Bulletin of emergency and trauma最新文献

{"title":"Evaluation of Various Fixation Methods in Acute Scapholunate Dissociation, A Finite Element Study.","authors":"Mohammad Amin Mahdiyar, Hamid Namazi, Hussein Malekjamshidi, Mohammad Taghi Karimi","doi":"10.30476/BEAT.2023.100425.1469","DOIUrl":"https://doi.org/10.30476/BEAT.2023.100425.1469","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to compare the outcomes of fixing scapholunate with pins and screws in parallel, convergent, and divergent orientations.</p><p><strong>Materials and methods: </strong>In this computer simulation study, the CT scan images of a healthy subject were used to construct a 3D model of the wrist joint using MIMICS software. The imposed force to scaphoid and 3D model lunate bones, as well as the scapholunate angle and distance, were compared in different surgical techniques using parallel, divergent, and convergent pins and screws.</p><p><strong>Results: </strong>In the absence of external force, the imposed stress applied to the scaphoid and lunate bones in cases of parallel pins and screws were 7.5MPa, 5.08MPa (pins), 1.134MPa, and 1.151MPa (screws), and 10.90MPa, 10.90MPa (pins), 9.7MPa, and 34.1MPa (screws) for 50N flexion force. The imposed stress in this approach is significantly lower compared to other interventions. Better outcomes were seen regarding scapholunate angle and scapholunate distance in using parallel pins or screws as well.</p><p><strong>Conclusion: </strong>In conclusion, implementing parallel pins and screws for scapholunate fixation had better results in terms of achieving carpal stability in scapholunate dissociation. However, fixation with pins and screws showed a statistically significant difference. Furthermore, a wide range of motion exercises with no additional forces can be used in the rehabilitation of patients undergoing this surgery.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"11 4","pages":"173-177"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10743320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032177","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":"Study of Epidemiological Characteristics of Fatal Injuries Using Death Registry Data in Georgia.","authors":"Nino Chkhaberidze, Ketevan Axobadze, Maia Kereselidz, Nato Pitskhelauri, Maka Jorbenadze, Nino Chikhladze","doi":"10.30476/BEAT.2023.97931.1418","DOIUrl":"10.30476/BEAT.2023.97931.1418","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate epidemiological aspects of fatal injuries in Georgia.</p><p><strong>Methods: </strong>This was a retrospective, descriptive study that included all traumatic injury deaths in Georgia from January 1 to December 31, 2018. The National Center for Disease Control and Public Health of Georgia's Electronic Death Register database was utilized in this research.</p><p><strong>Results: </strong>Of the study fatal injuries, 74% (n=1489) were males. 74% (n=1480) of all fatal injuries were caused by unintentional injuries. Road traffic accidents (25%, n=511) and falls (16%, n=322) were the primary causes of mortality. During the research year, the number of Years of life lost (YLL) was associated with injuries and was increased to 58172 for both sexes (rate per 1000 population: 15.6). Most of the years were lost in the age group of 25-29 years (7515.37). Road traffic deaths accounted for 30% (17613.50) of YLL.</p><p><strong>Conclusion: </strong>Injuries are still a major public health problem in Georgia. In 2018, 2012 individuals died from injuries across the country. However, mortality and YLL rates of injury varied by age and cause of injury. To prevent injury-related mortality, it is crucial to conduct ongoing research on high-risk populations.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"11 2","pages":"75-82"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/16/ed/bet-11-75.PMC10182725.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10083246","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":"Comparison the Ability of Quantitative Trauma Severity Assessment Methods Based On GAP, RTS, and ISS Criteria in Determining the Prognosis of Accidental Patients.","authors":"Behrang Khafafi,&nbsp;Omid Garkaz,&nbsp;Saeed Golfiroozi,&nbsp;Sahar Paryab,&nbsp;Laia Ashouri,&nbsp;Sevda Daei,&nbsp;Hamidreza Mehryar,&nbsp;Mousa Ghelichi-Ghojogh","doi":"10.30476/BEAT.2022.94794.1346","DOIUrl":"https://doi.org/10.30476/BEAT.2022.94794.1346","url":null,"abstract":"<p><strong>Objective: </strong>To compare the ability of quantitative trauma severity assessment methods based on Glasgow coma scale, age, and arterial pressure (GAP), revised trauma score (RTS), and injury severity score (ISS) criteria in determining the prognosis of accidental patients.</p><p><strong>Methods: </strong>This cross-sectional study was performed on random patients referred to Imam Khomeini Hospital in Urmia from March 20, 2020 to September 21, 2020. The data were obtained by using a checklist includes items such as age, sex, respiration rate, oxygen saturation level, pulse rate, primary blood pressure, initial Glascow coma scale (GCS), patient outcome and injury to different parts of body. After collecting the data, it was entered into SPSS 18 and analyzed with the descriptive and analytical statistics include an independent t-test and receiver operating characteristic curve (ROC) curves.</p><p><strong>Results: </strong>Out of 1930 studied patients, 365 (18.9%) were women and 1565 (81.1%) were men. The mean age of patients was 37.05±17.11 years and women were significantly older than men. The mortality rate was 4.8% and was significantly more in men compared to women. The mean blood pressure, GCS and oxygen saturation level were lower in deceased patients. The mean GAP, ISS and RTS values were 23.13±2.69, 4.07±3.82, 7.72±0.52, respectively. The mean values of GAP and RTS were significantly low in deceased patients whereas the mean ISS value was significantly high in the deceased patients. The Area under the curve (AUS) for ISS was greater than the other two scoring systems.</p><p><strong>Conclusion: </strong>The findings of the current study showed that all three systems were adequately efficient to prognoses the final outcome in multi-trauma patients but the ISS measure was better than the other two criteria.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"10 3","pages":"122-127"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/80/03/bet-10-122.PMC9373053.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40627733","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 Role of Surgical and Endovascular Repair of Blunt Traumatic Aortic Injury in the Modern Era: A Single-Center Experience.","authors":"Hamed Ghoddusi Johari,&nbsp;Seyed Arman Moein,&nbsp;Ahmad Hosseinzadeh,&nbsp;Javad Kojuri,&nbsp;Amirhossein Roshanshad,&nbsp;Reza Shahriarirad","doi":"10.30476/BEAT.2022.94343.1335","DOIUrl":"https://doi.org/10.30476/BEAT.2022.94343.1335","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the efficacy of chest x-ray (CXR) in blunt traumatic aortic injury (BTAI) as a primary imaging tool in trauma patients.</p><p><strong>Methods: </strong>We retrospectively reviewed our hospital records for blunt thoracic aortic injury patients who had a therapeutic intervention from January 2015 to February 2021. Patients' characteristics, initial chest x-rays, and computed tomography (CT) scan were extracted and re-evaluated.</p><p><strong>Results: </strong>Eighteen patients matched the criteria of our research. The mean age and the injury severity score (ISS) was 29.8±11.2 and 38.4±14.4, respectively. Seven patients (38.9%) underwent thoracic endovascular aortic repair (TEVAR), and 11 (61.1%) had open surgery. The TEVAR group had significantly lower mean intensive care unit stay days (6.6±3.9 vs. 10.8±6.9 in open aortic repair (OAR), <i>p</i><0.05). The percentile of patients requiring blood transfusion was significantly lower in the TEVAR group (57% vs. 100% in OAR, <i>p</i><0.05). Mediastinal widening (66.7%) was the most common finding during the evaluation of initial chest x-rays. Interestingly, 22.2% of the initial x-rays were not remarkable for BTAI.</p><p><strong>Conclusion: </strong>TEVAR is an advantageous choice in the management of BTAI. However, open aortic repair is the optimal decision in certain situations. It is suggested that the Interventional management of the BTAI must be performed by experienced vascular surgeons in a medical center capable of both OAR and TEVAR.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"10 3","pages":"103-109"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a2/5b/bet-10-103.PMC9373059.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40627735","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":"Effect of COVID-19 Pandemic on Incidence and Mortality Rate Due to Road Traffic Injury in Shiraz.","authors":"Mahnaz Yadollahi,&nbsp;Mehrdad Karajizadeh,&nbsp;Najmeh Bordbar,&nbsp;Zahra Ghahramani,&nbsp;Leila Shayan","doi":"10.30476/BEAT.2022.95640.1365","DOIUrl":"https://doi.org/10.30476/BEAT.2022.95640.1365","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effect of COVID-19 pandemic on the incidence and mortality rate of road traffic injuries in Shiraz, Iran.</p><p><strong>Methods: </strong>This cross-sectional study was performed on the data of patients who admitted by road traffic accidents 18 months before the outbreak of COVID-19 and 18 months after COVID-19 in the largest provider of trauma level 1 care services in southern Iran. SPSS 19 software was used to analyze the data.</p><p><strong>Results: </strong>A significant decrease of 12.8% was observed in the number of patients admitted by road traffic accidents during the COVID-19 pandemic period compared to the same period before the pandemic (<i>p</i><0.0001). But the death toll from road traffic accidents has increased significantly during the COVID-19 pandemic period compared to the same period before the pandemic (<i>p</i>=0.01).</p><p><strong>Conclusion: </strong>Due to the COVID-19 restrictions, it seems that factors such as restrictions on suburban travel, closure of public and recreational spaces, reduction of intra-city traffic, people staying at home and a significant reduction in injuries caused by traffic accidents, is reasonable. On the other hand, these restrictions, quarantines, and COVID disease itself can lead to confusion, anxiety, fear of infection, and thus avoid or delay the search for health care and increase mortality. Therefore, planning and policy-making is essential in order to prepare the correct guidance for seeking treatment.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"10 3","pages":"110-115"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1a/c0/bet-10-110.PMC9373060.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40627734","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":"Traumatic Cervical Vertical Translational Injury: A Case Report.","authors":"Keyvan Eghbal,&nbsp;Maziar Oveisee,&nbsp;Javad Safaee,&nbsp;Saber Zafarshamspour,&nbsp;Arash Saffarrian,&nbsp;Abbas Rakhsha","doi":"10.30476/BEAT.2021.89226.1226","DOIUrl":"https://doi.org/10.30476/BEAT.2021.89226.1226","url":null,"abstract":"<p><p>Traumatic cervical translational injury is a notably rare and highly unstable subtype of type C sub-axial cervical spine injury with high morbidity and mortality rates. Hereby, we report a 41-years-old man who was a case of multiple trauma due to car rollover. He was completely conscious, complaining of cervical pain, with a GCS score of 15/15. His neurological examination was unremarkable. The cervical CT scan revealed a vertical translation at the C6-C7 level (roughly 11 mm) and bilateral facet joint diastases which are highly unstable injuries. A two-stage combined anterior and posterior fixation operation was performed. First, an anterior cervical discectomy and fusion with autologous graft and plate fixation, and then a posterior approach with lateral mass screw fixation was performed. Disruption of the anterior longitudinal ligament, annulus fibrosis, facet capsules, and severe strain of ligamentum flavum was noted intraoperatively. He had no early and late complications within 2 years of follow-up.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"10 3","pages":"135-137"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/26/7c/bet-10-135.PMC9373057.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40627731","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":"A Case Report: Surgical Removal of Missing Guide Wire, Is it the Best Intervention?","authors":"Rahimeh Eskandarian,&nbsp;Abolfazl Abdollahpour,&nbsp;Shahrzad Aghaamoo,&nbsp;Narges Amini,&nbsp;Hoda Zangian,&nbsp;Kamran Ghods","doi":"10.30476/BEAT.2021.90494.1255","DOIUrl":"https://doi.org/10.30476/BEAT.2021.90494.1255","url":null,"abstract":"<p><p>Nowadays, the use of central venous catheter insertion (CVC), has abundantly increased. It is a common technique in critically ill patients who are admitted to intensive care and emergency departments in order to hemodynamic monitoring and fluid and medication administration. In this report, we express a 28-year-old man who has multiple trauma with decreased level of consciousness during a car accident three months ago and needs intensive care and monitoring by central venous catheter placing. A missed guide wire remaining inside the venous system after peripherally inserted in femoral vein that was incidentally diagnosed by taking a chest X-ray after three months. Although, guide wires are often retrieved by snaring catheter under fluoroscopic guidance and an interventional cardiologist, we have successfully extracted the lost wire through vascular surgery. Eventually, this report is supposed to increase awareness of this rare and preventable complication and to provide a solution to prevent this complication. Finally, the purpose of this report is to emphasize that surgical extracting is the best intervention to remove the missed guide wire (after 3 months) and this option could be developed, introduced and standardized in appropriate and controlled conditions.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"10 3","pages":"138-140"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ae/3b/bet-10-138.PMC9373055.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40627732","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":"Transfer of the Long Head Biceps Tendon to Conjoined Tendon in Proximal Humerus Fractures with Cleavage or Comminution at the Bicipital Groove.","authors":"Omid Reza Momenzadeh,&nbsp;Seyed Amirreza Mesbahi,&nbsp;Fatemeh Sadat Azimi,&nbsp;Mohsen Mardani-Kivi","doi":"10.30476/BEAT.2022.91063.1268","DOIUrl":"https://doi.org/10.30476/BEAT.2022.91063.1268","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the clinical and radiographic findings of long head biceps tendon (LHBT) transfer in traumatic proximal humeral fractures with the biceps groove breakage or comminution.</p><p><strong>Methods: </strong>In this interventional study, subjects surveyed in terms of shoulder function, clinical signs of LHBT tendinitis, radiographic signs of transferred biceps as a possible depressor of the shoulder, and mechanical changes of the scapula. Data were analyzed in SPSS version 21.</p><p><strong>Results: </strong>Fifteen patients were included in the case group (tendon transfer to the conjoined tendon), and 10 patients were evaluated in the control group (non-transfer or non-manipulation of the exposed tendon in the fracture callus of biceps groove). The mean age of the study population was 46.56±14.31 years, and the majority of patients (14.56%) were men. The differences between two groups were not significant in terms of the American Society of Shoulder and Elbow Surgeons (ASES) score, University of California at Los Angeles (UCLA) score, and constant shoulder score (CSS) (<i>p</i>=0.535, <i>p</i>=0.419, and <i>p</i>=0.266, respectively). Also, there was no significant differences between the case and control groups regarding the biceps muscle involvement (Popeye sign: <i>p</i>=1.00; tenderness: <i>p</i>=0.477; pain: <i>p</i>=1.00; speed test: <i>p</i>=1.00; Yergason's test: <i>p</i>=1.00).</p><p><strong>Conclusion: </strong>LHBT transfer to the conjoined tendon in proximal humerus fractures with cleavage or comminution at the bicipital groove showed no advantages.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"10 3","pages":"116-121"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/09/94/bet-10-116.PMC9373056.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40629221","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":"Elements of Teamwork in Resuscitation: An Integrative Review.","authors":"Mohammad Hosseini,&nbsp;Abbas Heydari,&nbsp;Hamidreza Reihani,&nbsp;Hossein Kareshki","doi":"10.30476/BEAT.2021.91963.1291","DOIUrl":"https://doi.org/10.30476/BEAT.2021.91963.1291","url":null,"abstract":"<p><strong>Objective: </strong>To identify the elements of teamwork in resuscitation, an integrative review and synthesize current primary studies conducted.</p><p><strong>Methods: </strong>PubMed, Scopus, Web of Science, and Embase, as well as Google Scholar search engine were searched from November 2015 to March 2020 to review previously published peer-reviewed studies. Out of the 5495 articles, 16 were finally included in the study. Search strategy implemented with these keywords (in the title/abstract) were (team* AND CPR) or (team* AND resuscitation). Six descriptive criteria was performed by using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline to analyze the articles and a modified version of Cooper's five-stage method.</p><p><strong>Results: </strong>Sixteen studies were included in this research. Twenty elements related to teamwork in resuscitation were identified by using data synthesis, then classified into four categories includes team interaction elements, leadership skills, individual elements and environmental elements. Communication, leadership, situation awareness and scene organization had the highest frequency of reviewed articles 10, 5, 4, 4, respectively.</p><p><strong>Conclusion: </strong>The interactions between resuscitation team members and the skills of the leader and team members along with environmental elements had attracted the most attention of researchers by focusing on teamwork in resuscitation. Due to the limited number of articles related to this subject, more research is needed to reveal all the key elements of teamwork in resuscitation.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"10 3","pages":"95-102"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/60/7d/bet-10-95.PMC9373058.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40629222","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":"Anxiety and Stress Seem Temporary during the Pneumonia COVID-19 Pandemic: A Survey on the Mental Health Status of Healthcare Workers.","authors":"Hossein Abdolrahimzadeh Fard,&nbsp;Roham Borazjani,&nbsp;Amir Hossein Shams,&nbsp;Vala Rezaee,&nbsp;Shiva Aminnia,&nbsp;Maryam Salimi,&nbsp;Mahsa Ahadi,&nbsp;Shahram Paydar,&nbsp;Shahram Bolandparvaz,&nbsp;Nikta Rabiei,&nbsp;Sanaz Zare,&nbsp;Leila Shayan,&nbsp;Mina Sadeghi","doi":"10.30476/BEAT.2022.94720.1344","DOIUrl":"https://doi.org/10.30476/BEAT.2022.94720.1344","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the presence/severity of depression, anxiety, and stress among health care workers (HCWs) who work on the specially allocated COVID-19 ward (Group A) and HCWs on the other wards (Group B).</p><p><strong>Methods: </strong>This questionnaire-based study was conducted from January 25 to February 28, 2021. The mental status was assessed using the Persian version of the 42-item Depression, Anxiety, and Stress score (DASS-42). Gathered data was analyzed using SPSS version 25. The independent T-test and Chi-square tests were used to compare quantitative and qualitative variables.</p><p><strong>Results: </strong>Two-hundred and twenty two questionnaires were eligible for analysis. Group A consisted of 33 HCWs, and 189 (85.1%) individuals were working on the other wards. No statistically significant differences were seen regarding the Socio-demographic features except for the marital status (<i>p</i>=0.005). The depressions' mean score was comparable between group A and B (<i>p</i>=0.102). The mean scores of anxiety and stress were significantly lower in group A than group B (<i>p</i>=0.006), although the frequency of DASS-42 parameters did not differ between these two groups (<i>p</i>>0.05).</p><p><strong>Conclusion: </strong>Contrary to our assumptions, this study showed that the DASS-42 parameters were not higher in HCWs working on the COVID-19 wards. This might be justified by developing coping mechanisms, being on the honeymoon phase of the disaster, compassion satisfaction, promising vaccine news, and working on the less impacted hospital.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"10 3","pages":"128-134"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a4/11/bet-10-128.PMC9373054.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40629220","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}