Epidemiology of Fatal Injuries among Patients Admitted at Sina Hospital, the National Trauma Registry of Iran, 2016-2019

  • Melika Khaleghi-Nekou ORCID Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
  • Ali Moradi ORCID Occupational Health & Safety Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
  • Mohammadreza Zafarghandi ORCID Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
  • Ahmad Fayaz-Bakhsh ORCID Department of Health Sciences Education Development, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  • Mina Saeednejad ORCID Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
  • Vafa Rahimi-Movaghar ORCID Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
  • Mahdi Sharif-Alhoseini ORCID Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
  • Esmaeil Fakharian ORCID Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran
  • Moein Khormali ORCID Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
  • Mahdi Mohammadzadeh ORCID Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran
  • Homayoun Sadeghi-Bazargani ORCID Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
  • Hamid Pahlavanhosseini ORCID Trauma Research Center, Shahid Sadoughi University of Medical Sciences, Yazd,Iran.
  • Habibollah Pirnejad ORCID Patient Safety Research Center, Urmia University of Medical Sciences, Urmia, Iran
  • Aria Rahmani ORCID Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
  • Saeid Soltani ORCID Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
  • Khatereh Naghdi ORCID Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
  • Somayeh Bahrami ORCID Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
  • Melika Ozlaty ORCID Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
  • Payman Salamati ORCID Mail Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
Keywords:
Fatal Outcome, Registries, Trauma Severity Indices, Wounds and Injuries

Abstract

Introduction: Injuries cause high rates of mortality and harm to millions of people annually. Objective: The aims of this study were to assess some characteristics of hospitalized trauma patients and determine the variables which were associated with increased rates of mortality. Methods: Data were extracted from the National Trauma Registry of Iran (NTRI) data bank. Among all trauma patients admitted to Sina Hospital, those who had one of the following were registered in the NTRI: hospitalization for more than 24 hours, death less than 24 hours in the hospital, and transferring from the intensive care unit (ICU) of another hospital. Recorded data relating to the interval between 24 July 2016 and 10 October 2019 were analyzed. Results: A total number of 3430 patients were studied, of whom 78 (0.02%) did not survive. The mean age of survivors was 38.4 (±18.5) and it was 58.1 (±23.7) for non-survivors (p<0.001). The mean Glasgow coma scale (GCS) of survivors was 14.9 (±0.7) and it was 11.7 (±4.4) for non-survivors (p<0.001). The most important predictors of death were ICU admission (OR 4.31; 95% CI 1.65-11.26) and not having surgical operation (OR 6.08; 95% CI 2.30-16.03). The injuries with higher injury severity score (ISS) had higher risks of death (OR 1.20; 95% CI 1.06-1.36). Conclusions: In this study, Road Traffic Crashes (RTCs) were the main cause of injuries. The elder age, lower GCS score, ICU admission, higher ISS and not having surgical operation were the worst factors of death. More studies are needed to reveal other prognostic factors of fatal injuries.

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Published
2020-08-31
How to Cite
1.
Khaleghi-Nekou M, Moradi A, Zafarghandi M, Fayaz-Bakhsh A, Saeednejad M, Rahimi-Movaghar V, Sharif-Alhoseini M, Fakharian E, Khormali M, Mohammadzadeh M, Sadeghi-Bazargani H, Pahlavanhosseini H, Pirnejad H, Rahmani A, Soltani S, Naghdi K, Bahrami S, Ozlaty M, Salamati P. Epidemiology of Fatal Injuries among Patients Admitted at Sina Hospital, the National Trauma Registry of Iran, 2016-2019. Adv J Emerg Med.
Section
Original article