Traumatic spine injury in Kashan, Iran

Abstract

Objective: Traumatic spine injuries are seriously important and are associated with considerable morbidity and mortality. The goal of this study is to determine the epidemiology of the traumatic spine injuries in Shahid Beheshti Hospital of Kashan University of Medical Sciences (KAUMS), the main trauma center in Kashan, Iran. Methods: This cross-sectional study was undertaken on all cases of traumatic spinal injuries that were admitted to Shahid Beheshti hospital of KAUMS from 2014 to 2017. A checklist was used to collect demographic characteristics (age, gender, education, marital) and mechanism of the injury of the spine. According to ICD-10, the level of the injury was detected by diagnostic tests such as radiologic imaging and magnetic resonance imaging and computed tomography scans, and also multi-trauma final outcome of the patients with traumatic spine injury (TSI) and rate of the spinal cord injury (SCI), hospital length of stay and surgery treatment was investigated. Results: The number of patients with traumatic spine injuries was 986. Among this batch, 77% were males. The mean age of the patients was 39.5 years. Most injuries occurred in the age group of 15 to 30 years. Traffic accident was the most common mechanism of the trauma (35.2%) followed by the falls (26.95%) motorcycle accident (17.9%), assault by a sharp object or an unspecified object (10.13%) and other reasons (5.6%). The most common site of injury was in lumbar section (24.41%). Patients with traffic accident injury had the longest hospitalization. The rate of SCI was 2.63% and the rate of mortality was 2.3%. Conclusion: The TSI is an important and serious public health problem and a major cause of disability. Understanding the epidemiology can help us contrive appropriate preventative measures.

Predicting Quality of Life and Mental Health During the First Year After Trauma Using Radial Basis Function Neural Network 

“…Whole clusters of each region are numbered, and they were marked on the map, and blocks were selected. Randomly Simple and in every house between people over 15 years old were selected randomly for the interview, and in total, 3880 people were interviewed (Toien et al, 2011;Fakharian et al, 2019;Reihani et al, 2017;Rahimi-Movaghar et al, 2009;Hafezi-Nejad et al, 2013) Demographic trauma information, mental health, and QOL were completed for all randomly selected individuals by the interviewer. In this study, trauma is any intentional or unintentional physical injury that following traumatic events have occurred, and this injury is needed for medical care.…”

“…According to the annual incidence of all injuries (p) was assumed to be about 25 per 1000 person-years in 2013 (Fakharian et al, 2019), and the following formula was used to estimate the minimum needed sample size.…”

The Accuracy of the S100B Protein Biomarker in the Prognosis of Patients with Acute Spinal Cord Injury

“… 4 There have been few studies in Iran and no exact statistics are available, but in one of them in the city of Kashan over 4 years of those with vertebral injuries, 17.3% had SCI. 5 The manifestations and severity of SCI vary greatly by type, severity, and location of injury, as well as individual factors. 6 Diagnosis of acute injury in the early stages and timely treatment can reduce the severity of the injury and partly improve the patient's outcome.…”

Disability and post-trauma stress in the population over 15 years old in Kashan, Iran: A population-based study

“…Because more studies focus on the etiology of trauma, there is limited information about post-trauma. 15 This study aims to investigate the disability and post-trauma stress in the population over 15 years of Kashan in 2018–2019.…”