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Post-discharge follow-up of patients with spine trauma in the National Spinal Cord Injury Registry of Iran during the COVID-19 pandemic:Challenges and lessons learned

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Chinese Journal of Traumatology 2024年第3期27卷 173-179页

作者： Zahra Azadmanjir Moein Khormali Mohsen sadeghi-Naini Vali Baigi Habibollah Pirnejad Mohammad Dashtkoohi Zahra Ghodsi Seyed Behnam Jazayeri Aidin Shakeri Mahdi Mohammadzadeh Laleh Bagheri Mohammad-Sajad Lotfi Salman Daliri Amir Azarhomayoun homayoun sadeghi-bazargani Gerard O'reilly Vafa Rahimi-Movaghai Health Information Management Department School of Allied Medical SciencesTehran University of Medical SciencesTehranIran Sina Trauma and Surgery Research Center Tehran University of Medical SciencesTehranIran Department of Neurosurgery Lorestan University of Medical SciencesKhoram-AbadIran Department of Epidemiology and Biostatistics School of Public HealthTehran University of Medical SciencesTehranIran Patient Safety Research Center Clinical Rsearch Institute Urma Universty of Medical SciencesUrmaIran Erasmus School of Health Policy&Management(ESHPM) Erasmus University RotterdamRoterdamthe Netherlands Brain and Spinal Cord Injury Research Center Neuroscience InstituteTehran University of Medical SciencesTehranIran Students Scientifc Research Center(SSRC) Tehran University of Medical SciencesTehranIran Department of Neurosurgery Arak University of Medical SciencesArakIran Trauma Research Center Kashan University of Medical SciencesKashanIran Shahid Rahnemoun Hospital Shahid Sadoughi University of Medical SciencesYazdIran Trauma Nuring Rearch entre Faculty of Nursing and Midwifry Kahan Universty of Medical Sciences Kahan Iran Clinical Research Development Unit Imam Hossein HospitalShahroud University of Medical SciencesShahroudIran Research Center for Evidence Based Medicine Faculty of MedicineTabriz University of Medical SciencesTabrizIran Road Trafic Injury Research Center Tabriz University of Medical SciencesTabrizIran School of Public Health and Preventive Medicine Monash UniversityMelbourneAustralia National Trauma Research Institute The AlfredMelbourneAustralia Department of Neurosurgery Shariati HospitalTehran University of Medical SciencesTehranIran Universal Scientific Education and Research Network(USERN) TehranIran Institute of Biochemistry and Biophysics University of TehranTehranIran

Purpose:The purpose of the National Spinal Cord Injury Registry of Iran(NSCIR-IR)is to create an infrastructure to assess the quality of care for spine trauma and in this study,we aim to investigate whether the NSCIR-IR successfully provides necessary post-discharge follow-up data for these ***:An observational prospective study was conducted from April 11,2021 to April 22,2022 in 8 centers enrolled in NSCIR-IR,respectively Arak,Rasht,Urmia,Shahroud,Yazd,Kashan,Tabriz,and *** were classified into 3 groups based on their need for care resources,respectively:(1)non-spinal cord injury(SCI)patients without surgery(group 1),(2)non-SCI patients with surgery(group 2),and(3)SCI patients(group 3).The assessment tool was a self-designed questionnaire to evaluate the care quality in 3 phases:pre-hospital,in-hospital,and *** data from the first 2 phases were collected through the *** post-hospital data were collected by conducting follow-up *** follow-ups were conducted for groups 1 and 2(non-SCI patients),while group 3(SCI patients)had a face-to-face *** study took place during the COVID-19 *** on age and time interval from injury to follow-up were expressed as mean±standard deviation(SD)and response rate and follow-up loss as a ***:Altogether 1538 telephone follow-up records related to 1292 patients were registered in the *** the total calls,918(71.05%)were related to successful follow-ups,but 38 cases died and thus were excluded from data *** the end,post-hospital data from 880 patients alive were *** success rate of follow-ups by telephone for groups 1 and 2 was 73.38%and 67.05%respectively,compared to 66.67%by face-to-face visits for group 3,which was very hard during the COVID-19 *** data completion rate after discharge ranged from 48%-100%,22%-100%and 29%-100%for groups ***:To improve patient accessibility,NSCIR-IR should take me

关键词： Follow-up studies Spinal injuries Spinal cord injuries COVID-19 NSCIR-IR

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Health services utilisation and responsiveness profiles in Iran:a provincial household study

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Family Medicine and Community Health 2019年第1期7卷 1-7页

作者： Mostafa Farahbakhsh homayoun sadeghi bazargani Mohammad Saadati Jafar Sadegh Tabrizi Mina Golestani Akram Zakery Psychiatrics Research Center Tabriz University of Medical SciencesTabrizIran Road Traffic Injury Research Center Statistics and Epidemiology DepartmentSchool of HealthTabriz University of Medical SciencesTabrizIran Road Traffic Injury Research Center Tabriz University of Medical SciencesTabrizIran Tabriz Health Services Management Research Center Tabriz University of Medical SciencesTabrizIran

Objective The aim of this study was to describe health services utilisation and responsiveness in East Azerbaijan province,*** A cross-sectional household study as part of a larger research on primary healthcare *** We carried out the study in East Azerbaijan Province,northwest Iran from July to September *** A total of 1318 households were *** Most of the participating households had social security health *** failure or hypertension care,general outpatient care and arthritis care were the most used *** services cost and inadequate medicine and medical equipment were introduced to be the main barriers to health services utilisation in Tabriz and province representative sample(PRS),*** system responsiveness mean score(the maximum is 100)was 33.71±16.15(95%CI 32.45 to 34.97)in Tabriz and 32.02±14.3(95%CI 30.9 to 33.13)in PRS,which showed significant difference(p≤0.02).Conclusions Differences in the utilisation and responsiveness of health services and distribution of health resources were observed between Tabriz and ***,health system responsiveness in both Tabriz and PRS was at low *** results demonstrate the need for changing resource distribution policies and employing reactive health policies to response the public health.

关键词： services northwest household

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Experts’ perspectives on the application of public-private partnership policy in prevention of road traffic injuries

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Chinese Journal of Traumatology 2020年第3期23卷 152-158页

作者： Saber Azami-Aghdash homayoun sadeghi-bazargani Mohammad Saadati Mohammad Mohseni Hojatolah Gharaee Tabriz Health Services Management Research Center Health Management and Safety Promotion Research InstituteTabriz University of Medical SciencesTabrizIran Road Traffic Injury Research Center Tabriz University of Medical SciencesTabrizIran Health Management and Economics Research Center Iran University of Medical SciencesTehranIran Health Center of Hamadan City Hamadan University of Medical ScienceHamadanIran

Purpose: Successful application experiences on public-private partnership (PPP) in different countries, suggest that PPP could be an option in road traffic injury (RTI) prevention. The present study aims at investigating the applicability of PPP policy in RTI prevention in Iran based on the experts’ ***: This is a qualitative study with grounded theory approach which has been conducted in Tabriz University of Medical Sciences, Iran in 2018. The participants were 22 experts in the field of RTIs selected using purposive sampling method. Data were collected by semi-structured interviews and analyzed with content-analysis ***: The results were classified under 5 main themes (applicability, scopes and services, challenges, advantages, and strategies) for applying PPP policy and 37 sub-themes. Due to the prevalence of RTIs, the present challenges in public sector, existence of qualified private sector, and successful experiences in other areas, there are opportunities for private sector partnership in prevention of RTIs. Private sector could participate in different scopes and services regarding RTI prevention, including road construction and maintenance, maintenance and provision of vehicles safety and public education. The main challenges including legislation issues, ambiguities in collaboration, political and organizational unsustain-ability, government’s financial hardship and lack of experienced experts in the field of RTI. However, there are significant advantages including high efficiency in program implementation, covering the weaknesses of public sector, effective and efficient management on application of PPP in RTI prevention. The strategies include identifying and prioritizing the assignable activities, identifying the qualified private sector, developing PPP policies and legal frameworks, creating a common language between public and private parties, trying to meet the expectations of the private sector by public sector, developin

关键词： Road traffic injuries Experts'perspectives Public-private partnership Injury prevention

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Road safety data collection systems in Iran: A comparison based on relevant organizations

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Chinese Journal of Traumatology 2020年第5期23卷 265-270页

作者： homayoun sadeghi-bazargani Sakineh Sharifian Davoud Khorasani-Zavareh Raana Zakeri Mehdi Sadigh Mina Golestani Mousa Amiri Reza Masoudifar Farzad Rahmani Nasser Mikaeeli Javad Namvaran Khalil Pour-Ebrahim Mahdi Rezaei Babak Arabzadeh Bahram Samadirad Aliashraf Seyffarshad Fariba Mirza-Mohammadi-Teimorloue Shahin Kazemnezhad Soudabe Marin Saeede Sheikhi Reza Mohammadi Research Center for Evidence-Based Medicine Tabriz University of Medical SciencesTabrizIran Department of Health in Emergencies and Disasters School of Public Health and SafetyShahid Beheshti University of Medical SciencesTehranIran Workplace Health Promotion Research Center(WHPRC) Department of Health in Emergencies and DisastersShahid Beheshti University of Medical SciencesTehranIran Department of Health Services Management Iranian International Safe Community Support CenterTabriz University of Medical SciencesTabrizIran Road Traffic Injury Research Center Tabriz University of Medical SciencesTabrizIran Iranian Traffic Police TehranIran University of Tabriz Islamic Azad TabrizIran Department of Emergency Medicine Road Traffic Injury Research CenterTabriz University of Medical SciencesTabrizIran Iranian Traffic Police TabrizIran Payame Noor University(PNU) TehranIran Karafarin Insurance TabrizIran Legal Medicine Research Center Legal Medicine OrganizationTehranIran Shohada Medical Research and Training Hospital Tabriz University of Medical SciencesTabrizIran Department of Biostatistics and Epidemiology School of HealthTabriz University of Medical SciencesTabrizIran Department of Neurobiology Care Sciences and Society(NVS)H1Division of Family Medicine and Primary CareHuddingeSweden

Purpose:Various organizations and institutions are involved in road traffic injury(RTI)and crash registration such as police,forensic medicine organization,hospitals and emergency medical *** there is a substantial uncertainty in interpreting the data,duplicated data collection and missing data in relation to RTI in most *** study aims to identify data sources for RTI surveillance in Iran and to explore traffic safety data source domains,data elements and detailed information by each data ***:This is a qualitative study which was conducted in 2017 in *** were collected employing semi-structured interviews with informants in road safety organizations in relation to traffic safety including Police,Ministry of Health and Medical Education as well as Forensic Medicine Organization and other *** completing the preliminary extraction information,the minimum data set was used and compared in each ***:Eight different organizations relevant to road traffic safety were *** main domain of data provided by each one consists of Emergency Medical System form,Police KAM114 form,Ministry of Transport and Road Administration,Red Crescent Organization/Disaster Management Information System,Ministry of Health and Medical Education,Forensic Medicine Organization,Insurance Company and Ministry of *** system has its own database,based upon its scope and mainly at crash and postcrash status and little on pre-crash ***:All current registry systems are not surveillance systems for RTI *** data have been collected in various registry systems in Iran,but most of the collected variables are duplicated in each *** the other hand,some variables like alcohol and substance abuse,child seat belt,helmet use in relation to RTI prevention are missed in all ***,it is a critical need to integrate and establish a comprehensive surveillance system,with focus on the

关键词： Accidents,traffic Integrated surveillance system Prevention and control

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

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Chinese Journal of Traumatology 2021年第3期24卷 153-158页

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 Sina Trauma and Surgery Research Center Tehran University of Medical SciencesTehranIran Preventive Medicine and Public Health Research Center Department 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 Center Kashan University of Medical SciencesKashanIran Patient Safety Research Center Urmia University of Medical SciencesUrmiaIran Trauma Research Center Shahid Sadoughi University of Medical SciencesYazdIRIran Road Traffic Injury Research Center Tabriz University of Medical SciencesTabrizIran

Purpose:Injuries are one of the leading causes of death and lead to a high social and financial *** patterns can vary significantly among different age groups and body *** study aimed to evaluate the relationship between mechanism of injury,patient comorbidities and severity of ***:The study included trauma patients from July 2016 to June 2018,who were admitted to Sina Hospital,Tehran,*** 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 *** collection was performed using the National Trauma Registry of Iran minimum ***: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(p<0.001).Severe extremity injuries occurred more often in the fall group than in the vehicle collision group(69.0%vs.43.5%,p<0.001).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 *** injured by motor vehicle collision were more likely to have sustained multiple trauma than those presenting with *** of the relationship between mechanisms and consequences of injuries may lead to more effective interventions.

关键词： Wounds and injuries Multiple trauma Abbreviated injury scale Injury severity score Registries

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