Volume 3, Issue 2 (April 2024)
Health Science Monitor 2024, 3(2): 105-112 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Hosseinpour V, Rahimi B, Lotfnejad Afshar H, Hosseinpour H, Valizadeh R. Five-year epidemiology of head, neck, and spinal cord injuries in West Azerbaijan province. Health Science Monitor 2024; 3 (2) :105-112
URL: http://hsm.umsu.ac.ir/article-1-151-en.html
URL: http://hsm.umsu.ac.ir/article-1-151-en.html
Vahid Hosseinpour 
, Bahlol Rahimi , Hadi Lotfnejad Afshar , Hamid Hosseinpour * , Rohollah Valizadeh
, Bahlol Rahimi , Hadi Lotfnejad Afshar , Hamid Hosseinpour * , Rohollah Valizadeh
Department of Neurology, Urmia University of Medical Sciences, Urmia, Iran (Corresponding Author)
Abstract: (611 Views)
Background & Aims: Considering that trauma is one of the important causes of death, especially head and neck trauma, knowledge of the epidemiology of trauma can be of great help in making management decisions. This study examined the 5-year epidemiology of head, neck, and spinal cord injuries in West Azerbaijan province.
Materials & Methods: In this descriptive cross-sectional study, 6,336 trauma patients who resided in the province of West Azerbaijan were included between 2019 and 2023. The province's national trauma registration program provided the data collection form. Individuals whose medical records were incomplete were not included.
Results: The mean age of the patients was 33.39 years. The most common cause of trauma was road traffic accidents (38.3%, N = 2429), followed by falls (23.1%, N = 1461). At the moment of the accident, 107 patients were using alcohol, 45 patients had drug abuse, and 56 patients took tranquilizers like benzodiazepine; in total, 443 patients needed transfusion. The mean stay at the ICU and hospital was 8.49 ± 3.76 days and 5.05 ± 1.25 days, respectively. Many of the injured patients had a moderate (46.4%) and minor (31.1%) Abbreviated Injury Scale (AIS) in the assessment, in which male gender had poor condition in this regard (p < 0.001).
Conclusion: There are many injured individuals with low levels of education, indicating the urgent need to raise awareness among this group to help prevent road accidents. Post-trauma measures are clearly important, particularly in the fields of orthopedics, general surgery, and head and neck trauma.
Materials & Methods: In this descriptive cross-sectional study, 6,336 trauma patients who resided in the province of West Azerbaijan were included between 2019 and 2023. The province's national trauma registration program provided the data collection form. Individuals whose medical records were incomplete were not included.
Results: The mean age of the patients was 33.39 years. The most common cause of trauma was road traffic accidents (38.3%, N = 2429), followed by falls (23.1%, N = 1461). At the moment of the accident, 107 patients were using alcohol, 45 patients had drug abuse, and 56 patients took tranquilizers like benzodiazepine; in total, 443 patients needed transfusion. The mean stay at the ICU and hospital was 8.49 ± 3.76 days and 5.05 ± 1.25 days, respectively. Many of the injured patients had a moderate (46.4%) and minor (31.1%) Abbreviated Injury Scale (AIS) in the assessment, in which male gender had poor condition in this regard (p < 0.001).
Conclusion: There are many injured individuals with low levels of education, indicating the urgent need to raise awareness among this group to help prevent road accidents. Post-trauma measures are clearly important, particularly in the fields of orthopedics, general surgery, and head and neck trauma.
Type of Study: Research |
Subject:
Health promotion and disease prevention
Received: 2023/11/6 | Accepted: 2023/11/13 | Published: 2024/04/9
Received: 2023/11/6 | Accepted: 2023/11/13 | Published: 2024/04/9
References
1. Norris FH. Epidemiology of trauma: frequency and impact of different potentially traumatic events on different demographic groups. Journal of Consulting and Clinical Psychology. 1992 Jun;60(3):409. DOI: 10.1037/0022-006X.60.3.409 [DOI] [PMID]
2. Rustami K, Zohouri H, Sayad Rezaii E. The epidemiology study of mortality death related car accidents. Journal of Ardabil University of Medical Sciences. 2008 Dec 10;8(4):381-6. [Google Scholar]
3. Sadeghi-Bazargani H, Samadirad B, Hosseinpour-Feizi H. Epidemiology of traffic fatalities among motorcycle users in East Azerbaijan, Iran. BioMed Research International. 2018 Aug 19;2018. [DOI] [PMID] [PMCID]
4. Skog OJ. Alcohol consumption and overall accident mortality in 14 European countries. Addiction. 2001 Feb;96(1s1):35-47. DOI: 10.1046/j.1360-0443.2001.961s1035.x [DOI]
5. Akbari ME, Naghavi M, Soori H. Epidemiology of deaths from injuries in the Islamic Republic of Iran. Eastern Mediterranean Health Journal. 2006;12(3-4):382-390. [Google Scholar]
6. Bakhtiyari M, Delpisheh A, Riahi SM, Latifi A, Zayeri F, Salehi M, Soori H. Epidemiology of occupational accidents among Iranian insured workers. Safety Science. 2012 Aug 1;50(7):1480-4. DOI: 10.1016/j.ssci.2012.04.011 [DOI]
7. Macleod JB, Lynn M, Mckenney MG, Jeroukhimov I, Cohn SM. Predictors of mortality in trauma patients. The American Surgeon. 2004 Sep;70(9):805-10. [DOI] [PMID]
8. Al-Ghamdi AS. Using logistic regression to estimate the influence of accident factors on accident severity. Accident Analysis and Prevention. 2002;34(6):729-41. DOI: 10.1016/S0001-4575(01)00063-6. Søreide K. Epidemiology of major trauma. British Journal of Surgery. 2009 Jul;96(7):697-8. DOI: 10.1002/bjs.6634 [DOI] [PMID]
9. Wisner DH. History and current status of trauma scoring systems. Archives of Surgery. 1992;127:111-117. [DOI] [PMID]
10. Brenneman FD, Boulanger BR, McLellan BA, et al. Measuring Injury Severity: Time for a change? Journal of Trauma: Injury, Infection, and Critical Care. 1998;44(4):580-2. DOI: 10.1097/00005373-199804000-00015 [DOI]
11. Khan MA, Grivna M, Nauman J, Soteriades ES, Cevik AA, Hashim MJ, Govender R, Al Azeezi SR. Global incidence and mortality patterns of pedestrian road traffic injuries by sociodemographic index, with forecasting: findings from the global burden of diseases, injuries, and risk factors 2017 study. International Journal of Environmental Research and Public Health. 2020 Mar;17(6):2135. DOI: 10.3390/ijerph17062135 [DOI] [PMID] [PMCID]
12. Staton C, Vissoci J, Gong E, Toomey N, Wafula R, Abdelgadir J, et al. Road traffic injury prevention initiatives: a systematic review and metasummary of effectiveness in low and middle income countries. PLoS One. 2016 Jan 6;11(1):e0144971. DOI: 10.1371/journal.pone.0144971 [DO] [PMID] [PMCID]
13. Harper S, Strumpf EC. Primary enforcement of mandatory seat belt laws and motor vehicle crash deaths. American Journal of Preventive Medicine. 2017 Aug 1;53(2):176-83. DOI: 10.1016/j.amepre.2017.02.014 [DOI] [PMID]
14. Khorrami Z, Nazari SS, Ghadirzadeh MR. An Epidemiology study of deaths from road traffic accidents. Safety Promotion and Injury Prevention (Tehran). 2016;4(4):217-24. [Google Scholar]
15. Yadollahi M, Nazariyat A. An Epidemiologic Study of Traffic Accidents and Factors Affecting their Outcome in Admitted Patients due to Crashes in the Southern Trauma Center. Sadra Medical Journal. 2021;9(3):299-310. [URL]
16. Karbakhsh M, Salimi J, Zarei MR. Geographic distribution of trauma hot spots in Tehran, Iran. Payesh. 2005;4(2):91-96. [Google Scholar]
17. Wong TH, Nadkarni NV, Nguyen HV, Lim GH, Matchar DB, Seow DCC, et al. One-year and three-year mortality prediction in adult major blunt trauma survivors: a National Retrospective Cohort Analysis. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2018;26(1):28. [DOI] [PMID] [PMCID]
18. Zamani M, Esmailian M, Mirazimi MS, Ebrahimian M, Golshani K. Cause and final outcome of trauma in patients referred to the emergency department: a cross sectional study. Iranian Journal of Emergency Medicine. 2014;1(1):22-7 [Google Scholar]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
