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

Hamidreza Reihani; Hossein Pirazghandi; Ehsan Bolvardi; Mohsen Ebrahimi; Elham Pishbin; Koorosh Ahmadi; Mahdi Safdarian; Soheil Saadat; Vafa Rahimi-movaghar

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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.

Author: Hamidreza REIHANI ¹ ; Hossein PIRAZGHANDI ² ; Ehsan BOLVARDI ¹ ; Mohsen EBRAHIMI ¹ ; Elham PISHBIN ¹ ; Koorosh AHMADI ³ ; Mahdi SAFDARIAN ⁴ ; Soheil SAADAT ⁴ ; Vafa RAHIMI-MOVAGHAR ⁵
Author Information

1. Emergency Medicine Department, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
2. Emergency Medicine Department, Shahid Beheshti Hospital, Sabzevar University of Medical Sciences, Sabzevar, Iran.
3. Department of Emergency Medicine, Alborz University of Medical Sciences, Karaj, Iran.
4. Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
5. Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran. Electronic address: v_rahimi@yahoo.com.
Publication Type:Journal Article
Keywords: Accidents, traffic; Injury severity score; Iran; Wounds and injuries
MeSH: Accidents, Traffic; statistics & numerical data; Adolescent; Adult; Aged; Aged, 80 and over; Child; Child, Preschool; Cross-Sectional Studies; Female; Hospital Mortality; Humans; Infant; Injury Severity Score; Male; Middle Aged; Multiple Trauma; epidemiology; mortality; Trauma Centers; Young Adult
From: Chinese Journal of Traumatology 2017;20(2):75-80
CountryChina
Language:English
Abstract:
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.