1.Prognosis in children with traumatic injuries referring to the emergency department
Akbaryan FARZAD ; Derakhshanfar HOJJAT ; Heidari KAMRAN ; Vafaei ALI ; Matin SOMAIEH
Chinese Journal of Traumatology 2019;22(6):323-327
Purpose:Trauma may lead to serious complications in children patients.The purpose of this study was to investigate prognosis in children with traumatic injuries.Methods:This cross-sectional study was conducted on all of the children (<18 years old) who had suffered traumatic injuries and transferred to the emergency department of Imam Hussein Hospital by emergency medical services.After selecting the children,a checklist including information such as demographic characteristics,trauma type,consciousness level,and final outcome was recorded.Finally,the data were analyzed using t-test,Chi-square test and ANOVA.Results:In total of 564 children were investigated.Among them,70% were males,and 33.2% were in the age range of 5-12 years.The mechanism of injuries in 97.9% of the cases was blunt trauma.The most common chief complaint among the affected children was nausea.The majority of them had stable vital signs and normal neurological tests results.However,1.06% of them died during hospitalization.The results indicated that the final outcome in the children affected by traumatic injuries is significantly related to the type of trauma,the location of traumatic event,the vehicle used to transport them to emergency departments and their Glasgow coma scale score (p < 0.05).Conclusion:Considering the young age of the child patients and over half of trauma happened at home,it is important to raise parents' awareness about the risky places and activities,which were likely to result in traumatic injuries for children.
2.Mini-Review: Role of Drugs Affecting Renin-Angiotensin System (RAS) in Traumatic Brain Injury (TBI): What We Know and What We Should Know
Mohammad Kazem SARPOLAKI ; Ali VAFAEI ; Mohammad Reza FATTAHI ; Arad IRANMEHR
Korean Journal of Neurotrauma 2023;19(2):195-203
Traumatic brain injuries (TBIs) are among the most important clinical and research areas in neurosurgery, owing to their devastating effects and high prevalence. Over the last few decades, there has been increasing research on the complex pathophysiology of TBI and secondary injuries following TBI. A growing body of evidence has shown that the reninangiotensin system (RAS), a well-known cardiovascular regulatory pathway, plays a role in TBI pathophysiology. Acknowledging these complex and poorly understood pathways and their role in TBI could help design new clinical trials involving drugs that alter the RAS network, most notably angiotensin receptor blockers and angiotensin-converting enzyme inhibitors.This study aimed to briefly review the molecular, animal, and human studies on these drugs in TBI and provide a clear vision for researchers to fill knowledge gaps in the future.
3. Prognosis in children with traumatic injuries referring to the emergency department
Farzad AKBARYAN ; Hojjat DERAKHSHANFAR ; Kamran HEIDARI ; Ali VAFAEI ; Somaieh MATIN
Chinese Journal of Traumatology 2019;22(6):323-327