Urban injuries in Tehran: demography of trauma patients and evaluation of trauma care

Zargar, Moosa; Modaghegh, Mohammad-Hadi Saeed; Rezaishiraz, Hamed

doi:10.1016/s0020-1383(01)00029-8

Cited by 63 publications

(62 citation statements)

References 13 publications

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“…Severe injuries in these regions also occur due to collision [34]. The study findings showed that LOS in hospital increased with age, which is in agreement with the results of the previous studies [41][42][43][44]. In this study, adverse consequences increased with age, which can be caused by more physical weakness, decreased physiological reserve, and reduced ability to improve the performance in older pedestrians.…”

Section: Discussionsupporting

confidence: 91%

Epidemiology and Outcome Determinants of Pedestrian Injuries in a Level I Trauma Center in Southern Iran; A Cross-Sectional Study

Ghaem

Soltani

Yadollahi

et al. 2017

BEAT

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Objective: To epidemiologically assess the accidents and incidents in the injured pedestrians referred to Shahid Rajaee Hospital, Shiraz in order to provide basic preventive strategies and reduce injuries and fatalities caused by traffic accidents in pedestrians. Methods: This cross-sectional study was conducted on 5840 injured pedestrians referred to Shahid Rajaee Hospital, Shiraz from 2009 to 2014. The baseline characteristic including the demographic and clinical information, the mechanism of injury, injury severity score (ISS) and outcome determinants. We also recorded the outcome measures and the mortality. Multivariate logistic regression analysis was performed to investigate the factors related to mortality rate and Length of Stay (LOS) in hospital. Results: In our study, the history of 5840 injured pedestrians was analyzed. The mean age of the patients was 41.3219.21± years. Multivariate logistic regression indicated that mortality increased with age. Moreover, the odds of mortality was more in patients with Injury Severity Score (ISS) between 16 and 24 [OR: 12.94, 95% CI (3.78-32.66), p=0.001] and injuries in the head and neck [OR: 7.92, 95% CI (4.18-14.99), p=0.020]. LOS in hospital was also higher in patients with ISS>25 [OR: 16.65, p=0.001]. Conclusion: Pedestrians have always been one of the most vulnerable road users. Our study indicated that the adverse consequences and mortalities in pedestrians increased with age. Hence, approaches are required to improve primary prevention programs and reduce deaths and injuries due to this major public health problem.

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Section: Discussionsupporting

confidence: 91%

Epidemiology and Outcome Determinants of Pedestrian Injuries in a Level I Trauma Center in Southern Iran; A Cross-Sectional Study

Ghaem

Soltani

Yadollahi

et al. 2017

BEAT

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“…Wui et al also reported high Male to Female ratio of 2.25:1 in a trauma epidemiology study conducted in Singapore [2] and preponderance of males among injured was also reported by several other studies [11][12][13][14][15]. [1].…”

Section: Discussionmentioning

confidence: 75%

Epidemiology of Orthopaedic Admissions at A Teaching Hospital of Eastern Nepal

Mishra¹,

Jha

Gupta³

2017

J Nobel Med Coll

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BackgroundThere are many other reasons besides fracture for which a patient could potentially be admitted to orthopaedic inpatient care. The goal of this retrospective review was to analyze the spectrum of orthopaedic admissions to a tertiary level teaching hospital of Nepal. Material & MethodsThis retrospective descriptive epidemiological study was based on patients admitted for orthopaedic inpatient care at a tertiary level health care center of eastern Nepal. Registry data of 1 year was used to analyze the spectrum of orthopaedic admissions. ResultsMale admission outnumbered females with a ratio of 1.82:1. Trauma accounted to majority of Orthopaedic admissions (67.9%) and Infection lied second in order (12.4%). Upper and Lower limb fractures (with right sided dominance) contributed to highest numbers of trauma respectively. Incidence of closed to open fracture was 5.45:1. More than half of trauma and fractures involved the 10 -39 years age group with predominance in 10-19 years. Fracture incidence was higher among men than women until 59 years of age after which the gender ratio reversed. Conclusions:Leading cause for orthopaedic admission was Trauma accounting more than 2/3 of the total. Biasness in gender admission reflects true picture of male dominated society. Upper limb injury, right side and closed fractures were dominating. Sexual dimorphism was apparent in fractures which may be due to higher rates of Osteoporotic fractures in elderly females.

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“…ISS was categorized into three groups of <7, 7-12 and >12. [9] Statistical analysis included Student's t test, chi-square testing of frequency data and chi-square test for trend, where appropriate. The level of significance was set at 0.05.…”

Section: Methodsmentioning

confidence: 99%

Pattern of skull fracture in Iran: Report of Iran national trauma project

Saadat¹,

Rashidi‐Ranjbar²,

Rasouli³

et al. 2011

Ulus Travma Acil Cerrahi Derg

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AMAÇBu yazıda, İran'ın kentsel nüfusundaki kafatası kırık tipi oluş mekanizması tanımlandı. GEREÇ VE YÖNTEMGenel özellikler, travma mekanizması, kısaltılmış travma skalası, Glasgow koma skalası, hastanede kalış süresi ve 1999 yılından 2004 yılına kadar kaydedilen travma hastalarının sonucunu içeren verilere, İran Ulusal Travma Kayıt-ları veritabanından ulaşıldı. BULGULARKayıtlı 16,321 travma hastası arasında, kafatası kırığı olan 1704 olgu saptandı. En yaygın travma özelliği motorlu araç kazası (MAK) (%62,5) ile düşme (%23,8) idi. Trafik kazası mağdurları çoğunlukta yayalardı (%41,6). Kafatası kırığı-nın ortalama 27,2±17,7 düzeyinde bir yaşla birlikte erkeklerde (%78,6) görülmesi daha sıktı. MAK'lerde, kafa tabanı kırığı hastaların %51,2'sinde ve kafa tavanı kırığı da hastaların %48,8'inde gözlendi. Kafa tabanı kırığı ve kafa tavanı kırığı arasında, cinsiyet dağılımı bakımından anlamlı bir farklılık vardı (p=0,002). Kafa tabanı kırığı olgularının %67,4'üne karşı kafa tavanı olgularının %58,1'inde, MAK, travma mekanizması idi (p<0,001). SONUÇ

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Urban injuries in Tehran: demography of trauma patients and evaluation of trauma care

Cited by 63 publications

References 13 publications

Epidemiology and Outcome Determinants of Pedestrian Injuries in a Level I Trauma Center in Southern Iran; A Cross-Sectional Study

Epidemiology and Outcome Determinants of Pedestrian Injuries in a Level I Trauma Center in Southern Iran; A Cross-Sectional Study

Epidemiology of Orthopaedic Admissions at A Teaching Hospital of Eastern Nepal

Pattern of skull fracture in Iran: Report of Iran national trauma project

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