Yadollahi Mahnaz, Paydar Shahram, Sabetianfard Jahromi Golnar, Khalili Hosseinali, Etemadi Samie, Abbasi Hamidreza, Bolandparvaz Shahram
Trauma Research Center, Shahid Rajaee Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, IR Iran.
Department of Anesthesiology, Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, IR Iran.
Arch Trauma Res. 2015 Mar 20;4(1):e26028. doi: 10.5812/atr.26028. eCollection 2015 Mar.
Trauma constitutes a major public health problem in our country and contributes significantly to unacceptably high morbidity and mortality.
This study aimed to evaluate the epidemiology of trauma in dead patients referred to Shahid Rajaee Trauma Hospital, Shiraz, Iran.
In a cross-sectional study, all patients with trauma admitted to our center were enrolled between March 2011 and February 2012. Age, gender, months of referring, causalities, and injured body parts of the victims were extracted from the data registry and analyzed.
A total of 9113 patients, including 7163 (78.6%) males and 1950 (21.4%) females were evaluated. Among them, 479 patients (5.3%) had died. There was a significant difference between the age of alive and dead patients (35.70 ± 0.18 and 45.44 ± 1.01 years, respectively (P < 0.001)). In addition, dead men had significantly higher percentage than alive men (83.7% and 78.3%, respectively, P = 0.005). The highest percentages of men and women who referred to our center and died were in September. Crashing by car had the most frequency of dead (247 cases) in referred patients and motorcycle accident, stabbing, and falling related injuries with 67, 36 and 26 dead cases were in the next ranks. Thorax injury had the most frequency between dead patients (53.2% of all dead) and the intracranial injury and trauma to extremities altogether were in the next ranks, which constituted more than 18.8% of all dead.
Our data demonstrated that car and motorcycle accidents are the most important cause of trauma and thorax trauma had the most frequency among dead patients. Epidemiological evaluations and preventive measures such as this study should be conducted to provide valuable data.
创伤是我国一个重大的公共卫生问题，导致了高得令人无法接受的发病率和死亡率。
本研究旨在评估转诊至伊朗设拉子沙希德拉贾伊创伤医院的死亡创伤患者的流行病学情况。
在一项横断面研究中，纳入了2011年3月至2012年2月期间入住本中心的所有创伤患者。从数据登记处提取受害者的年龄、性别、转诊月份、死因和受伤身体部位，并进行分析。
共评估了9113例患者，其中男性7163例（78.6%），女性1950例（21.4%）。其中，479例（5.3%）患者死亡。存活患者与死亡患者的年龄存在显著差异（分别为35.70±0.18岁和45.44±1.01岁，P<0.001）。此外，死亡男性的比例显著高于存活男性（分别为83.7%和78.3%，P=0.005）。转诊至本中心并死亡的男性和女性比例最高的月份均为9月。在转诊患者中，车祸导致的死亡人数最多（247例），其次是摩托车事故、刺伤和跌倒相关伤害，死亡病例分别为67例、36例和26例。胸部损伤在死亡患者中最为常见（占所有死亡病例的53.2%），其次是颅内损伤和四肢创伤，共占所有死亡病例的18.8%以上。
我们的数据表明，汽车和摩托车事故是创伤的最重要原因，胸部创伤在死亡患者中最为常见。应进行此类流行病学评估和预防措施，以提供有价值的数据。
