Evaluating mechanism and severity of injuries among trauma patients admitted to Sina Hospital,the National Trauma Registry of Iran

作     者：Mina Saeednejad Mohammadreza Zafarghandi Narjes Khalili Vali Baigi Moein Khormali Zahra Ghodsi Mahdi Sharif-Alhoseini Reilly Gerard M.O’ Khatereh Naghdi Melika Khaleghi-Nekou Seyed mohammad Piri Vafa Rahimi-Movaghar Somayeh Bahrami Marjan Laal Mahdi Mohammadzadeh Esmaeil Fakharian Habibollah Pirnejad Hamid Pahlavanhosseini Payman Salamati Homayoun Sadeghi-Bazargani Saeednejad Mina;Zafarghandi Mohammadreza;Khalili Narjes;Baigi Vali;Khormali Moein;Ghodsi Zahra;Sharif-Alhoseini Mahdi;O’Reilly Gerard M.;Naghdi Khatereh;Khaleghi-Nekou Melika;Piri Seyed mohammad;Rahimi-Movaghar Vafa;Bahrami Somayeh;Laal Marjan;Mohammadzadeh Mahdi;Fakharian Esmaeil;Pirnejad Habibollah;Pahlavanhosseini Hamid;Salamati Payman;Sadeghi-Bazargani Homayoun

作者机构：Sina Trauma and Surgery Research CenterTehran University of Medical SciencesTehranIran Preventive Medicine and Public Health Research CenterDepartment of Community and Family MedicineSchool of MedicineIran University of Medical SciencesTehranIran National Health and Medical Research Council(NHMRC)AustraliaNational Trauma Research InstituteThe Alfred Hospital and Monash UniversityMelbourneAustralia Trauma Research CenterKashan University of Medical SciencesKashanIran Patient Safety Research CenterUrmia University of Medical SciencesUrmiaIran Trauma Research CenterShahid Sadoughi University of Medical SciencesYazdIRIran Road Traffic Injury Research CenterTabriz University of Medical SciencesTabrizIran 

出 版 物：《Chinese Journal of Traumatology》 (中华创伤杂志（英文版）)

年 卷 期：2021年第24卷第3期

页      面：153-158页

核心收录：

学科分类：0403[教育学-体育学] 1002[医学-临床医学] 10[医学] 

基　　金：This study was funded by Sina Trauma and Surgery Research Center under the project of National Trauma Registry of Iran(NTRI).The contract number was 97-03-38-40539. 

主　　题：Wounds and injuries Multiple trauma Abbreviated injury scale Injury severity score Registries 

摘      要：Purpose:Injuries are one of the leading causes of death and lead to a high social and financial burden.Injury patterns can vary significantly among different age groups and body regions.This study aimed to evaluate the relationship between mechanism of injury,patient comorbidities and severity of injuries.Methods:The study included trauma patients from July 2016 to June 2018,who were admitted to Sina Hospital,Tehran,Iran.The inclusion criteria were all injured patients who had at least one of the following:hospital length of stay more than 24 h,death in hospital,and transfer from the intensive care unit of another hospital.Data collection was performed using the National Trauma Registry of Iran minimum dataset.Results:The most common injury mechanism was road traffic injuries(49.0%),followed by falls(25.5%).The mean age of those who fell was significantly higher in comparison with other mechanisms(p0.001).Severe extremity injuries occurred more often in the fall group than in the vehicle collision group(69.0%vs.43.5%,p0.001).Moreover,cases of severe multiple trauma were higher amongst vehicle collisions than injuries caused by falls(27.8%vs.12.9%,p=0.003).Conclusion:Comparing falls with motor vehicle collisions,patients who fell were older and sustained more extremity injuries.Patients injured by motor vehicle collision were more likely to have sustained multiple trauma than those presenting with falls.Recognition of the relationship between mechanisms and consequences of injuries may lead to more effective interventions.