Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Dec 26;22(1):210.
doi: 10.1186/s12873-022-00756-9.

Epidemiological pattern of trauma patients based on the mechanisms of trauma: trends of a regional trauma center in Midwest of Iran

Ghodratollah Roshanaei  1 , Sahar Khoshravesh  2 , Sajjad Abdolmaleki  3 , Tayebeh Bathaei  4 , Mahnaz Farzian  5 , Mohammadreza Saatian  6   7
Affiliations

Epidemiological pattern of trauma patients based on the mechanisms of trauma: trends of a regional trauma center in Midwest of Iran

Ghodratollah Roshanaei et al. BMC Emerg Med. .

Abstract

Introduction: Trauma is one of the important issues in public health because it is responsible for 90% of mortality in Low and Middle-Income Countries (LIMCs). The present study aimed to determine the epidemiological pattern of trauma patients in a regional trauma center in the Midwest of Iran from 2014 to 2020.

Methods: This study was a retrospective study that was performed on 29,804 trauma patients admitted to Be'sat Hospital in Hamadan from January 2014 to December 2020. Data was collected using Health Information Management (HIM) Center of the Be'sat Hospital. For investigating the relationship of the characteristics of trauma patients and the mechanisms of trauma, Multiple Multinomial Logistic Regression (MMNLR) model was used. All statistical analyses were performed using the IBM SPSS Statistics version 24.

Results: The mean age of all patients was 35.4 (SD = 21.9) years. Most of them were men (71.7%). The most common mechanism of trauma was road traffic accidents (RTAs) (39.6%) followed by falls (30.2%), other (19.7%), violence (6.2%), and burn (4.4%). 1.5% of the trauma patients expired. The results of multiple multinomial logistic regression indicated that significant affected factor on odds referring because of RTAs compared to other mechanism were: season and hospital length of stay (LOS); in falls and violence: age, sex, season, and LOS; and in burn: age, sex, season, evening time, and LOS (p < 0.05).

Conclusion: Based on the investigation of 29,804 trauma patients, in Iran as a developing country, RTAs and falls were two common mechanisms of trauma. It seems that as a short-term plan, it is possible to focus on road safety, to improve the quality of vehicles, to hold training courses for drivers. Also, as a long-term goal, considering that the elderly population in Iran is increasing, it is necessary to pay attention to fall reduction programs.

Keywords: Epidemiological pattern; Iran; Multinomial Logistic Regression; Trauma.

PubMed Disclaimer

Conflict of interest statement

The author declares that they have no competing interests.

Figures

Fig. 1
Fig. 1
Mechanism of trauma in trauma patients
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Osifo OD, Iribhogbe PE, Ugiagbe EE. Epidemiology and pattern of paediatric and adolescent trauma deaths in a level 1 trauma centre in Benin City, Nigeria. Injury. 2012;43(11):1861–1864. doi: 10.1016/j.injury.2011.07.016. - DOI - PubMed
    1. Yadollahi M. A study of mortality risk factors among trauma referrals to trauma center, Shiraz, Iran, 2017. Chin J Traumatol= Zhonghua chuang shang za zhi. 2019;22(4):212–218. - PMC - PubMed
    1. Søreide K. Epidemiology of major trauma. Br J Surg. 2009;96(7):697–698. doi: 10.1002/bjs.6643. - DOI - PubMed
    1. Norman R, Matzopoulos R, Groenewald P, Bradshaw D. The high burden of injuries in South Africa. Bull World Health Organ. 2007;85(9):695–702. doi: 10.2471/BLT.06.037184. - DOI - PMC - PubMed
    1. Peden M, McGee K, Sharma G. The injury chart book: a graphical overview of the global burden of injuries. Geneva: World Health Organization; 2005.

Publication types