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:: Volume 7, Issue 2 (6-2018) ::
Int J Med Invest 2018, 7(2): 7-15 Back to browse issues page
Mechanisms of Traumatic Injuries in Multiple Trauma Patients
Farzad Bozorgi , 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:   (1078 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.
Keywords: Multiple Trauma, Mechanism Of Trauma, Injury
Full-Text [PDF 541 kb]   (388 Downloads)    
Type of Study: Research | Subject: General
References
1. 1. Gonsaga RAT, Brugugnolli ID, Fraga GP. Comparison between two mobile pre-hospital care services for trauma patients. World Journal of Emergency Surgery. 2012;7(1):1. 2. Smith GS, Barss P. Unintentional injuries in developing countries: the epidemiology of a neglected problem. Epidemiologic reviews. 1991;13(1):228-66. 3. Maas AI, Stocchetti N, Bullock R. Moderate and severe traumatic brain injury in adults. The Lancet Neurology. 2008;7(8):728-41. 4. Cohn SM, DuBose JJ. Pulmonary contusion: an update on recent advances in clinical management. World journal of surgery. 2010;34(8):1959-70. 5. Donroe J, Tincopa M, Gilman RH, Brugge D, Moore DA. Pedestrian road traffic injuries in urban Peruvian children and adolescents: case control analyses of personal and environmental risk factors. PLoS One. 2008;3(9):e3166. 6. Bidgoli HH, Bogg L, Hasselberg M. Pre-hospital trauma care resources for road traffic injuries in a middle-income country—A province based study on need and access in Iran. Injury. 2011;42(9):879-84. 7. Bahadorimonfared A, Soori H, Mehrabi Y, Delpisheh A, Esmaili A, Salehi M, et al. Trends of fatal road traffic injuries in Iran (2004–2011). PloS one. 2013;8(5):e65198. 8. Akbari GA, Mohammadian A. Comparison of the RTS and ISS scores on prediction of survival chances in multiple trauma patients. injury. 2012;6:11. 9. Soberg HL, Finset A, Roise O, Bautz-Holter E. The trajectory of physical and mental health from injury to 5 years after multiple trauma: a prospective, longitudinal cohort study. Archives of physical medicine and rehabilitation. 2012;93(5):765-74. 10. Khan F, Amatya B, Hoffman K. Systematic review of multidisciplinary rehabilitation in patients with multiple trauma. British Journal of Surgery. 2012;99(S1):88-96. 11. Paydar S, Moghaninasab A, Asiaei E, Jahromi GSF, Bolandparvaz S, Abbasi H. Outcome of patients underwent emergency department thoracotomy and its predictive factors. Emergency. 2014;2(3):125. 12. Rao D, Sood D, Pathak P, Dongre SD. A cause of Sudden Cardiac Deaths on Autopsy Findings; a Four-Year Report. Emergency. 2014;2(1):12. 13. Tavakkoli H, Khashayar P, Panahi F. The efficacy of pre-hospital care in traumatic patients referred to emergency ward of ―Sina Hospital‖ between September 2003 and September 2004. Pajoohandeh Journal. 2008;13(4):269-78. 14. Thurman DJ, Alverson C, Dunn K, Guerrero J, Sniezek J. Traumatic brain injury in the United States: A public health perspective. The Journal of head trauma rehabilitation. 1999;14(6):602-15. 15. Kraus JF, McArthur DL. Epidemiologic aspects of brain injury. Neurologic clinics. 1996;14(2):435-50. 16. Michalska A, Jurczyk AP, Machała W, Szram S, Berent J. [Pulmonary contusion and acute respiratory distress syndrome (ARDS) as complications of blunt chest trauma]. Archiwum medycyny sadowej i kryminologii. 2008;59(2):148-54. 17. LoCicero 3rd J, Mattox K. Epidemiology of chest trauma. The Surgical clinics of North America. 1989;69(1):15-9. 18. Peden M. World report on child injury prevention appeals to ―Keep Kids Safe‖. Injury prevention. 2008;14(6):413-4. 19. Kesinger MR, Nagy LR, Sequeira DJ, Charry JD, Puyana JC, Rubiano AM. A standardized trauma care protocol decreased in-hospital mortality of patients with severe traumatic brain injury at a teaching hospital in amiddle-income country. Injury. 2014;45(9):1350-4. 20. Dagal A, Greer SE, McCunn M. International disparities in trauma care. Current Opinion in Anesthesiology. 2014;27(2):233-9. 21. Segui-Gomez M, MacKenzie EJ. Measuring the public health impact of injuries. Epidemiologic Reviews. 2003;25(1):3-19. 22. Organization WH, Control RfIT. WHO report on the global tobacco epidemic, 2008: the MPOWER package: World Health Organization; 2008. 23. Adib-Hajbaghery M, Maghaminejad F. Epidemiology of patients with multiple trauma and the quality of their prehospital respiration management in kashan, iran: six months assessment. Archives of trauma research. 2014;3(2). 24. Mohseni M, Adib M. Epidemiologic survey of trauma and associated factors in Guilan. Journal of Critical Care Nursing. 2014;7(1):41-50. 25. Bijani M, Nikrooz L, Naghizadeh MM, Tavakkol Z. The Incidence of Chest Trauma in Patients Refer to Vali-Asr Hospital of Fasa:(Epidemiology of chest trauma). Journal of Fasa University of Medical Sciences. 2013;3(3):285-9. 26. Brattström O, Larsson E, Granath F, Riddez L, Bell M, Oldner A. Time dependent influence of host factors on outcome after trauma. European journal of epidemiology. 2012;27(3):233-41. 27. Haghparast-Bidgoli H, Hasselberg M, Khankeh H, Khorasani-Zavareh D, Johansson E. Barriers and facilitators to provide effective pre-hospital trauma care for road traffic injury victims in Iran: a grounded theory approach. BMC emergency medicine. 2010;10(1):20. 28. Dhamangaonkar AC, Joshi D, Kumar R, Goregaonkar AB. Patients with Blunt Traumatic Spine Injuries with Neurological Deficits Presenting to an Urban Tertiary Care Centre in Mumbai: An Epidemiological Study. Malaysian orthopaedic journal. 2013;7(1):36. 29. Walder B, Haller G, Rebetez MML, Delhumeau C, Bottequin E, Schoettker P, et al. Severe traumatic brain injury in a high-income country: An epidemiological study. Journal of neurotrauma. 2013;30(23):1934-42. 30. Chabok SY, Ramezani S, Kouchakinejad L, Saneei Z. Epidemiology of pediatric head trauma in guilan. Archives of trauma research. 2012;1(1):19-22.
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Bozorgi F, Mirabi A, Chabra A, Mirabi R, Hosseininejad S, Zaheri H. Mechanisms of Traumatic Injuries in Multiple Trauma Patients. Int J Med Invest. 2018; 7 (2) :7-15
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Volume 7, Issue 2 (6-2018) Back to browse issues page
International Journal of Medical Investigation
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