Document Type : Original Article

Authors

1 MD student, Research Center for Noncommunicable Diseases, Jahrom University of Medical Sciences, Jahrom, Iran.

2 Assistant professor of health education, Khomein University of Medical Sciences, Khomein, Iran.

3 Assistant professor of Epidemiology, Research Center for Social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran.

4 Assistant professor of Emergency Medicine, Department of Emergency Medicine, Research Center for Noncommunicable Diseases, Jahrom University of Medical Sciences, Jahrom, Iran.

5 Research center for social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran.

6 Research Center for Noncommunicable Diseases, Jahrom University of Medical Sciences, Jahrom, Iran.

10.30491/tm.2022.349314.1489

Abstract

Background: Injuries, as one of the three broad causes, the groups in the global burden of diseases cause the hierarchy and impose a significant burden on public health. This study aimed to determine the Mechanism and severity of injuries in the trauma patients admitted to Peymaniyeh Jahrom Trauma hospital in 2021.
Methods:  This cross-sectional study was performed on 622 trauma patients based on the census method registered in National Trauma Registry System for 12 months from March 2021 to March 2022 in Peymaniyeh Jahrom Trauma hospital. Age, gender, marital status, level of education, Mechanism of injury, Severity of Injury Severity Score (ISS), and GCS (Glasgow Coma Scale), as well as GCS (Glasgow Coma Scale), Abbreviated Injury Scale, were included in a checklist developed following the aims of the research (AIS). The data were examined using the SPSS software (version 23).
Results: The most common types of trauma were road accidents 283(45.5%), falls191(30.7%), stabbings or cuts89(14.3%), and blunt injuries 4(6.6%), respectively. The mean age of those who had fallen (53.69±24.95) was significantly higher in road accident patients (32.47±18.94) and other injuries(p<0.0001). The mean ISS in the patients with road accident trauma (6.24±8.44) and falls (5.48±3.07) was significantly higher compared to other mechanisms of trauma (p < 0.0001). The mean AIS in upper and lower extremity trauma in the patients who had fallen (2.00±0.35 vs. 2.41±0.70) and in road accidents (1.91±0.48 vs. 2.20±0.64) was higher compared to other mechanisms of trauma (p < 0.0001). Furthermore, the frequency of severe multiple trauma (AIS ≥3) was higher in the patients with road accidents(p=0.021).
Conclusion: The people with falls were older than other trauma patients with more severe lower extremity injuries. On the other hand, road accident patients had more multiple trauma than patients with falls and other mechanisms of injury.

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