Chinese Journal of Traumatology最新文献

{"title":"Tibiocalcaneal fusion using Ilizarov external fixator in total talar extrusion: A case report","authors":"Shukriah Aqilah Zakaria ,&nbsp;Mohd Saiful Adzuwan Mat Rodi","doi":"10.1016/j.cjtee.2023.07.004","DOIUrl":"10.1016/j.cjtee.2023.07.004","url":null,"abstract":"<div><p>Talar extrusions are the rare extreme case of talar fractures and dislocations which are associated with high-energy trauma. Given the rarity of talar extrusion, no proper treatment protocol has been established. The earlier treatment outcomes have been poor due to the high rate of infection and avascular necrosis. However, more recent literature advised reimplanting the talus whenever practical, and providing with meticulous cleaning of the talus. In the presence of infection and severe trauma, tibiocalcaneal fusion achieved by the Ilizarov external fixator can be an effective salvage method.</p></div>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":"26 6","pages":"Pages 339-343"},"PeriodicalIF":2.1,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1008127523000974/pdfft?md5=a3142d85b448884c56633052150aaebc&pid=1-s2.0-S1008127523000974-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135809905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Arthroscopic treatment of ankle impingement syndrome","authors":"Xin Chen ,&nbsp;He-Qin Huang ,&nbsp;Xiao-Jun Duan","doi":"10.1016/j.cjtee.2023.09.006","DOIUrl":"10.1016/j.cjtee.2023.09.006","url":null,"abstract":"<div><p>Arthroscopic treatment of ankle impingement syndrome (AIS) is a minimally invasive surgical procedure used to address symptoms caused by impingement in the ankle joint. This syndrome occurs when there is abnormal contact between certain bones or soft tissues in the ankle, leading to pain, swelling, or limited range of motion. Traditionally, open surgery was the standard approach for treating AIS. However, with advancements in technology and surgical techniques, arthroscopic treatment has become a preferred method for many patients and surgeons. With improved visualization and precise treatment of the arthroscopy, patients can experience reduced pain and improved functionality, allowing them to return to their daily activities sooner. In this paper, we reviewed the application and clinical efficacy the of arthroscopic approach for treating AIS, hoping to provide a reference for its future promotion.</p></div>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":"26 6","pages":"Pages 311-316"},"PeriodicalIF":2.1,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1008127523000962/pdfft?md5=d15ae53f77469b171079585d2b5a6c27&pid=1-s2.0-S1008127523000962-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49684846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A foot structure study of new arch flexibility grading system based on three-dimensional arch volume","authors":"Jun Liu ,&nbsp;Miao Deng ,&nbsp;Wei Wang ,&nbsp;Xiang-Dong Liu ,&nbsp;Lun Tao ,&nbsp;Hong-Yi Xiang ,&nbsp;Yan Xiong","doi":"10.1016/j.cjtee.2023.09.002","DOIUrl":"10.1016/j.cjtee.2023.09.002","url":null,"abstract":"<div><h3>Purpose</h3><p>Different arch structures may cause different foot function injuries. In the past, the arch structure and flexibility of the foot were often defined by the height of the arch, and there was no three-dimensional (3D) structure classification method. In order to form a more complete 3D description, we propose a new classification system of arch volume flexibility (AVF), and then use this new classification system to investigate the relationship between the AVF and arch index (AI), and the arch height flexibility (AHF) and AI, respectively.</p></div><div><h3>Methods</h3><p>It is proposed to recruit 180 young male adults for the test. We obtained arch volume and AI through 3D scanning and obtained the navicular height through manual measurement. Based on these data, we calculated the AHF and the AVF. Using the quintile method, these arches are divided into very stiff, stiff, neutral, flexible, and very flexible. According to AI value, all arches were divided into cavus, rectus, and planus. The distribution of AVF was compared using χ² goodness of fit test. The spearman correlation test was used to compare the AHF and AVF. A <em>p</em> &lt; 0.05 indicates that the difference is statistically significant.</p></div><div><h3>Results</h3><p>All participants' plantar data was obtained through 3D scanning, but only 159 of them were complete, so only 318 feet had valid data. The left AHF is (21.23 ± 12.91) mm/kN, and the right AHF is (21.71 ± 12.69) mm/kN. The AVF of the left foot arch is (207.35 ± 118.28) mm³/kg, while the right one is (203.00 ± 117.92) mm³/kg, and the total AVF of the arch was (205.17 ± 117.94) mm³/kg. There was no statistical difference in the AVF between the left and right feet for the same participant (<em>n</em> = 159, <em>p</em> = 0.654). In cavus, the percentage of arch with AVF is 21.4% (very stiff), 21.4% (stiff), 14.3% (neutral), 7.1% (flexible), and 35.7% (very flexible). In rectus, the percentage of arch with AVF is 23.9% (very stiff), 19.6% (stiff), 14.7% (neutral), 24.5% (flexible), and 17.2% (very flexible). In planus, the percentage of arch with AVF is 14.9% (very stiff), 20.6% (stiff), 27.0% (neutral), 16.3% (flexible), and 21.3% (very flexible). Moreover, the correlation between AHF and AVF is not significant (<em>p</em> = 0.060).</p></div><div><h3>Conclusion</h3><p>In cavus, rectus, and planus, different AVF accounts different percentage, but the difference is not statistically significant. AVF is evenly distributed in the arches of the feet at different heights. We further found the relationship between AHF and AVF is not significant. As a 3D index, AVF may be able to describe the flexibility of the arch more comprehensively than AHF.</p></div>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":"26 6","pages":"Pages 329-333"},"PeriodicalIF":2.1,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1008127523000901/pdfft?md5=8c5b9078ad0e94d366c141918d081ebe&pid=1-s2.0-S1008127523000901-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10269231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of epidemiologic features between upper and lower limb injuries and risk factors for intensive care unit admission in a university hospital affiliated with the National Trauma Registry of Iran","authors":"Pouya Mahdavi Sharif ,&nbsp;Mohsen Merati ,&nbsp;Vali Baigi ,&nbsp;Mohammadreza Zafarghandi ,&nbsp;Vafa Rahimi-Movaghar ,&nbsp;Moein Khormali ,&nbsp;Marjan Laal ,&nbsp;Payman Salamati","doi":"10.1016/j.cjtee.2023.05.007","DOIUrl":"10.1016/j.cjtee.2023.05.007","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Purpose&lt;/h3&gt;&lt;div&gt;Upper extremity injuries (UEIs) and lower extremity injuries (LEIs) constitute a considerable component of traumas. However, their epidemiologic differences and short-term in-hospital outcomes are not fully elucidated. This study aims to compare such discrepancies in a large-scale study.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;In this retrospective study, all patients with UEIs and/or LEIs hospitalized from 24th July 2016 to 16th May 2020 in Sina Hospital, Tehran, Iran, and registered at the National Trauma Registry of Iran were enrolled in the study. Relevant demographic and clinical characteristics were extracted from the National Trauma Registry of Iran database. Patients were grouped into either UEI or LEI. For those with concomitant UEIs and LEIs, the more severe one based on the abbreviated injury scale was defined as the principal diagnosis. In addition, cases with the abbreviated injury scale &gt; 3 for both UEI and LEI or concomitant injuries to body areas other than the limbs were excluded. Independent samples &lt;em&gt;t&lt;/em&gt;-test, Mann-Whitney &lt;em&gt;U&lt;/em&gt; test, Chi-square test, quintile regression models, and logistic regression models with “margins” command were used for statistical analyses, as indicated.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;In this research, 3170 eligible cases were identified. For the LEI group, there was a much higher proportion of male patients (86.7% &lt;em&gt;vs.&lt;/em&gt; 82.0%) and higher mean age (years, 42.9 &lt;em&gt;vs&lt;/em&gt;. 35.3) compared to the UEI group (both &lt;em&gt;p&lt;/em&gt; &lt; 0.001). Patients with an injury severity score (ISS) of 9 – 15 were outnumbered in the LEI group (22.9% &lt;em&gt;vs.&lt;/em&gt; 1.6%, &lt;em&gt;p&lt;/em&gt; &lt; 0.001), while the proportion of those with an ISS &lt; 9 was higher in the UEI group (98.1% &lt;em&gt;vs.&lt;/em&gt; 76.8%, &lt;em&gt;p&lt;/em&gt; &lt; 0.001). The multiple logistic regression model showed a statistically significant association between intensive care unit (ICU) admission and ISS (odds ratio (&lt;em&gt;OR&lt;/em&gt;) = 4.01 for ISS 9 – 15 &lt;em&gt;vs.&lt;/em&gt; ISS &lt; 9, 95% confidence interval (&lt;em&gt;CI&lt;/em&gt;)): 3.01 – 5.35; &lt;em&gt;OR =&lt;/em&gt; 17.65 for ISS ≥ 16 &lt;em&gt;vs.&lt;/em&gt; ISS &lt; 9, 95% &lt;em&gt;CI&lt;/em&gt;: 4.03 – 77.27), age (&lt;em&gt;OR =&lt;/em&gt; 1.02, 95% &lt;em&gt;CI&lt;/em&gt;: 1.01 – 1.03), cause of injury (&lt;em&gt;OR =&lt;/em&gt; 0.27 for blunt trauma &lt;em&gt;vs.&lt;/em&gt; road traffic crash, 95% &lt;em&gt;CI&lt;/em&gt;: 0.08 – 0.90; &lt;em&gt;OR =&lt;/em&gt; 0.49 for cut/stab injuries &lt;em&gt;vs.&lt;/em&gt; road traffic crash, 95% &lt;em&gt;CI&lt;/em&gt;: 0.28 – 0.84) and body region (&lt;em&gt;OR&lt;/em&gt; = 1.65 for lower extremity, 95% &lt;em&gt;CI&lt;/em&gt;: 1.19 – 2.29). Having adjusted for other covariates, the odds of ICU admission in patients with LEIs was 1.65 times the odds in patients with UEIs.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Patients with LEIs were older and suffered from more severe injuries. In addition, the age- and ISS-adjusted ICU admission and length of hospital stay were significantly higher in LEI patients. The chance of ICU admission was associated with age, cause of injury, ISS, and body region. Th","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":"27 6","pages":"Pages 389-394"},"PeriodicalIF":1.8,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71488793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimal entry point for antegrade and retrograde femoral intramedullary nails","authors":"Mohammad M. Alzahrani ,&nbsp;Yousef Aljamaan ,&nbsp;Jaffar Alsayigh ,&nbsp;Shahad Alghamdi ,&nbsp;Saad M. Alqahtani ,&nbsp;Steven R. Papp","doi":"10.1016/j.cjtee.2023.03.006","DOIUrl":"10.1016/j.cjtee.2023.03.006","url":null,"abstract":"<div><p>Surgical management of femoral shaft fractures with intramedullary nails has become the standard of care, with multiple options for entry point described, including piriformis entry, trochanter entry and retrograde femoral nails. Our present review describes the surgical anatomy of the proximal and distal femur and its relation to different entry points for intramedullary femoral nails. In addition, we reviewed relative indications for each technique, difficulties associated and possible complications.</p></div>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":"26 5","pages":"Pages 249-255"},"PeriodicalIF":2.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/70/32/main.PMC10533528.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9629561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Subjective scar assessment scales in orthopaedic surgery and determinants of patient satisfaction: A systematic review of the literature","authors":"Diego A Abelleyra Lastoria ,&nbsp;Clerin K Benny ,&nbsp;Caroline B Hing","doi":"10.1016/j.cjtee.2023.02.001","DOIUrl":"10.1016/j.cjtee.2023.02.001","url":null,"abstract":"<div><h3>Purpose</h3><p>Scar assessment tools can be utilized during the post-operative period to monitor scar progress. The primary aim of this systematic review was to evaluate current subjective scar assessment scales utilized in orthopaedic surgery. The secondary aim was to identify determinants of patients’ satisfaction with their scars and evaluate current measurement scales.</p></div><div><h3>Methods</h3><p>The preferred reporting items for systematic reviews and meta-analyses checklist was followed. Electronic databases, currently registered studies, conference proceedings and the reference lists of included studies were searched. There were no constraints based on language or publication status. A narrative synthesis provided a description and evaluation of scales utilized in orthopaedic surgery. Determinants of patient satisfaction were identified along with the scales used to measure satisfaction.</p></div><div><h3>Results</h3><p>A total of 6059 records were screened in the initial search. Twenty-six articles satisfied the inclusion criteria, assessing 7130 patients. In the literature, six validated subjective scar scales were identified, including the Vancouver scar scale, patient and observer scar assessment scale, Manchester scar scale, Stony Brook scar evaluation scale, visual analogue scale, and Hollander wound evaluation scale. Studies utilizing these scales to evaluate scars following orthopaedic procedures did so successfully. These were total hip arthroplasty, total knee arthroplasty, and limb reconstruction. The scales demonstrated satisfactory validity. Functional outcomes such as restoration of movement ranked among patients' highest concerns. Scar cosmesis was found to be amongst patients’ lowest priorities.</p></div><div><h3>Conclusions</h3><p>Subjective scar assessment scales identified in the literature were not designed specifically for orthopaedic surgery. However, these were able to appropriately assess scars in the studies identified in this review. Current evidence suggests the effect of scar cosmesis on patient satisfaction with orthopaedic procedures is limited.</p></div>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":"26 5","pages":"Pages 276-283"},"PeriodicalIF":2.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/87/8f/main.PMC10533518.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9300747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Why anticoagulant studies on sepsis fail frequently --- start with SCARLET","authors":"Jian-Ying Guo,&nbsp;Hong-Yuan Lin","doi":"10.1016/j.cjtee.2023.04.006","DOIUrl":"10.1016/j.cjtee.2023.04.006","url":null,"abstract":"<div><p>The Sepsis Coagulopathy Asahi Recombinant LE Thrombomodulin (SCARLET) trial has many defects, and thus cannot be the terminator of recombinant thrombomodulin (rTM). On the contrary, it provides sufficient evidence for further research. Based on analysis focusing on the failure of SCARLET and several previous anticoagulant studies, it is most important for new studies to grasp the following two points: (1) The enrolled cases should have sufficient disease severity and a clear standard for disseminated intravascular coagulation; (2) Heparin should not be used in combination with the investigated drugs. Multiple post-hoc analyses show that no combination of heparin will not increase the risk of thromboembolism. In fact, the combination of heparin can mask the true efficacy of the investigated drug. Due to the complexity of sepsis treatment and the limitations of clinical studies, the results of all treatment studies should be repeatedly verified, rather than be determined at one stroke. Some research conclusions contrary to disease physiology, pharmacology and clinical practice may be deceptive, and should be cautious rather than be simply accepted. On the other hand, the dissenting voices in the “consensus” scene are often well discussed by the authors and should be highly valued.</p></div>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":"26 5","pages":"Pages 297-302"},"PeriodicalIF":2.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3e/40/main.PMC10533541.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9642949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative estimation of humerus intramedullary nail length using clinical landmarks","authors":"Atmananda S. Hegde,&nbsp;Chethan B. Shetty,&nbsp;Nitin Joseph,&nbsp;Prajwal Mane,&nbsp;Samarth Thakkar","doi":"10.1016/j.cjtee.2023.06.001","DOIUrl":"10.1016/j.cjtee.2023.06.001","url":null,"abstract":"<div><h3>Purpose</h3><p>Intramedullary interlocking nailing is one of the accepted methods of treating humerus diaphyseal fractures. Appropriate nail length and diameter are of paramount importance to achieve a stable fracture fixation. Estimating the nail length can be as challenging in certain cases as it is important. This study aims to provide an easy-to-use formula utilizing clinical measurements from contra lateral arm to accurately estimate humeral nail length.</p></div><div><h3>Methods</h3><p>This descriptive cross-sectional study was conducted at 3 tertiary care hospitals in Mangalore, India. Patients above the age of 18 years coming to the outpatient department with elbow, shoulder or arm complaints requiring radiological investigation from July 2021 to July 2022 were included. Patients with fractures or dislocations of upper limbs, malunited or non-united fractures of upper limbs, congenital or developmental deformities and patients with open growth plates were excluded. Patients’ variables (like age and gender), radiological humerus length and contralateral arm clinical measurements were recorded. An independent samples <em>t</em>-test was used for univariate analysis, and linear regression analysis was done to estimate the desired nail length using the clinical measurement of the humerus (cm) in both genders separately. The significance level was set at <em>p</em> &lt; 0.05.</p></div><div><h3>Results</h3><p>Our study included 204 participants of which 108 were male and 96 were female. The formula for predicting humeral nail length in males is (−2.029) + (0.883 × clinical measurement). The formula for females is 1.862 + (0.741 × clinical measurement). A simplified formula to determine humeral nail length is 0.9 clinical length – 2 cm (in males) and 0.7 × clinical length + 2 cm (in females).</p></div><div><h3>Conclusion</h3><p>To improve the stability of fixation with intramedullary nails it is imperative to select the appropriate nail length. There have been studies that devised reliable methods of determining nail lengths in the tibia and femur using preoperative clinical measurements. A similar clinical method of determining humeral nail length is lacking in the literature. Our study was able to correlate radiological lengths of the humerus medullary canal with clinical measurements performed using anatomical landmarks to arrive at a formula. This allows for a reliable and easy nail length determination preoperatively.</p></div>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":"26 5","pages":"Pages 256-260"},"PeriodicalIF":2.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/09/15/main.PMC10533678.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9727220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"FM1-Editorial board","authors":"","doi":"10.1016/S1008-1275(23)00074-3","DOIUrl":"https://doi.org/10.1016/S1008-1275(23)00074-3","url":null,"abstract":"","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":"26 5","pages":"Page i"},"PeriodicalIF":2.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50190197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of risky driving behavior with psychiatric disorders among Iranian drivers: A case-control study","authors":"Kiana Khatami ,&nbsp;Yaser Sarikhani ,&nbsp;Reza Fereidooni ,&nbsp;Mohammad Salehi-Marzijarani ,&nbsp;Maryam Akabri ,&nbsp;Leila Khabir ,&nbsp;Arash Mani ,&nbsp;Mahsa Yaghikosh ,&nbsp;Afsaneh Haghdel ,&nbsp;Seyed Taghi Heydari ,&nbsp;Kamran Bagheri Lankarani","doi":"10.1016/j.cjtee.2022.10.005","DOIUrl":"10.1016/j.cjtee.2022.10.005","url":null,"abstract":"<div><h3>Purpose</h3><p>This study aimed to investigate the possible association between psychological disorders and risky driving behavior (RDB) in Iran.</p></div><div><h3>Methods</h3><p>This case-control study conducted in Shiraz, Iran in 2021. The case group included drivers with psychological disorders and the control group included those without any disorders. The inclusion criteria for selecting patients were: active driving at the time of the study, being 18 – 65 years old, having a driving license, having a psychological disorder including depression, bipolar disorder, anxiety spectrum disorder, or psychotic disorder spectrum confirmed by a psychiatrist, and completing an informed consent form. The exclusion criterion was the existence of conditions that interfered with answering and understanding the questions. The inclusion criteria for selecting the healthy cases were: active driving at the time of the study, being 18 – 65 years old, having a driving license, lack of any past or present history of psychiatric problems, and completing an informed consent form. The data were gathered using a researcher-made checklist and Manchester driving behavior questionnaire. First, partition around medoids method was used to extract clusters of RDB. Then, backward logistic regression was applied to investigate the association between the independent variables and the clusters of RDB.</p></div><div><h3>Results</h3><p>The sample comprised of 344 (153 with psychological disorder and 191 without confirmed psychological disorder) drivers. Backward elimination logistic regression on total data revealed that share of medical expenditure ≤ 10% of total household expenditure (<em>OR</em> = 3.27, 95% <em>CI</em>: 1.48 – 7.24), psychological disorder (<em>OR</em> = 3.08, 95% <em>CI</em>: 1.67 – 5.70), and substance abuse class (<em>OR</em> = 6.38, 95% <em>CI</em>: 3.55 – 11.48) were associated with high level of RDB.</p></div><div><h3>Conclusion</h3><p>Substance abuse, psychological illnesses, and share of medical costs from total household expenditure were found to be main predictors of RDB. Further investigations are necessary to explain the impact of different psychological illnesses on driving behavior.</p></div>","PeriodicalId":51555,"journal":{"name":"Chinese Journal of Traumatology","volume":"26 5","pages":"Pages 290-296"},"PeriodicalIF":2.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f4/24/main.PMC10533522.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40458594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}