TY - JOUR
PY - 2021//
TI - Evaluating mechanism and severity of injuries among trauma patients admitted at Sina Hospital, the National Trauma Registry of Iran
JO - Chinese journal of traumatology
A1 - Saeednejad, Mina
A1 - Zafarghandi, Mohammadreza
A1 - Khalili, Narjes
A1 - Baigi, Vali
A1 - Khormali, Moein
A1 - Ghodsi, Zahra
A1 - Sharif-Alhoseini, Mahdi
A1 - O'Reilly, Gerard M.
A1 - Naghdi, Khatereh
A1 - Khaleghi-Nekou, Melika
A1 - Piri, Seyed Mohammad
A1 - Rahimi-Movaghar, Vafa
A1 - Bahrami, Somayeh
A1 - Laal, Marjan
A1 - Mohammadzadeh, Mahdi
A1 - Fakharian, Esmaeil
A1 - Pirnejad, Habibollah
A1 - Pahlavanhosseini, Hamid
A1 - Salamati, Payman
A1 - Sadeghi-Bazargani, Homayoun
SP - ePub
EP - ePub
VL - ePub
IS - ePub
N2 - PURPOSE: Injuries are one of the leading causes of death and lead to a high social and financial burden. Injury patterns can vary significantly among different age groups and body regions. This study aimed to evaluate the relationship between mechanism of injury, patient comorbidities and severity of injuries.
METHODS: The study included trauma patients from July 2016 to June 2018, who were admitted to Sina Hospital, Tehran, Iran, for 2 years. The inclusion criteria were all injured patients who had at least one of the following: hospital length of stay more than 24 h, death in hospital, and transfer from the intensive care unit of another hospital. Data collection was performed using the National Trauma Registry of Iran minimum dataset.
RESULTS: The most common injury mechanism was road traffic injuries (49.0%), followed by falls (25.5%). The mean age of those who fell was significantly higher in comparison with other mechanisms (p < 0.001). Severe extremity injuries occurred more often in the fall group than in the vehicle collision group (69.0% vs. 43.5%, p < 0.001). Moreover, cases of severe multiple trauma were higher amongst vehicle collisions than injuries caused by falls (27.8% vs. 12.9%, p = 0.003).
CONCLUSION: Comparing falls with motor vehicle collisions, patients who fell were older and sustained more extremity injuries. Patients injured by motor vehicle collision were more likely to have sustained multiple trauma than those presenting with falls. Recognition of the relationship between mechanisms and consequences of injuries may lead to more effective interventions.
Language: en
LA - en SN - 1008-1275 UR - http://dx.doi.org/10.1016/j.cjtee.2021.01.009 ID - ref1 ER -