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Comparison of epidemiologic features between upper and lower limb injuries and risk factors for intensive care unit admission in a university hospital affiliated with the National Trauma Registry of Iran

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Chinese Journal of Traumatology 2024年第6期27卷 389-394页

作者： Pouya Mahdavi Sharif Mohsen Merati Vali Baigi Mohammadreza Zafarghandi Vafa Rahimi-Movaghar moein khormali Marjan Laal Payman Salamati Sina Trauma and Surgery Research Center Tehran University of Medical SciencesTehranIran Department of Epidemiology and Biostatistics School of Public HealthTehran University of Medical SciencesTehranIran

Purpose:Upper extremity injuries(UEIs)and lower extremity injuries(LEIs)constitute a considerable component of ***,their epidemiologic differences and short-term in-hospital outcomes are not fully *** study aims to compare such discrepancies in a large-scale ***:In this retrospective study,all patients with UEIs and/or LEIs hospitalized from 24th July 2016 to 16th May 2020 in Sina Hospital,Tehran,Iran,and registered at the National Trauma Registry of Iran were enrolled in the *** demographic and clinical characteristics were extracted from the National Trauma Registry of Iran *** were grouped into either UEI or *** those with concomitant UEIs and LEIs,the more severe one based on the abbreviated injury scale was defined as the principal *** addition,cases with the abbreviated injury scale>3 for both UEI and LEI or concomitant injuries to body areas other than the limbs were *** samplest-test,Mann-WhitneyU test,Chi-square test,quintile regression models,and logistic regression models with"margins"command were used for statistical analyses,as ***:In this research,3170 eligible cases were *** the LEI group,there was a much higher proportion of male patients(86.7%vs.82.0%)and higher mean age(years,42.9vs.35.3)compared to the UEI group(bothp<0.001).Patients with an injury severity score(ISS)of 9-15 were outnumbered in the LEI group(22.9%vs.1.6%,p<0.001),while the proportion of those with an ISS<9 was higher in the UEI group(98.1%vs.76.8%,p<0.001).The multiple logistic regression model showed a statistically significant association between intensive care unit(ICU)admission and ISS(odds ratio(OR)=4.01 for ISS ***<9,95%confidence interval(CI)):3.01-5.35;OR=17.65 for ISS≥***<9,95%CI:4.03-77.27),age(OR=1.02,95%CI:1.01-1.03),cause of injury(OR=0.27 for blunt *** traffic crash,95%CI:0.08-0.90;OR=0.49 for cut/stab *** traffic crash,9

关键词： Wounds and injuries Lower extremity Upper extremity Intensive care unit Length of hospital stay

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Comparing epidemiologic features,outcomes,and diagnostic and therapeutic procedures of traumatic patients before and during COVID-19 pandemic:Data from the National Trauma Registry of Iran

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Chinese Journal of Traumatology 2023年第2期26卷 68-72页

作者： Maryam Baradaran-Binazir Vali Baigi Mohammad Reza Zafarghandi Vafa Rahimi-Movaghar moein khormali Payman Salamati Community and Family Medicine Department Faculty of MedicineTabriz University of Medical SciencesTabrizIran Sina Trauma and Surgery Research Center Tehran University of Medical SciencesTehranIran

Purpose:To prepare for future possible communicable disease epidemics/pandemics,health care providers should know how the COVID-19 pandemic influenced injured *** study aimed to compare epidemiologic features,outcomes,and diagnostic and therapeutic procedures of trauma patients admitted to a university-affiliated hospital before and during the ***:This retrospective study was performed on data from the National Trauma Registry of *** injured patients admitted to the hospital from July 25,2016 to March 10,2021 were included in the *** patients were excluded if they had hospital length of stay less than 24 *** injury outcomes,trauma mechanisms,and therapeutic and diagnostic procedures of the 2 periods:before(from July 25,2016 to February 18,2020)and during(from February 19,2020 to March 10,2021)COVID-19 pandemic were *** analyses were performed using STATA version 14.0 software(Stata Corporation,College Station,TX).Results:Totally,5014 patients were included in the *** them,773(15.4%)were registered after the beginning of the COVID-19 pandemic on February 19,2020,while 4241 were registered before ***,education level,and cause of injury were significantly different among the patients before and after the beginning of the pandemic(p<0.001).In the≤15 years and≥65 years age groups,injuries decreased significantly during the COVID-19 pandemic(p<0.001).The frequency of intensive care unit(ICU)admission decreased from 694(16.4%)to 88(11.4%)(p<0.001).The mean length of stay at the hospital(days)and at the ICU(days)declined as follow:8.3(SD=17.2)vs.5.5(SD=6.1),p<0.001 and 7.5(SD=11.5)vs.4.5(SD=6.3),p<*** frequency of diagnostic and therapeutic procedures before and during the pandemic was as follows,respectively:ultrasonography 905(21.3%)vs.417(53.9%)(p<0.001),echocardiography 313(7.4%)vs.107(13.8%)(p<0.001),angiography 1597(37.7%)vs.534(69.1%)(p<0.001),MRI 166(3.9%)vs.51(6.6%)(p<0.001),surgery 3407(80.3%)vs.65

关键词： Wounds and injuries COVID-19 Pandemic Registry

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Reasons for delayed spinal cord decompression in individuals with traumatic spinal cord injuries in Iran:A qualitative study from the perspective of neurosurgeons

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Chinese Journal of Traumatology 2021年第6期24卷 356-359页

作者： Masoud SohrabiAsl Zahra Ghodsi Roya Habibi Arejan Zahra Azadmanjir Mahdi Sharif-Alhoseini moein khormali Maryam Shojaei Abbas Rahimiforoushani Alireza Khoshnevisan Alexander R.Vaccaro Michael G.Fehlings Vafa Rahimi-Movaghar Sina Trauma and Surgery Research Center Tehran University of Medical SciencesTehranIran Rehabilitation Office State Welfare Organization of IranTehranIran Health Information Management Department Tehran University of Medical Sciences Department of Epidemiology and Biostatistics School of Public HealthTehran University of Medical SciencesTehranIran Department of Neurosurgery Shariati HospitalTehran University of Medical SciencesTehran Iran Department of Orthopaedics and Neurosurgery Thomas Jefferson University and the Rothman InstitutePhiladelphiaPAUSA Department of Surgery University of TorontoSenior Scientist Krembil Brain Institute and McEwen Centre for Regenerative MedicineToronto Western HospitalUniversity Health NetworkCanada Universal Scientific Education and Research Network(USERN) TehranIran Institute of Biochemistry and Biophysics University of TehranTehranIran Visiting Professor Spine ProgramUniversity of TorontoTorontoCanada Brain and Spinal Cord Injury Research Center Neuroscience InstituteTehran University of Medical SciencesTehranIran

Purpose:The median time from the event leading to the spinal cord injury(SCI)to the time of decompressive surgery is estimated to be 6.9 days in Iran,which is much longer than the proposed ideal time(less than 24 h)in published *** current qualitative study aimed to determine the reasons for the observed decompression surgery delay in Iran from the perspective of ***:This qualitative study is designed to perform content analysis on the gathered data from face-to-face semi-structured interviews with 12 Iranian ***:The findings of the current study suggest that patient-related factors constitute more than half of the codes extracted from the ***,the type of injury,presence of polytrauma,and surgeons’’wrong attitude are the main factors causing delayed spinal cord decompression in Iranian patients from the perspective of *** notable factors include delay in transferring patients to the trauma center,delay in availability of necessary equipment,and scarce medical ***:In the perspective of neurosurgeons,the type of injury,presence of polytrauma,and surgeons’’wrong attitude are the leading reasons for delayed decompressive surgery of individuals with SCI in Iran.

关键词： Spinal cord injuries Decompression Surgical Neurosurgeons Iran Qualitative research

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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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National Spinal Cord Injury Registry of Iran(NSCIR-IR)-a critical appraisal of its strengths and weaknesses

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Chinese Journal of Traumatology 2019年第5期22卷 300-303页

作者： Mahdi Sharif-Alhoseini Zahra Azadmanjir Mohsen Sadeghi-Naini Zahra Ghodsi Khatereh Naghdi Mahdi Mohammadzadeh Amir AzarHomayoun Kazem Zendehdel moein khormali Farideh Sadeghian Seyed Behzad Jazayeri Mojtaba Sehat Habibollah Pirnejad Edward C.Benzel Gerard O'Reilly Michael G.Fehlings Alexander R.Vaccaro Vafa Rahimi-Movaghar Sina Trauma and Surgery Research Center Tehran University of Medical SciencesTehranIran Toronto Western Hospital University Health NetworkTorontoOntarioCanada Department of Orthopaedic Surgery The Rothman InstituteThomas Jefferson UniversityPhiladelphiaUSA Brain and Spinal Cord Injury Research Center Neuroscience InstituteTehran University of Medical SciencesTehranIran Department of Health Information Management School of Allied Medical SciencesTehran University of Medical SciencesTehranIran Trauma Research Center Kashan University of Medical SciencesKashanIran Cancer Research Center Cancer InstituteTehran University of Medical SciencesTehranIran Students'Scientific Research Center Tehran University of Medical SciencesTehranIran Center for Health Related Social and Behavioral Sciences Research Shahroud University of Medical SciencesShahroudIran Department of Health Information Technology Urmia University of Medical SciencesUrmiaIran Cleveland Clinic Foundation Department of NeurosurgeryClevelandOHUSA Department of Epidemiology and Preventive Medicine School of Public Health and Preventive MedicineMonash UniversityMelbourneAustralia

The National Spinal Cord Injury Registry of Iran(NSCIR-IR)is a not-for-profit,hospital-based,and prospective observational registry that appraises the quality of care,long-term outcomes and the personal and psychological burden of traumatic spinal cord injury in *** validity in every registry includes rigorous attention to data *** quality assurance is essential for any registry to make sure that correct patients are being enrolled and that the data being collected are *** reviewed strengths and weaknesses of the NSCIR-IR while considering the methodological guidelines and recommendations for efficient and rational governance of patient *** summary,the steering committee,funded and maintained by the Ministry of Health and Medical Education of Iran,the international collaborations,continued staff training,suitable data quality,and the ethical approval are considered to be the strengths of the registry,while limited human and financial resources,poor interoperability with other health systems,and time-consuming processes are among its main weaknesses.

关键词： Spinal cord injuries Injury registries Data accuracy Iran

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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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