substantial negative effect on patients' ability and ADL function.

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Assessing and Improving Fitness to Drive in the Elderly People: A Scoping Review of Policies and Guidelines

Mohammaddokht¹,

Saadati²,

Kashefimehr³

et al. 2022

ijph

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Background: This study has been conducted to analyze the processes, models, and policies to assess fitness to drive and improving driving in the elderly in the world. Methods: The Arkesy and O’Malley frameworks were employed. Articles with at least one aspect of driving eligibility in the elderly were included. Expected data were collected using appropriate keywords from PubMed, Web of Science, Scopus, Embase, IranDoc, SID, and MagIran. Data were analyzed using the Content Analysis method. Results: Out of 675 records, 24 papers and reports were included in the study that all of them were High-Income Countries (HICs). Among the studies that referred to the baseline age, the highest frequency was 70 yr old (4 studies). Vision assessment was the main item to judge driving fitness (mentioned in 75% of the studies). The in-person (5 studies) was the most common method of renewal. General practitioners were the principal performers to measure driving fitness (7 studies). Thirteen studies referred to the road tests as part of the driver's license renewal process. In most all reports and papers, there were policies on empowering the elderly driver, including providing safe driving tips, optional driving skills tests, holding retraining courses, etc. The most frequently supporting policies included introducing alternative transportation. Conclusion: Most HICs have worthwhile experience in measuring and improving the fitness to drive in the elderly and enforce different laws according to social and political conditions. Utilizing these experiences by considering economic and social differences can be useful and practical for middle and low-income countries.

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The epidemiologic aspects of trauma in the elderly in Shiraz hospital 1383

Cited by 5 publications

References 0 publications

Fall-Related Injuries in Community-Dwelling Older Adults in Qom Province, Iran, 2010-2012

Fall-Related Injuries in Community-Dwelling Older Adults in Qom Province, Iran, 2010-2012

Dependency in Activities of Daily Living Following Limb Trauma in Elderly Referred to Shahid Beheshti Hospital, Kashan-Iran in 2013

Assessing and Improving Fitness to Drive in the Elderly People: A Scoping Review of Policies and Guidelines

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