Journal of Emergency Health Care
Formerly known as: International Journal of Medical Investigation
Volume 7, Issue 2 (6-2018)
J Emerg Health Care 2018, 7(2): 7-15 |
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Bozorgi F, Mirabi A, Chabra A, Mirabi R, Hosseininejad S, Zaheri H. Mechanisms of Traumatic Injuries in Multiple Trauma Patients. J Emerg Health Care 2018; 7 (2) :7-15
URL: http://intjmi.com/article-1-314-en.html
URL: http://intjmi.com/article-1-314-en.html
Farzad Bozorgi 
, Ali Mirabi * , Aroona Chabra , Reza Mirabi , Seyed-Mohammad Hosseininejad , Hooman Zaheri
, Ali Mirabi * , Aroona Chabra , Reza Mirabi , Seyed-Mohammad Hosseininejad , Hooman Zaheri
Medical Student, Student Research Committee, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
Abstract: (8041 Views)
Introduction: Trauma is a major cause of mortality and disability all over the world and causes more than 50 million deaths each year. Traumatic damages are increasing rapidly in a way that the world health organization states that traffic road injuries are going to be the third global cause of death and disability until 2020. The aim of this study is to investigate the relationship between the number and anatomical region of injury with the mechanism of trauma in multiple trauma patients. Method: This cross-sectional study was performed on multiple trauma patients referred to Emergency Center of Imam Hospital in a sari. Demographic information and variables such as the mechanism of trauma, the number and anatomical region of injury were collected and recorded. Data were analyzed statistically using SPSS version 20. Findings: 220 patients with average age 38.59±21.03 were included in this study. 158 individuals were male (71.8%) and 62 individuals were female (28.2%). The average age of males and females was 37.92±18.99 and 40.29±25.94 respectively. The most frequently observed trauma cases were in the age group of 21 to 30. The most frequent causes of trauma were the car to a car accident (44.5%), falling down from height (20%) and motor to a car accident (14.5%) that consist of 79% total traumatic injuries. Motor to car accident and conflicts were significantly higher in men than women (P<0.004 and P<0.021 respectively). The most frequent injury to one anatomical region was head and neck (23.6%) and thoracic (16.4%) respectively. Head, neck and thoracic injuries were occurred in 46.76% and 39% patients respectively alone or with another anatomical region of injuries. Conclusion: Findings of this study indicate that car to a car accident is the most common mechanism of trauma and on the other hand the most common anatomical region of injury is head and neck. Individuals in the age group 21-30 are more at the risk of traumatic injuries. By considering the high frequency of traffic accidents as the leading cause of traumatic injuries, major reforms in traffic and transportation should be done to improve the structures related to traffic administrations and promoting the transplantation status.
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