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Evaluating Mechanism and Severity of Injuries Among Trauma Patients Admitted to Sina Hospital, the National Trauma Registry of Iran Publisher Pubmed



Saeednejad M1 ; Zafarghandi M1 ; Khalili N2 ; Baigi V1 ; Khormali M1 ; Ghodsi Z1 ; Sharifalhoseini M1 ; Oreilly GM3 ; Naghdi K1 ; Khaleghinekou M1 ; Piri SM1 ; Rahimimovaghar V1 ; Bahrami S1 ; Laal M1 Show All Authors
Authors
  1. Saeednejad M1
  2. Zafarghandi M1
  3. Khalili N2
  4. Baigi V1
  5. Khormali M1
  6. Ghodsi Z1
  7. Sharifalhoseini M1
  8. Oreilly GM3
  9. Naghdi K1
  10. Khaleghinekou M1
  11. Piri SM1
  12. Rahimimovaghar V1
  13. Bahrami S1
  14. Laal M1
  15. Mohammadzadeh M4
  16. Fakharian E4
  17. Pirnejad H5
  18. Pahlavanhosseini H6
  19. Salamati P1
  20. Sadeghibazargani H7
Show Affiliations
Authors Affiliations
  1. 1. Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Preventive Medicine and Public Health Research Center, Department of Community and Family Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
  3. 3. National Health and Medical Research Council (NHMRC), Australia, National Trauma Research Institute, The Alfred Hospital and Monash University, Melbourne, Australia
  4. 4. Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran
  5. 5. Patient Safety Research Center, Urmia University of Medical Sciences, Urmia, Iran
  6. 6. Trauma Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, IR, Iran
  7. 7. Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

Source: Chinese Journal of Traumatology - English Edition Published:2021


Abstract

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. 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. © 2021 Chinese Medical Association
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