Bulletin of emergency and trauma最新文献

{"title":"Epidemiology, Clinical Outcomes, and Emergency Department Utilization Among Trauma Patients in Northern Iran: A Retrospective Cross-Sectional Study.","authors":"Farzad Bozorgi, Farzane Doodiyan, Shiv Kumar Mudgal, Vipin Patidar, Iraj Goli Khatir, Mohammad Sazgar, Zohreh Hosseini Marznaki, Fatemeh Hosseini Aghamalaki, Seyed Mohammad Hosseininejad","doi":"10.30476/beat.2026.110320.1659","DOIUrl":"10.30476/beat.2026.110320.1659","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the epidemiological characteristics, clinical outcomes, and emergency department (ED) utilization patterns among trauma patients in northern Iran.</p><p><strong>Methods: </strong>This retrospective cross-sectional study was conducted in northern Iran from January 2021 to December 2023. Systematic random selection was used to choose 2,350 trauma patients from the hospital's electronic health record (EHR) system. Data regarding demographic, trauma-related characteristics, clinical outcomes, and ED utilization were extracted from the EHR. Descriptive statistics and inferential analyses, including Chi-square and independent t-tests, were used to examine factors associated with patient outcomes.</p><p><strong>Results: </strong>Trauma-related mortality was significantly associated with the 19-39-year age group, marital status, severe head injury (indicated by a low Glasgow Coma Scale score), driver status, and early-morning accidents (all <i>p</i><0.001). Prolonged ED length of stay (LOS; >6 hours) was significantly associated with therapeutic procedures, including fracture immobilization, fixation, wound dressing, arterial blood gas analysis, and oxygen therapy. Conversely, diagnostic imaging (CT scans and sonography) showed no significant independent effect on ED LOS. The most common ED interventions were fracture immobilization (96.8%), sonography (85.1%), and CT scans (77.5%). Prolonged LOS in the ED was strongly associated with therapeutic procedures such as fixation, wound dressing, arterial blood gas analysis, and oxygen therapy, whereas diagnostic imaging showed no significant effect.</p><p><strong>Conclusion: </strong>The findings underscore the necessity for targeted preventive measures aimed at young adult drivers and the expeditious delivery of therapeutic interventions, such as wound care and fracture immobilization, to reduce ED LOS. These region-specific insights regarding emergency service utilization are essential for trauma system planning in resource-limited settings.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"14 2","pages":"59-67"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13590019/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149011879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges and Barriers of Reducing Fatalities and Injuries from Road Traffic Accidents: A Systematic Scoping Review of National and International Solutions.","authors":"Narges Nazari Hamooshi, Hamid Reza Khankeh, Mehrdad Farrokhi, Mohammad Esmail Motlagh, Seyed Teymour Hosseini, Mohammad Saatchi","doi":"10.30476/beat.2026.109901.1655","DOIUrl":"10.30476/beat.2026.109901.1655","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to map national and international evidence on the challenges associated with reducing road traffic fatalities and injuries.</p><p><strong>Methods: </strong>This systematic scoping review was conducted in 2025 following the PRISMA Extension for Scoping Reviews (PRISMA-ScR) guidelines and the Arksey and O'Malley framework. A search of the gray literature and four key databases, including PubMed, Scopus, and Web of Science, was performed from 1956 to September 2025. Of the 9,048 records identified, 36 studies were eligible for inclusion. Data were extracted using a standard format and analyzed through the Haddon Matrix and qualitative content analysis.</p><p><strong>Results: </strong>Challenges hindering the reduction of road traffic fatalities were identified across several domains: human, vehicle, environmental, sociocultural, administrative-organizational, prehospital, and research. Key problems included dangerous driving behaviors, poor education, low vehicle safety standards, weak law enforcement, lack of institutional coordination, absence of integrated data systems, and minimal prehospital services. The following strategies were identified as planned interventions: strengthening law enforcement, enhancing infrastructure, designing safety-related technologies, fostering education and culture change, and creating an integrated traffic management system.</p><p><strong>Conclusion: </strong>The findings indicated that reducing traffic fatalities requires a multidimensional and coordinated approach that addresses structural and informational dimensions in addition to human and technical factors. These findings could serve as a foundation for developing evidence-based policies and interventions to improve road safety.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"14 2","pages":"49-58"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13590018/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149011891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of Early Warning Systems for Emergencies and Disasters in Hospitals of Mazandaran, Iran, in 2024: A Cross-Sectional Study.","authors":"Zoya Hadinejad, Yahya Saleh Tabari, Mohsen Saleh Tabari, Abolfazl Hoseinnataj, Kimia Khonakdar, Zeinab Sajjadi, Farnam Gohardehi, Nahid Aghaei, Tahereh Yaghoubi","doi":"10.30476/beat.2026.108590.1632","DOIUrl":"10.30476/beat.2026.108590.1632","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess the status of early warning systems (EWS) for disaster and emergency response in hospitals affiliated with Mazandaran University of Medical Sciences in 2024.</p><p><strong>Methods: </strong>This descriptive-analytical study was conducted from April to December 2024 across all affiliated hospitals with Mazandaran University of Medical Sciences. Data were collected using a validated 55-item EWS checklist evaluating preparedness in both pre-incident and during-incident phases. Overall hospital preparedness was categorized as good (≥75%), moderate (50-74%), or poor (<50%).</p><p><strong>Results: </strong>In the pre-incident phase, 28 out of 32 hospitals (87.5%) demonstrated good preparedness score (mean±SD: 74.8±12.1). During the incident phase, overall preparedness declined, with only 25 hospitals (78.1%) classified as good (mean±SD: 61.7±14.9). Based on total performance scores, Hospital No. 29 and 30 ranked the highest, while Hospital No. 4 demonstrated the weakest overall preparedness across both phases.</p><p><strong>Conclusion: </strong>While most hospitals exhibited adequate preparedness in key EWS components, such as warning dissemination and response readiness, notable weaknesses were identified in hazard identification, hazard monitoring, and documentation. Strengthening targeted training programs, establishing integrated monitoring systems, and conducting regular simulation exercises are essential for enhancing operational effectiveness.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"14 1","pages":"28-35"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13453273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148700435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the Non-use of Rear Seatbelts in Iran: A Qualitative Exploration of Factors and Reasons.","authors":"Ali Delpisheh, Rezvan Feyzi, Goljamal Jorjani, Raha Davatgar, Hadi Panahi, Mohammad Hossein Panahi","doi":"10.30476/beat.2025.103825.1537","DOIUrl":"https://doi.org/10.30476/beat.2025.103825.1537","url":null,"abstract":"<p><strong>Objective: </strong>This study explored the underlying reasons for non-compliance with seatbelt usage among rear-seat passengers in Iran.</p><p><strong>Methods: </strong>This qualitative study was conducted in 2023 with a diverse group of participants, including driving instructors, drivers, psychologists, rear-seat passengers, and experts in the field of traffic accidents and driving from Tehran, Khuzestan, and Golestan (n=39 persons). Data were collected through semi-structured interviews and focus group discussions and analyzed using conventional content analysis. The interviews, which lasted between 40 and 90 minutes, were recorded using two digital recorders, transcribed verbatim, and analyzed following the conventional qualitative content analysis method.</p><p><strong>Results: </strong>The findings revealed several factors contributing to the non-use of rear seatbelts, including lack of sufficient awareness of laws and regulations, incorrect behavioral and cultural attitudes, socio-economic influences factors, inadequate law enforcement and related organizations, and poor quality of seatbelts. Based on these findings, potential solutions were proposed, such as continuous education and awareness campaigns, improvements in seatbelt quality, and enhanced collaboration among relevant organizations to promote traffic safety culture. Education on the importance of seatbelt use should begin comprehensively in early childhood and continue into adulthood, with families playing a pivotal role in fostering this awareness.</p><p><strong>Conclusion: </strong>This study identified key factors influencing the non-use of rear seatbelts, including awareness of laws, cultural attitudes, socio-economic influences, and seatbelt quality issues. To address these challenges, the study recommended prioritizing ongoing education on seatbelt use, improving the quality of seatbelts, and fostering collaboration among traffic police, media, and educational institutions. These measures aimed to enhance traffic safety, increase compliance with seatbelt laws, and ultimately reduce fatalities and injuries resulting from road accidents.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 1","pages":"53-61"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12036510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143979195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Marin-Amat Syndrome: A Case Report of a Rare Facial Synkinesis Following Traumatic Facial Nerve Injury.","authors":"Mohamed H Elshahidi","doi":"10.30476/beat.2025.108047.1624","DOIUrl":"10.30476/beat.2025.108047.1624","url":null,"abstract":"<p><p>Marin-Amat syndrome is a rare form of facial synkinesis resulting from aberrant connections between the trigeminal and facial nerves. This condition manifests as involuntary eyelid closure upon voluntary jaw movement. It is distinct from the more common Marcus Gunn jaw-winking syndrome (MGJWS), which involves upper eyelid elevation during mastication. Here, we reported a case of a 64-year-old woman who developed this syndrome following combat-related maxillofacial trauma to the lateral mandible, which resulted in a left facial nerve injury. After her mandibular fractures were stabilized using 2 mm plates, her medical history was notable only for hypothyroidism. Six months post-injury, and following an attempted free fibula flap procedure, the patient began experiencing involuntary facial movements. These symptoms caused significant social discomfort and difficulty with eating. Treatment options, including botulinum toxin and surgery, were discussed; however, the patient opted for a conservative management approach.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 4","pages":"227-230"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12629270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145562837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Haloperidol versus Ketamine for Managing Acute Agitation in the Emergency Department: A Randomized Clinical Trial.","authors":"Sayyed Majid Sadrzadeh, Ala Montazeri, Behrang Rezvani Kakhki, Elnaz Vafadar Moradi","doi":"10.30476/beat.2025.106204.1583","DOIUrl":"10.30476/beat.2025.106204.1583","url":null,"abstract":"<p><strong>Objective: </strong>The primary outcome was the management of acute agitation, as measured by the Richmond Agitation-Sedation Scale (RASS). Secondary outcomes included the incidence of adverse effects and the time to onset of the therapeutic effect.</p><p><strong>Methods: </strong>This randomized clinical trial was conducted between March 2021 and March 2022. Participants were recruited from patients presenting with acute agitation who required pharmacological intervention at Emam Reza and Shahid Hasheminejad hospitals (Mashhad, Iran). Eligible participants were adults aged 18 to 65 years. Using a block randomization method with a block size of four, patients were assigned to receive either 5 mg of intravenous (IV) haloperidol or 2 mg/Kg of IV ketamine. Data were analyzed using SPSS software (version 22).</p><p><strong>Results: </strong>A total of 120 participants were randomized. The majority were male, comprising 43 (73%) in the haloperidol group and 45 (75%) in the ketamine group. The mean age was 45.42±16.65 in the ketamine group and 48.28±16.75 years in the haloperidol group (<i>p</i>=0.34). In the haloperidol group, the mean admission RASS score was 1.73±0.75, which decreased to 0.07±1.25 post-intervention. In the ketamine group, the mean admission RASS score was 1.58±0.61, which improved to -0.92±1.19 following treatment.</p><p><strong>Conclusion: </strong>Ketamine demonstrated a faster onset of action in managing acute agitation than haloperidol. These findings suggested that ketamine might represent a viable first-line therapeutic option for acutely agitated patients, particularly in clinical scenarios where rapid symptom control is critical.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 4","pages":"215-220"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12635519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145585803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence and Risk Factors for Post-Appendectomy Emergency Surgical Site Infections.","authors":"Mehdi Sarafi, Behzad Azimi, Mohammad Karimian, Gholamreza Ebrahimisaraj","doi":"10.30476/beat.2025.106191.1582","DOIUrl":"10.30476/beat.2025.106191.1582","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the incidence and risk factors for surgical site infection (SSI) following appendectomy.</p><p><strong>Methods: </strong>This retrospective cohort study examined the records of 180 patients who underwent appendectomy in Emam Khomeini Hospital from January 2021 to December 2022. The research tool included a demographic profile form and a research checklist. After obtaining the ethical approval from the university, the researcher visited the hospital and extracted the required data from the patient's clinical file (in accordance with the research checklist). Then, the collected data were entered into SPSS software (version 21) for data analysis.</p><p><strong>Results: </strong>Of the 180 patient records included in the study, 28 (15.6%) developed SSI. The descriptive analysis revealed that among the patients with SSI, 19 patients were men (67.9%), 18 (64.3%) had a low BMI, 8 (28.6%) had blood type A^-, and 19 (67.9%) patients had a fever below 38 °C. Regarding clinical symptoms, 1 (3.6%) patient had gangrenous appendicitis, and 22 (78.6%) required urgent surgery. Notably, no significant risk factors for SSI were identified. There was no association between SSI status and demographic variables, clinical symptoms, or underlying conditions (<i>p</i>>0.05).</p><p><strong>Conclusion: </strong>The incidence of SSI following appendectomy was relatively higher than in previous studies, though no significant risk factors were identified. Given this, standardization and adherence to evidence-based infection control practices, such as an appropriate preoperative antiseptic preparation, timely administration of prophylactic antibiotics, and the use of laparoscopic techniques when feasible, might help reduce SSI risk.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 3","pages":"153-157"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Intravenous Lidocaine on Airway Complications and Hemodynamic Stability Following Emergency Laparoscopic Cholecystectomy: A Randomized Controlled Trial in Different Age Groups.","authors":"Mohammad Mohammadifard, Kowsar Ali Akbari, Pooyan Ahanrobai, Aminolah Vasigh","doi":"10.30476/beat.2025.106751.1604","DOIUrl":"10.30476/beat.2025.106751.1604","url":null,"abstract":"<p><strong>Objectives: </strong>This randomized controlled trial aimed to evaluate the effect of pre-extubation intravenous lidocaine (1 mg/Kg) on the incidence of airway complications and hemodynamic stability in patients undergoing emergency laparoscopic cholecystectomy, while accounting for age differences.</p><p><strong>Methods: </strong>The study was a prospective, single-center, randomized controlled trial conducted from 2021 to 2023 at Imam Khomeini Hospital, Ilam, Iran. Ninety patients undergoing emergency laparoscopic cholecystectomy were classified into two age groups (<50 and ≥50 years) and randomly assigned to receive either intravenous lidocaine (1 mg/Kg) or a standard extubation protocol. The primary outcomes included post-extubation airway complications, such as laryngospasm, cough, and sore throat, and the secondary outcomes included hemodynamic and respiratory parameters.</p><p><strong>Results: </strong>Lidocaine produced hemodynamic effects that differed by age group. In patients <50 years, systolic blood pressure (SBP) increased from 129.2±16.4 mmHg to 133.1±23.1 mmHg, while diastolic blood pressure (DBP) rose from 83.9±14.4 mmHg to 92.3±19.4 mmHg (both <i>p</i><0.001). Conversely, in patients ≥50 years old, SBP decreased from 160.5±26.7 mmHg to 145.2±19.7 mmHg, and DBP decreased from 107.9±19.5 mmHg to 99.0±16.1 mmHg (both <i>p</i><0.001). Airway complications exhibited non-significant tendencies, with a decreased incidence of cough in the older age group (15.6% vs. 31.8%) and an absence of laryngospasm in this age group. There were no serious adverse events (e.g., bronchospasm, arrhythmias).</p><p><strong>Conclusion: </strong>Intravenous lidocaine was safe and demonstrated a trend toward reducing airway complications at extubation in patients undergoing emergency laparoscopic cholecystectomy, particularly in elderly patients. However, this trend did not reach statistical significance, most likely due to insufficient statistical power.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 3","pages":"140-146"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Prognostic Value of D-Dimer Levels for Injury Outcomes in Trauma Patients: A Systematic Review and Meta-Analysis.","authors":"Hooman Rezaei, Elham Navipour, Samaneh Zafarabadi, Mehrdad Karajizadeh, Fatemeh Javanmardi, Mahnaz Yadollahi, Maryam Hosseini","doi":"10.30476/beat.2025.106988.1605","DOIUrl":"10.30476/beat.2025.106988.1605","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to systematically review and quantify the association between D-dimer levels and injury outcomes in trauma patients through a meta-analysis.</p><p><strong>Methods: </strong>A systematic literature search of PubMed, MEDLINE/PubMed, and Web of Science was conducted from 2011 to 2023, supplemented by manual reference list searches. Two independent reviewers assessed the risk of bias using the Newcastle-Ottawa Scale. The primary outcomes were mortality and deep vein thrombosis (DVT).</p><p><strong>Results: </strong>Of 84 identified articles, 17 were eligible for full-text assessment, and 12 were included in the final analysis. A random-effects model was used to pool the study results. The analysis revealed a statistically significant difference in mean D-dimer levels between patients with poor outcomes and those without poor outcomes (<i>p</i>=0.0003). The standardized mean difference (SMD) was 0.51 (95% confidence interval [CI]:0.24 to 0.79). Furthermore, a significant difference in mean D-dimer levels was observed between survivors and non-survivors (<i>p</i>=0.03, SMD:0.42, 95% CI:0.04-0.79) and between patients with DVT and those without DVT (<i>p</i>=0.0008, SMD:0.79, 95% CI:0.32-1.25).</p><p><strong>Conclusion: </strong>This meta-analysis indicated that elevated D-dimer levels upon admission could be a valuable prognostic marker in trauma patients and might help predict poor outcomes.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 4","pages":"185-194"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12629272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145562834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Functional Outcomes and Quality of Life in Elderly Patients Following Intertrochanteric Femur Fracture: A One-Year Follow-Up Study.","authors":"Elaheh Mianehsaz, Fateme Aghaei, Seyed Mohammadreza Tabatabaee, Babak Haghpanah, Mohammad Javad Azadchehr, Khadijeh Kalanfarmanfarma","doi":"10.30476/beat.2025.104314.1546","DOIUrl":"https://doi.org/10.30476/beat.2025.104314.1546","url":null,"abstract":"<p><strong>Objectives: </strong>Intertrochanteric femur fractures are prevalent injuries among the elderly, significantly affecting their quality of life (QOL) and functional status. This study aimed to evaluate functional outcomes and QOL in elderly patients one year after sustaining an intertrochanteric femur fracture.</p><p><strong>Methods: </strong>This retrospective observational study was conducted at Shahid Beheshti Hospital in Kashan, Iran. The functional status and QOL of 79 elderly patients with intertrochanteric femur fractures, who were at least one year post-injury were assessed between February 2020 to February 2021.Data were collected from patient's records, which included sociodemographic and clinical information at the time of admission. Functional status was evaluated using the Barthel Index, and QOL was assessed using the shortened form of the SF-36 questionnaire.</p><p><strong>Results: </strong>The study population comprised 60.8% women, with a mean age of 79.81±7.07 years. The mean of the Barthel index score was 11.49±2.22, indicating that participants achieved approximately 60% of the maximum functional score. The mean overall QOL score was 50.59±9.54, suggesting that patients attained approximately 51% of the maximum QOL score. A final linear regression model indicated that increased age was significantly associated with declines in both functional abilities (R²=0.53, <i>p</i><0.001) and QOL (R²=0.39, <i>p</i><0.001). Additionally, patients who received physiotherapy demonstrated significantly better functional outcomes than those who did not.</p><p><strong>Conclusion: </strong>This study highlighted the significant impact of intertrochanteric femur fractures on the functional status and QOL of older adults. The findings emphasized the critical role of rehabilitation services, such as physiotherapy, in improving patient outcomes. Further research is warranted to explore the influence of comorbidities and optimize interventions for this vulnerable population.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 1","pages":"25-31"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12036504/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143967680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}