Injury patterns among various age and gender groups of trauma patients in southern Iran A cross-sectional study
Injury patterns among various age and gender groups of trauma patients in southern Iran A cross-sectional study
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DOI：
10.1097/md.0000000000007812
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发表时间：
2017-10-01
期刊：
影响因子：
1.6
通讯作者：
Anvar, Mehrdad
中科院分区：
文献类型：
--
作者：
Bolandparvaz, Shahram;Yadollahi, Mahnaz;Anvar, Mehrdad
创伤转诊中心的行政数据是研究伤害流行病学方面的有用来源。本研究旨在提供一个基于医院的设拉子伤害的观点，考虑受害者的年龄和性别，使用创伤研究中心的管理数据。从3个医院管理数据库中检索信息。记录了人口统计学、损伤机制、受伤部位和损伤描述、住院结局和院内感染的发生等数据。损伤严重度评分（ISS）通过从ICD-10（国际疾病分类）损伤诊断代码到AIS-98（简明损伤量表）严重度代码的交叉行走计算。根据年龄组和性别差异对患者进行比较。共研究了47，295例中位年龄为30岁（四分位数范围：24-44岁）的创伤患者，其中73.1%为男性，其余26.9%为女性（M/F = 2.7：1.0）。男性组中最常见的损伤机制是汽车和摩托车事故，而女性则主要是福尔斯和行人事故（P < .01）。随着年龄的增长，发生了从运输相关的意外伤害的转变。总的来说，年轻男性头部受伤最严重，而老年女性四肢受伤更严重。男性和女性之间的损伤严重程度相似;然而，老年人的ISS显著更高。虽然医院感染的发生率与受害者的年龄和性别无关，但老年男性的死亡率明显更高。根据我们创伤中心的管理数据，男性性别和年龄> 65岁与创伤后损伤发生率、住院时间延长和院内死亡的风险增加相关。区域创伤监测系统的发展可能为研究伤害和评估预防措施提供进一步的机会。
Administrative data from trauma referral centers are useful sources while studying epidemiologic aspects of injuries. We aimed to provide a hospital-based view of injuries in Shiraz considering victims' age and gender, using administrative data from trauma research center.A cross-sectional registry-based study of adult trauma patients (age = 15 years) sustaining injury through traffic accidents, violence, and unintentional incidents was conducted. Information was retrieved from 3 hospital administrative databases. Data on demographics, injury mechanisms, injured body regions, and injury descriptions; outcomes of hospitalization; and development of nosocomial infections were recorded. Injury Severity Score (ISS) was calculated by crosswalking from ICD-10 (International Classification of Diseases) injury diagnosis codes to AIS-98 (Abbreviated Injury Scale) severity codes. Patients were compared based on age groups and gender differences.A total of 47,295 trauma patients with a median age of 30 (interquartile range: 24-44 years) were studied, of whom 73.1% were male and the remaining 26.9% were female (M/F = 2.7: 1.0). The most common injury mechanisms in the male group were car and motorcycle accidents whereas females were mostly victims of falls and pedestrian accidents (P < .01). As age increased, a shift from transportation-related to unintentionally caused injuries occurred. Overall, young men had their most severe injuries on head, whereas elderly women suffered more severe extremity injuries. Injury severity was similar between men and women; however, elderly had a significantly higher ISS. Although incidence of nosocomial infections was independent of victims' age and gender, elderly men had a significantly higher mortality rate.Based on administrative data from our trauma center, male gender and age > 65 years are associated with increased risk of injury incidence, prolonged hospitalizations, and in-hospital death following trauma. Development of a regional trauma surveillance system may provide further opportunities for studying injuries and evaluating preventive actions.