Shams Vahdati Samad, GhafarZad Amir, Rahmani Farzad, Panahi Farid, Omrani Rad Amir
Departments of Emergency Medicine, Imam Reza Teaching Hospital, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Research Development and Coordination Center (RDCC), Trauma Research Center, Neurosciences Research Center (NSRC), Tabriz University of Medical Sciences, Tabriz, Iran.
Bull Emerg Trauma. 2014 Apr;2(2):82-5.
To determine the patterns,complications and casualties of road traffic accidents in North West of Iran during 2013 New Year holidays.
One hundred and eighty one patients with trauma-related vehicle crashes were investigated in a cross sectional-descriptive study. We only included those road traffic accidents which were recorded during the 2013 Iranian New Year holidays. Severity of injury based on Glasgow Coma Scale (GCS) score, patient transmission type, damaged organ and the final diagnosis was determined. The mortality rate as well as complications were also recorded and reported. The pattern was analyzed and presented using descriptive statistics.
Overall we included 181 patients who were victims of road traffic accidents during the study period. Most cases of multiple traumas were from two car accident (49.2%). Of 181 cases, 71 (39.2%), 66 (36.5%), 16 (8.8%) and 11 (6.1%) subjects had limb, head and neck, abdominal, and spinal cord injuries respectively, while 16 cases (8.8%) did not have any organ damage. In final diagnosis, a limb fracture was noticed in 32 cases (17.7%) and skull fractures in 5 subjects (2.8%) as the first and second causes.
As head and neck were the most damaged organs after the limbs in patients with multiple traumas, it seems that there is a necessity for these patients in transmission and examination of head traumas. So there is a need for a proper referral system.
确定2013年伊朗新年假期期间伊朗西北部道路交通事故的模式、并发症及伤亡情况。
在一项横断面描述性研究中,对181例与创伤相关的车辆碰撞患者进行了调查。我们仅纳入了2013年伊朗新年假期期间记录的那些道路交通事故。根据格拉斯哥昏迷量表(GCS)评分、患者转运类型、受损器官及最终诊断确定损伤严重程度。还记录并报告了死亡率及并发症情况。使用描述性统计分析并呈现事故模式。
在研究期间,我们共纳入了181例道路交通事故受害者。多数多发伤病例来自两车相撞事故(49.2%)。在181例病例中,分别有71例(39.2%)、66例(36.5%)、16例(8.8%)和11例(6.1%)的受试者有四肢、头颈部、腹部及脊髓损伤,而16例(8.8%)没有任何器官损伤。在最终诊断中,32例(17.7%)为四肢骨折,5例(2.8%)为颅骨骨折,分别为首要和次要病因。
在多发伤患者中,头颈部是继四肢之后受损最严重的器官,因此对于这些患者在转运和检查头部创伤方面似乎有必要加以重视。所以需要一个合适的转诊系统。