沙赫鲁德的创伤概况:医院创伤登记处 8 年报告。

IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Journal of research in health sciences Pub Date : 2024-03-18 Epub Date: 2024-03-15 DOI:10.34172/jrhs.2024.142
Mahgol Sadat Hassan Zadeh Tabatabaei, Vali Baigi, Mohammadreza Zafarghandi, Vafa Rahimi-Movaghar, Salman Daliri, Sara Mirzamohamadi, Armin Khavandegar, Khatereh Naghdi, Payman Salamati
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引用次数: 0

摘要

背景:在伊朗,创伤是一个重大的公共卫生问题,死亡率和发病率都很高。本研究旨在评估伊朗沙赫鲁德的创伤患者概况。研究设计:横断面研究:方法:横断面研究:研究涉及伊朗沙赫鲁德伊玛目侯赛因医院在 2016 年至 2023 年期间符合特定标准的创伤患者,研究使用了伊朗国家创伤登记处(NTRI)。采用卡方检验和事后分析方法分析了受伤特征与受伤原因之间的关系。五等分回归模型评估了人口统计学和临床变量与住院时间的关系:结果:在3513名外伤患者中,与跌倒(0.3%)相比,道路交通事故(RTC)中格拉斯哥昏迷量表(GCS)在9到12级之间的受伤比例(1.7%)更高(PPP结论:在道路交通事故和跌倒之间观察到的受伤模式差异显著:在急诊室门诊和跌倒之间观察到了明显的伤害模式差异。造成 GCS 评分介于 9 到 12 分之间的损伤发生率较高,而造成中度 ISS 评分的损伤发生率较高。此外,RTC相关损伤的患者需要更多的机械通气和入住重症监护室。此外,在对各种因素进行调整后,与跌倒相关的损伤相比,RTC相关损伤患者的住院时间明显更长。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Trauma Profile in Shahroud: An 8-Year Report of a Hospital-Based Trauma Registry.

Background: Trauma is a significant public health concern in Iran, with high mortality and morbidity rates. This study aimed to assess trauma patients' profiles in Shahroud, Iran. Study Design: A cross-sectional study.

Methods: The study involved trauma patients who met specific criteria at Imam Hossein hospital in Shahroud, Iran, between 2016 and 2023, using the National Trauma Registry of Iran (NTRI). The relationship between injury characteristics and the cause of injury was analyzed using chi-square test and post hoc analysis. Quintile regression models assessed the association of demographic and clinical variables with length of stay.

Results: Among 3513 trauma patients, road traffic crashes (RTCs) had a higher percentage of injuries with the Glasgow Coma Scale (GCS) between 9 and 12 (1.7%) compared to falls (0.3%) (P<0.001). Falls caused more moderate cases with injury severity scores (ISS) ranging from 9 to 15 (22.7%) than RTCs (17.1%) (P<0.001). RTC-related injuries required more ventilation (2.7%) and intensive care unit (ICU) admissions (11.1%) than falls (P<0.001). After adjusting for age, GCS, ISS, and body region, fall had a median length of stay nine hours shorter than RTCs (95% CI = -16.2, -1.8).

Conclusion: Significant injury pattern differences were observed between RTCs and falls. RTCs had higher frequencies of injuries resulting in GCS scores between 9 and 12, while falls had higher frequencies of moderate ISS scores. In addition, patients with RTC-related injuries required more mechanical ventilation and ICU admissions. Moreover, after adjusting for various factors, patients with RTC-related injuries had a significantly longer hospital stay compared to those with fall-related injuries.

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来源期刊
Journal of research in health sciences
Journal of research in health sciences PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.30
自引率
13.30%
发文量
7
期刊介绍: The Journal of Research in Health Sciences (JRHS) is the official journal of the School of Public Health; Hamadan University of Medical Sciences, which is published quarterly. Since 2017, JRHS is published electronically. JRHS is a peer-reviewed, scientific publication which is produced quarterly and is a multidisciplinary journal in the field of public health, publishing contributions from Epidemiology, Biostatistics, Public Health, Occupational Health, Environmental Health, Health Education, and Preventive and Social Medicine. We do not publish clinical trials, nursing studies, animal studies, qualitative studies, nutritional studies, health insurance, and hospital management. In addition, we do not publish the results of laboratory and chemical studies in the field of ergonomics, occupational health, and environmental health
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