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What factors affect length of hospital stay among trauma patients? A single-center study, Southwestern Iran

Chinese Journal of Traumatology 2020年第3期23卷 176-180页

作者： ali kashkooe Mahnaz Yadollahi Forough Pazhuheian Trauma Research Center Shiraz University of Medical SciencesShirazIran

Purpose: Trauma is a major health concern. Length of hospital stay (LOS) has been targeted as an important metric to assess trauma care. This study aims to evaluate the risk factors that affect LOS among trauma patients in a trauma center in Southwestern Iran.Methods: This cross-sectional study was conducted on patients admitted to Rajaee Trauma Center, Shiraz, Iran between January 1, 2018 and December 30, 2018. The inclusion criteria were age above 15 years and having traffic accident injuries, including car, motorcycle and pedestrian injury mechanisms. The exclusion criteria were existing diseases including cardiovascular, cerebral, renal, and pulmonary diseases prior to this study, dead upon arrival or within 48 h after admission, and stay at the hospital for less than 6 h. The risk variables analyzed for prolonged LOS were age, gender, mechanism of traffic accident injury, infection during hospital stay, type of injury, injury severity score, surgery during hospitalization, and survival. Poisson regression was performed to evaluate the partial effects of each co- variate on trauma hospitalization (≥3 days as longer stay).Results: This study was conducted on 14,054 patients with traffic accident injury and the mean age was (33.89 ± 15.78) years. Additionally, 74.35% of the patients were male, with male to female ratio of 2.90. The result of Poisson regression indicated that male patients, higher age, combination of thoracic injuries, onset of infected sites, and surgery patients were more susceptible to have a longer LOS. Considering the site of injury, patients with face injuries followed by those with thorax injuries had the highest means of LOS (3.74 days and 3.36 days, respectively). Simultaneous existence of surgical inter- vention and infection in a patient had the greatest impact on prolonged LOS.Conclusion: This study identified that age, gender, mechanism of injury, infection, type of injury, survival, and ISS could lead to prolongation of LOS, but the affect can be reduced by eliminating modifiable r

关键词： Length of stay Trauma Accidents,traffic Risk factors

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Risk factors of mortality in nosocomial infected traumatic patients in a trauma referral center in south of Iran

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Chinese Journal of Traumatology 2018年第5期21卷 267-272页

作者： Mahnaz Yadollahi ali kashkooe Monireh Feyzi Saman Bornapour Trauma Research Center Shiraz University of Medical Sciences Shiraz Iran Student Research Committee Shiraz University of Medical Sdences Shiraz Iran

目的损伤相关的损害是世界范围的死亡的领先的原因。一些风险因素使创伤的病人易受影响到感染。而且，包括一些住院和增加的年龄，一些死亡风险因素在非创伤的感染的病人被检测。这研究试图在 Rajaee 损伤中心在医院的感染的创伤的病人... 详细信息

目的损伤相关的损害是世界范围的死亡的领先的原因。一些风险因素使创伤的病人易受影响到感染。而且，包括一些住院和增加的年龄，一些死亡风险因素在非创伤的感染的病人被检测。这研究试图在 Rajaee 损伤中心在医院的感染的创伤的病人之中估计死亡风险因素，设拉子， Iran.Methods 自从2015年4月，这未来的队研究在 Rajaee 在 2 年的经期期间被进行到2017年3月医院，它是紧急情况的中心为在设拉子的创伤的损害的医疗服务，伊朗。疾病控制和预防中心保健安全网络监视系统标准被使用定义医院的感染的 5 种类型。作为感染和死亡的风险因素分析的变量包括了性别，年龄，损害的机制，损害的地点，损害严厉分数(ISS ) ，外科的干预，一些住院，特别护理单位(ICU ) 承认，和病原体的类型。然后，医院的感染并且也的发生在创伤的病人的死亡的风险因素被评估。所有数据分析为社会科学用统计包裹被执行，版本 15 (社会科学统计套装软体公司，芝加哥) 并且 p ?? 0.05 被认为是统计上医院的感染的发生是的 significant.Results 7.2%(p ?

关键词：感染死亡创伤医院损伤伊朗风险因素冒险

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