Pattern of Traumatic Injuries and Injury Severity Score in a Major Trauma Center in Shiraz, Southern Iran
Objective: To record and classify mechanisms of injury and injury severity score (ISS) in trauma patients admitted to the largest trauma center in Southern Iran.Methods: This was a prospective cross-sectional study including all the patients who were admitted to Nemazee hospital from 2009 to 2010. W...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Shiraz University of Medical Sciences
2013-04-01
|
| Series: | Bulletin of Emergency and Trauma |
| Subjects: | |
| Online Access: | http://beat.sums.ac.ir/article_44212_adbf9d1bda0accab9357eef1fea54e7d.pdf |
| _version_ | 1818990256822681600 |
|---|---|
| author | Hamid Reza Abbasi Seyed Mohsen Mousavi Ali Taheri Akerdi Mohammad Hadi Niakan Shahram Bolandparvaz Shahram Paydar |
| author_facet | Hamid Reza Abbasi Seyed Mohsen Mousavi Ali Taheri Akerdi Mohammad Hadi Niakan Shahram Bolandparvaz Shahram Paydar |
| author_sort | Hamid Reza Abbasi |
| collection | DOAJ |
| description | Objective: To record and classify mechanisms of injury and injury severity score (ISS) in trauma patients admitted to the largest trauma center in Southern Iran.Methods: This was a prospective cross-sectional study including all the patients who were admitted to Nemazee hospital from 2009 to 2010. We recorded the trauma injury information of 1217 patients who were admitted to of emergency room of the Nemazee hospital during a 13-months period by means of a standard questionnaire. ISS was then obtained for every single patient.Results: The mean age of patients was 26.6 ± 15.1 (range 1–95) years. The commonest type of trauma including 279 cases (22.9%) was car accident and the least resulted from shotgun injuries in 13 (1.1%) patients. The lowest ISS was due to assault multiple blunt traumas and the highest ISS resulted from shotgun injury. The mean ISS was about 6.3 ± 1.8 (range 1-66). Overall, 86 patients had scores above 17 (7.1%). A total of 69 male patients (7.5%) compared to 17 females (5.7%) had severe injury (ISS>17). Trauma injuries were significantly more severe in males compared to females (p=0.014). In the sunny and hot seasons total number of patient was higher. The mean ISS was highest in during spring (p<0.001).Conclusion: In Shiraz, most of the trauma injuries are occurred during summer and hot weather. Men have greater number of injuries and higher ISS compared to women. The lowest ISS was due to assault multiple blunt trauma and the highest ISS was caused by shotgun injury, and car accident was the commonest cause of trauma with head and neck being the most frequent sites in our patients. |
| first_indexed | 2024-12-20T19:51:29Z |
| format | Article |
| id | doaj.art-1d2fb153ae274b80a2ec61b21d2843d5 |
| institution | Directory Open Access Journal |
| issn | 2322-2522 2322-3960 |
| language | English |
| last_indexed | 2024-12-20T19:51:29Z |
| publishDate | 2013-04-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Bulletin of Emergency and Trauma |
| spelling | doaj.art-1d2fb153ae274b80a2ec61b21d2843d52022-12-21T19:28:17ZengShiraz University of Medical SciencesBulletin of Emergency and Trauma2322-25222322-39602013-04-011Issue 2818544212Pattern of Traumatic Injuries and Injury Severity Score in a Major Trauma Center in Shiraz, Southern IranHamid Reza Abbasi0Seyed Mohsen Mousavi1Ali Taheri Akerdi2Mohammad Hadi Niakan3Shahram Bolandparvaz4Shahram Paydar5Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.Objective: To record and classify mechanisms of injury and injury severity score (ISS) in trauma patients admitted to the largest trauma center in Southern Iran.Methods: This was a prospective cross-sectional study including all the patients who were admitted to Nemazee hospital from 2009 to 2010. We recorded the trauma injury information of 1217 patients who were admitted to of emergency room of the Nemazee hospital during a 13-months period by means of a standard questionnaire. ISS was then obtained for every single patient.Results: The mean age of patients was 26.6 ± 15.1 (range 1–95) years. The commonest type of trauma including 279 cases (22.9%) was car accident and the least resulted from shotgun injuries in 13 (1.1%) patients. The lowest ISS was due to assault multiple blunt traumas and the highest ISS resulted from shotgun injury. The mean ISS was about 6.3 ± 1.8 (range 1-66). Overall, 86 patients had scores above 17 (7.1%). A total of 69 male patients (7.5%) compared to 17 females (5.7%) had severe injury (ISS>17). Trauma injuries were significantly more severe in males compared to females (p=0.014). In the sunny and hot seasons total number of patient was higher. The mean ISS was highest in during spring (p<0.001).Conclusion: In Shiraz, most of the trauma injuries are occurred during summer and hot weather. Men have greater number of injuries and higher ISS compared to women. The lowest ISS was due to assault multiple blunt trauma and the highest ISS was caused by shotgun injury, and car accident was the commonest cause of trauma with head and neck being the most frequent sites in our patients.http://beat.sums.ac.ir/article_44212_adbf9d1bda0accab9357eef1fea54e7d.pdfInjury Severity Score (ISS)PreventionControlEpidemiologyTrauma |
| spellingShingle | Hamid Reza Abbasi Seyed Mohsen Mousavi Ali Taheri Akerdi Mohammad Hadi Niakan Shahram Bolandparvaz Shahram Paydar Pattern of Traumatic Injuries and Injury Severity Score in a Major Trauma Center in Shiraz, Southern Iran Bulletin of Emergency and Trauma Injury Severity Score (ISS) Prevention Control Epidemiology Trauma |
| title | Pattern of Traumatic Injuries and Injury Severity Score in a Major Trauma Center in Shiraz, Southern Iran |
| title_full | Pattern of Traumatic Injuries and Injury Severity Score in a Major Trauma Center in Shiraz, Southern Iran |
| title_fullStr | Pattern of Traumatic Injuries and Injury Severity Score in a Major Trauma Center in Shiraz, Southern Iran |
| title_full_unstemmed | Pattern of Traumatic Injuries and Injury Severity Score in a Major Trauma Center in Shiraz, Southern Iran |
| title_short | Pattern of Traumatic Injuries and Injury Severity Score in a Major Trauma Center in Shiraz, Southern Iran |
| title_sort | pattern of traumatic injuries and injury severity score in a major trauma center in shiraz southern iran |
| topic | Injury Severity Score (ISS) Prevention Control Epidemiology Trauma |
| url | http://beat.sums.ac.ir/article_44212_adbf9d1bda0accab9357eef1fea54e7d.pdf |
| work_keys_str_mv | AT hamidrezaabbasi patternoftraumaticinjuriesandinjuryseverityscoreinamajortraumacenterinshirazsoutherniran AT seyedmohsenmousavi patternoftraumaticinjuriesandinjuryseverityscoreinamajortraumacenterinshirazsoutherniran AT alitaheriakerdi patternoftraumaticinjuriesandinjuryseverityscoreinamajortraumacenterinshirazsoutherniran AT mohammadhadiniakan patternoftraumaticinjuriesandinjuryseverityscoreinamajortraumacenterinshirazsoutherniran AT shahrambolandparvaz patternoftraumaticinjuriesandinjuryseverityscoreinamajortraumacenterinshirazsoutherniran AT shahrampaydar patternoftraumaticinjuriesandinjuryseverityscoreinamajortraumacenterinshirazsoutherniran |