1.Establishment of a regional multicenter traumatic spine fracture/dislocation registry.
Vafa RAHIMI-MOVAGHAR ; Soheil SAADAT ; Saba JAFARPOUR
Chinese Journal of Traumatology 2014;17(4):235-238
OBJECTIVETrauma is one of the leading causes of mortality and morbidity in adults and a major contributor to health care expenditures. Although spine-related injuries constitute a small proportion of trauma cases, they need special consideration due to poor functional outcomes and substantial burden. Despite relatively extensive previous studies on traumatic spinal injuries, there is still obscurity in some aspects of the issue. The purpose of this study is to establish a regional multicenter traumatic spine fracture/dislocation registry.
METHODSThis is a prospective case series study, including all patients with acute traumatic spine lesions admitted to a regional multicenter since 2014. Data is extracted based upon a form developed by Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran. Novel electronic data entry software is initiated and data will be entered to the software. Information remains confidential and security considerations will be taken based on standards of data entry systems.
RESULTSThe results of this study will include age and gender distribution of the patients, causes of injury, location of pain and neurological deficit, the American Spinal Injury Association score and Frankel grade on admission, at discharge, after 6 and 12 months and at the latest annual follow-up, radiologic findings, details of operative procedures and methods of external fixation.
CONCLUSIONThis study will identify prognostic factors that influence the ultimate fate of spine fracture patients and determine short and long-term outcome of different treatment methods. It can lead to a considerable improvement in patient care and will have a great national and transnational impact.
Humans ; Iran ; epidemiology ; Joint Dislocations ; epidemiology ; Prospective Studies ; Registries ; Spinal Fractures ; epidemiology ; Spinal Injuries ; epidemiology
2.Epidemiology and short-term mortality in traumatic patients admitted to Shariati Hospital in Iran between 2012 and 2013.
Sima SHEIKHGHOMI ; Vafa RAHIMI-MOVAGHAR ; Saba JAFARPOUR ; Soheil SAADAT
Chinese Journal of Traumatology 2015;18(5):275-278
PURPOSETrauma is an inevitable part of the health burden in every country. Both the preventive and rehabilitative aspects of traumatic injuries are expensive. Since most of the injuries happen in low- and middle-income developing countries, a judicious allocation of the limited resources to the most costefficient strategies is necessary. The present study was designed to report the causes of trauma, injured body regions, trauma severity scores and the one year survival rate of a randomly selected sample of trauma patients in a major referral hospital in Tehran, Iran.
METHODSWe chose and analyzed a random subgroup of traumatic patients admitted during the oneyear period of May 2012 to May 2013 to Shariati Hospital, a major University Teaching Hospital in Tehran, Iran. Patients who stayed at the hospital for less than 24 h were excluded. In total, 73 traumatic patients were registered. The mean age was (40.19 ± 20.34) years and 67.1% of them were male.
RESULTSIn general, the most common cause of injury was falls (47.9%), followed by road traffic crashes (RTCs, 40.8%). Assault and exposure to inanimate mechanical forces each were only associated with 5.6% of all injuries. The only cause of injury in ages of more than 65 years was fall. The most common cause of injury in ages between 15 and 45 years was RTCs. During the study, two deaths occurred: one was at ICU and the other was at home. The most commonly injured body region was the head (23.8%), followed by the elbow and forearm (19%), hip and thigh (15.9%), and multiple body regions (14.3%). The mean abbreviated injury score was 2.23 ± 1.02; injury severity index was 7.26 ± 7.06; and revised trauma score was 7.84, calculated for 38 patients.
CONCLUSIONPrevention strategy of traumatic injury should focus on falls and RTCs, which are respectively the most common cause of trauma in older aged people and young males.
Adolescent ; Adult ; Aged ; Aged, 80 and over ; Female ; Humans ; Iran ; epidemiology ; Male ; Middle Aged ; Prospective Studies ; Time Factors ; Wounds and Injuries ; epidemiology ; mortality
3.Evaluation of Pain and Its Effect on Quality of Life and Functioning in Men with Spinal Cord Injury.
Marzieh HASSANIJIRDEHI ; Mohammad KHAK ; Sohrab AFSHARI-MIRAK ; Kourosh HOLAKOUIE-NAIENI ; Soheil SAADAT ; Taher TAHERI ; Vafa RAHIMI-MOVAGHAR
The Korean Journal of Pain 2015;28(2):129-136
BACKGROUND: Pain is one of the most important consequences of spinal cord injury (SCI). It may affect several aspects of life, especially the quality of life (QoL). Hence, this study was conducted to establish an understanding of pain and its correlates and effects on patients with SCI in our community. METHODS: In a cross-sectional study, 58 male veterans suffering from SCI were admitted to our center for a regular follow-up. Demographic and SCI-related descriptive information were gathered using a self-reported questionnaire. To evaluate the patients' pain quality and the effect of pain on daily life, a questionnaire in 3 parts of lumbar, cervical and shoulder pain was administered. EuroQoL questionnaire and General Health Questionnaire (GHQ) 12 were also used to assess the patients' QoL. RESULTS: The mean age of the participants was 45.91 +/- 6.69 with mean injury time of 25.54 +/- 5.91. forty-four patients (75.9%) reported pain, including lumbar pain (63%), cervical pain (39%) and shoulder pain (51%). The presence of pain was associated with lower QoL. Patients with lumbar pain reported a significant amount of pain affecting their daily life and this effect was higher in patients with lower GHQ score or anxiety/depressive disorder. CONCLUSIONS: Musculoskeletal pain, is a common complaint in veterans with SCI and is inversely associated with functioning and general health status. Lumbar and shoulder pain affects patient's daily living more than cervical pain.
Anxiety
;
Back Pain
;
Cross-Sectional Studies
;
Depressive Disorder
;
Follow-Up Studies
;
Humans
;
Male
;
Musculoskeletal Pain
;
Neck Pain
;
Quality of Life*
;
Surveys and Questionnaires
;
Shoulder Pain
;
Spinal Cord Injuries*
;
Veterans
4.Comparison of road traffic fatalities and injuries in Iran with other countries.
Mohammad R RASOULI ; Mohsen NOURI ; Mohammad-Reza ZAREI ; Soheil SAADAT ; Vafa RAHIMI-MOVAGHAR
Chinese Journal of Traumatology 2008;11(3):131-134
OBJECTIVETo compare fatalities and injuries in road traffic crashes (RTC) in Iran with other countries.
METHODSData were obtained from national health sources of Iran. These data included population number, registered motor-vehicles number, number of RTCs and consequent fatalities and injuries from 1997 to 2006.
RESULTSRTC fatality and injury rates increased from 1997 to 2005, but decreased in 2006. The overall men/women ratio in the RTC fatalities was 4.2:1. High RTC fatality rate of 39 per 100 000 population in Iran was almost the same as some other developing countries. In Iran, RTC fatalities in recent years were almost twice as much as the highest rate among the European countries.
CONCLUSIONSThis investigation shows that in spite of reduction of RTC fatality in Iran in 2006, it is still one of the highest in the world. Moreover, this paper describes the state of RTC-related parameters in a developing country in comparison with the developed countries.
Accidents, Traffic ; statistics & numerical data ; Developed Countries ; Developing Countries ; Female ; Humans ; Iran ; epidemiology ; Male ; Wounds and Injuries ; epidemiology ; mortality
5.Effect of mild head injury on intelligence in Zahedan, Iran.
Mohammad-Hadi SHOROOEI ; Mahdi SHARIF-ALHOSEINI ; Soheil SAADAT ; Arya SHEIKH-MOZAFFARI ; Vafa RAHIMI-MOVAGHAR
Chinese Journal of Traumatology 2010;13(6):345-348
OBJECTIVETo investigate the effects of mild head injury (HI) on the victims'intelligence by measuring their intelligence quotient (IQ).
METHODSThis cohort study was performed in Khatam-ol-Anbia Hospital, Zahedan, Iran and the IQs of 30 mild HI patients were measured right after the injury (IQ0) and six months later (IQ6). The IQs of 90 close relatives of the patients were also measured at the same period of time as the non-exposure group. The IQs were measured with Wechsler adult intelligence scale-revised (WAIS-R). The IQ0, IQ6 and their differences (IQ change) were compared in HI patients and their relatives using the Student's t test.
RESULTSThe mean IQ0 of the HI patients was similar to their relatives. The IQ6 of HI patients appeared to be less than those of their relatives. Moreover, the IQ6 of the HI patients appeared to be less than their initial scores. HI was associated with more decrease in IQ6 compared with IQ0 and the female subjects showed more decrease in IQ6 compared with their IQ0.
CONCLUSIONHI seems to be associated with decrease in IQ six months after the injury and it is more evident in female HI patients.
Adult ; Cohort Studies ; Craniocerebral Trauma ; psychology ; Female ; Humans ; Intelligence ; Iran ; Male
6.Situation analysis of trauma based on Arizona trauma center standards in university hospitals of Tehran, Iran.
Mahdi SHARIF-ALHOSEINI ; Aliashraf EGHBALI ; Vafa RAHIMI-MOVAGHAR ; Soheil SAADAT
Chinese Journal of Traumatology 2009;12(5):279-284
OBJECTIVEInjuries are common and important problem in Tehran, capital of Iran. Although therapeutic centers are not essentially established following the constructional principles of developed countries, the present opportunities and equipments have to be used properly. We should recognize and reduce the deficits based on the global standards. This study deliberates the trauma resources and capacities in university hospitals of Tehran based on Arizona trauma center standards, which are suitable for the assessment of trauma centers.
METHODSForty-one university hospitals in Tehran were evaluated for their conformity with "Arizona trauma center standards" in 2008. A structured interview was arranged with the "Educational Supervisor" of all hospitals regarding their institutional organization, departments, clinical capabilities, clinical qualifications, facilities and resources, rehabilitation services, performance improvement, continuing education, prevention, research and additional requirements for pediatric trauma patients. Relative frequencies and percentages were calculated and Student's t test was used to compare the mean values.
RESULTSForty-one hospitals had the average of 77.7 (50.7%) standards from 153 Arizona trauma center standards and these standards were present in 97.5 out of 153 (63.7%) in 17 general hospitals. Based on the subgroups of the standards, 64.8% items of hospital resources and capabilities were considered as a subgroup with the maximum criteria, and 17.7% items of research section as another subgroup with the minimum standards.
CONCLUSIONSOn the basis of our findings, no hospital meet all the Arizona trauma center standards completely. The hospitals as trauma centers at different levels must be promoted to manage trauma patients desirably.
Arizona ; Hospitals, University ; standards ; Humans ; Iran ; Trauma Centers ; standards
7.Strengthening injury surveillance system in iran.
Seyed-Abbas MOTEVALIAN ; Mashyaneh HADDADI ; Hesam AKBARI ; Reza KHORRAMIROUZ ; Soheil SAADAT ; Arash TEHRANI ; Vafa RAHIMI-MOVAGHAR
Chinese Journal of Traumatology 2011;14(6):348-353
OBJECTIVETo strengthen the current Injury Surveillance System (IS System) in order to better monitor injury conditions, improve protection ways and promote safety.
METHODSAt first we carried out a study to evaluate the frameworks of IS System in the developed countries. Then all the available documents from World Health Organization, Eastern Mediterranean Regional Organization, as well as Minister of Health and Medical Education concerning Iran were reviewed. Later a national stakeholder's consultation was held to collect opinions and views. A national workshop was also intended for provincial representatives from 41 universities to identify the barriers and limitations of the existing program and further to strengthen injury surveillance.
RESULTSThe evaluation of the current IS System revealed many problems, mainly presented as lack of accurate pre- and post-hospital death registry, need of precise injury data registry in outpatient medical centers, incomplete injury data registry in hospitals and lack of accuracy in definition of variables in injury registry. The five main characteristics of current IS System including flexibility, acceptability, simplicity, usefulness and timeliness were evaluated as moderate by experts.
CONCLUSIONSMajor revisions must be considered in the current IS System in Iran. The following elements should be added to the questionnaire: identifier, manner of arrival to the hospital, situation of the injured patient, consumption of alcohol and opioids, other involved participants in the accident, intention, severity and site of injury, side effects of surgery and medication, as well as one month follow-up results. Data should be collected from 10% of all hospitals in Iran and analyzed every 3 months. Simultaneously data should be online to be retrieved by researches.
Humans ; Iran ; Registries ; Universities ; Wounds and Injuries
8.Reliability of a patient survey assessing "Short Form Injury Questionnaire 7" in Iran.
Mahdi SHARIF-ALHOSEINI ; Soheil SAADAT ; Afarin RAHIMI-MOVAGHAR ; Abbas MOTEVALIAN ; Masoumeh AMIN-ESMAEILI ; Mitra HEFAZI ; Vafa RAHIMI-MOVAGHAR
Chinese Journal of Traumatology 2012;15(3):145-147
OBJECTIVEInjury is a major cause of morbidity and mortality in the world. The assessment of patterns and severity of injury in high-risk groups is crucial for planning and service development. On a large scale national household survey, we estimated the annual incidence and the patterns of injury, the demographics of the injured people, as well as the service use for all injuries in Iran. The current study aims at assessing the reliability of the questionnaire before carrying out a national survey.
METHODSIn a pilot study using cluster random sampling approach, 73 people were interviewed. The interviewers asked the participants to report all injuries occurred in them and the care provided during the previous 12 months, based on "Short Form Injury Questionnaire 7" About two weeks later, the interview was repeated by another interviewer.
RESULTSIn our test-retest reliability, Kappa score was good for three and moderate for four questions. The question on the injured organ had the highest test-retest reliability with a Kappa score of 0.84.
CONCLUSIONSThe reliability of the questionnaire and the procedure of questioning are confirmed. The ques-tionnire is proper for utilization in large national surveies.
Humans ; Incidence ; Iran ; epidemiology ; Pilot Projects ; Reproducibility of Results ; Surveys and Questionnaires
9.Erector spinae plane block for intractable, nonsurgical abdominal pain: a scoping review
Ashley MEYER ; Campbell Belisle HALEY ; Eisa RAZZAK ; Amanda Dos SANTOS ; Kyle DORNHOFER ; Edmund HSU ; Soheil SAADAT ; John Christian FOX ; Megan GUY
Clinical and Experimental Emergency Medicine 2024;11(4):379-386
Abdominal pain is one of the most common presenting chief complaints in the emergency department. Erector spinae plane block (ESPB) is an ultrasound-guided nerve block with proven effectiveness in treating visceral and somatic abdominal pain. Despite the increasing popularity of ESPB, its role in the management of nonsurgical abdominal pain has not yet been characterized. Our scoping review aims to synthesize current knowledge on the safety and efficacy of ESPB in the management of patients experiencing intractable, nonsurgical abdominal pain. We searched PubMed and Scopus to evaluate the existing literature on ESPB for nonsurgical abdominal pain. A total of 14 journal articles were included: 12 case-based studies, one systematic review, and one narrative review. All cases described the successful use of ESPB in treating abdominal pain refractory to oral or intravenous analgesic medications, and no complications were reported in any cases. This scoping review provides support for the use of ESPB to manage intractable, nonsurgical abdominal pain. ESPB has demonstrated efficacy in alleviating various conditions such as functional abdominal pain, renal colic, pancreatitis, herpetic pain, and cancer-related pain. Theoretical risks such as pneumothorax, bleeding, and infection are possible, although the studies reviewed did not report such complications.
10.Erector spinae plane block for intractable, nonsurgical abdominal pain: a scoping review
Ashley MEYER ; Campbell Belisle HALEY ; Eisa RAZZAK ; Amanda Dos SANTOS ; Kyle DORNHOFER ; Edmund HSU ; Soheil SAADAT ; John Christian FOX ; Megan GUY
Clinical and Experimental Emergency Medicine 2024;11(4):379-386
Abdominal pain is one of the most common presenting chief complaints in the emergency department. Erector spinae plane block (ESPB) is an ultrasound-guided nerve block with proven effectiveness in treating visceral and somatic abdominal pain. Despite the increasing popularity of ESPB, its role in the management of nonsurgical abdominal pain has not yet been characterized. Our scoping review aims to synthesize current knowledge on the safety and efficacy of ESPB in the management of patients experiencing intractable, nonsurgical abdominal pain. We searched PubMed and Scopus to evaluate the existing literature on ESPB for nonsurgical abdominal pain. A total of 14 journal articles were included: 12 case-based studies, one systematic review, and one narrative review. All cases described the successful use of ESPB in treating abdominal pain refractory to oral or intravenous analgesic medications, and no complications were reported in any cases. This scoping review provides support for the use of ESPB to manage intractable, nonsurgical abdominal pain. ESPB has demonstrated efficacy in alleviating various conditions such as functional abdominal pain, renal colic, pancreatitis, herpetic pain, and cancer-related pain. Theoretical risks such as pneumothorax, bleeding, and infection are possible, although the studies reviewed did not report such complications.