Epidemiology of Traumatic Orthopedic Injuries: A Cross-Sectional Survey from Northern Tehran, Iran
-
Farsad Biglari
,
Mehrdad Sadighi
,
Seyyed Saeed Khabiri
,
Meisam Jafari Kafiabadi
,
Amir Sabaghzadeh
,
Azadeh Hakakzadeh
,
Pedram Khalighinejad
,
Amir Human Hoveidaei
,
Adel Ebrahimpour
Abstract
Background: Trauma is a leading cause of death and morbidity in developing countries. Previous research has revealed that epidemiological features of fractures may change from one study to the next. National Trauma Registry of Iran (NTRI) was launched in 2015, but it did not include any centers in northern Tehran, Iran. This study aimed to evaluate the epidemiology of fractures in the only Level 1 Trauma Center in that area.
Methods: This retrospective cross-sectional study was performed on all patients with the primary diagnosis of orthopedic injury, from July to October 2019, who referred to the emergency department of Shohada Tajrish Hospital, Tehran. The patients’ files and operation notes were reviewed for demographics, medical history, physical examination, referral time, mechanism of injury, hospital stay, level of education, and intensive care unit (ICU) hospitalization.
Results: 398 patients with orthopedic trauma were referred to the hospital with a mean age of 40.85 ± 21.03 years. 317 patients (79.65%) were men. The peak referral time was between 12 AM and 12 PM. A road traffic accident was the main cause of orthopedic trauma (39.4%). The mean days of hospital stay were 6.29 ± 5.36 days. The waiting time for surgery and days of hospital stay were related to the fracture site (high in lower extremity fractures) and older age.
Conclusion: Trauma in northern Tehran is primarily caused by motor vehicle accidents and falls, respectively. Patients with older age and lower extremity fractures need more time of hospitalization.
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22. Farr JN, Melton LJ 3rd, Achenbach SJ, Atkinson EJ, Khosla S, Amin S. Fracture incidence and characteristics in young adults
aged 18 to 49 years: A population-based study. J Bone Miner Res. 2017;32(12):2347-54. doi: 10.1002/jbmr.3228. [PubMed: 28972667]. [PubMed Central: PMC5732068].
23. Khatami SM, Kalantar Motamedi MH, Mohebbi HA, Tarighi P, Farzanegan G, Rezai Y, et al. Epidemiology of trauma Baqiatallah Hospital: A one-year prospective study. J Mil Med. 2003;5(1):13-9. [In Persian].
24. Kashkooe A, Yadollahi M, Pazhuheian F. What factors affect length of hospital stay among trauma patients? A single- center study, Southwestern Iran. Chin J Traumatol. 2020;23(3):176-80. doi: 10.1016/j.cjtee.2020.01.002. [PubMed: 32171653]. [PubMed Central: PMC7296356].
25. Siegmeth AW, Gurusamy K, Parker MJ. Delay to surgery prolongs hospital stay in patients with fractures of the proximal femur. J Bone Joint Surg Br. 2005;87(8):1123-6. doi: 10.1302/0301-620X.87B8.16357. [PubMed: 16049251].
2. de ML, Polinder S, Lansink KW, Cnossen MC, Steyerberg EW, de Jongh MA. Mortality prediction models in the general trauma population: A systematic review. Injury. 2017;48(2):221-9. doi: 10.1016/j.injury.2016.12.009. [PubMed: 28011072].
3. O'Reilly GM, Joshipura M, Cameron PA, Gruen R. Trauma registries in developing countries: A review of the published experience. Injury. 2013;44(6):713-21. doi: 10.1016/j.injury.2013.02.003. [PubMed: 23473265].
4. Kostuj T, Kladny B, Hoffmann R. Registries of the German Society for Orthopaedics and Trauma: Overview and perspectives of the DGU and DGOOC registries. Unfallchirurg. 2016;119(6):463-8. doi: 10.1007/s00113-016-0169-1. [PubMed: 27174132]. [In German].
5. Khaleghi-Nekou M, Moradi A, Zafarghandi M, Fayaz-Bakhsh A, Saeednejad M, Rahimi-Movaghar V, et al. Epidemiology of fatal injuries among patients admitted at Sina Hospital, the National Trauma Registry of Iran, 2016-2019. Front Emerg Med. 2020;5(1):e9.
6. Sharif-Alhoseini M, Zafarghandi M, Rahimi-Movaghar V, Heidari Z, Naghdi K, Bahrami S, et al. National Trauma Registry of Iran: A pilot phase at a major trauma center in Tehran. Arch Iran Med. 2019;22(6):286-92. [PubMed: 31356094].
7. Saeednejad M, Zafarghandi M, Khalili N, Baigi V, Khormali M, Ghodsi Z, et al. Evaluating mechanism and severity of injuries among trauma patients admitted to Sina Hospital, the National Trauma Registry of Iran. Chin J Traumatol. 2021;24(3):153-8. doi: 10.1016/j.cjtee.2021.01.009. [PubMed: 33640244]. [PubMed Central: PMC8173574].
8. Vosoughi AR, Borazjani R, Ghasemi N, Fathi S, Mashhadiagha A, Hoveidaei AH. Different types and epidemiological patterns of calcaneal fractures based on reviewing CT images of 957 fractures. Foot Ankle Surg. 2022;28(1):88-92. doi: 10.1016/j.fas.2021.02.002. [PubMed: 33563519].
9. Vosoughi AR, Fereidooni R, Shirzadi S, Zomorodian SA, Hoveidaei AH. Different patterns and characteristics of Talar injuries at two main orthopedic trauma centers in Shiraz, south of Iran. BMC Musculoskelet Disord. 2021;22(1):609. doi: 10.1186/s12891-021-04486-0. [PubMed: 34229641]. [PubMed Central: PMC8261937].
10. Mathew G, Hanson BP. Global burden of trauma: Need for effective fracture therapies. Indian J Orthop. 2009;43(2):111-6. doi: 10.4103/0019-5413.50843. [PubMed: 19838358]. [PubMed Central: PMC2762254].
11. Ekegren CL, Beck B, Simpson PM, Gabbe BJ. Ten-year incidence of sport and recreation injuries resulting in major trauma or death in Victoria, Australia, 2005-2015. Orthop J Sports Med. 2018;6(3):2325967118757502. doi: 10.1177/2325967118757502. [PubMed: 29531961]. [PubMed Central: PMC5843106].
12. Bolandparvaz S, Yadollahi M, Abbasi HR, Anvar M. Injury patterns among various age and gender groups of trauma patients in southern Iran: A cross-sectional study. Medicine (Baltimore). 2017;96(41):e7812. doi: 10.1097/MD.0000000000007812. [PubMed: 29019874]. [PubMed Central: PMC5662297].
13. Bakhtiyari M, Delpisheh A, Riahi SM, Latifi A, Zayeri F, Salehi M, et al. Epidemiology of occupational accidents among Iranian insured workers. Saf Sci. 2012;50(7):1480-4. doi: 10.1016/j.ssci.2012.01.015.
14. Shafiei H, Abotalebi M, Fallah Y, Siavashi B, Golbakhsh M. Impact of coronavirus disease-2019 on orthopedic and trauma cases at Sina Hospital, Tehran, Iran: An Experience from a Tertiary Trauma Center. J Orthop Spine Trauma. 2021;6(2):26-7. doi: 10.18502/jost.v6i2.4782.
15. Caruso CC. Negative impacts of shiftwork and long work hours. Rehabil Nurs. 2014;39(1):16-25. doi: 10.1002/rnj.107. [PubMed: 23780784]. [PubMed Central: PMC4629843].
16. Stimpfel AW, Sloane DM, Aiken LH. The longer the shifts for hospital nurses, the higher the levels of burnout and patient dissatisfaction. Health Aff (Millwood). 2012;31(11):2501-9. doi: 10.1377/hlthaff.2011.1377. [PubMed: 23129681]. [PubMed Central: PMC3608421].
17. World Health Organization. Global status report on road safety 2015. Geneva, Switzerlands: WHO; 2015. 2022.
18. Kehoe A, Smith JE, Edwards A, Yates D, Lecky F. The changing face of major trauma in the UK. Emerg Med J. 2015;32(12):911-5. doi: 10.1136/emermed-2015-205265. [PubMed: 26598629]. [PubMed Central: PMC4717354].
19. Gasca LGD, Villaseñor SLO. Frequency and types of fractures classified by the AO system at Hospital General de León for one year. Acta Méd Grupo Ángeles. 2017;15(4):275-86.
20. Bikbov MM, Fayzrakhmanov RR, Kazakbaeva GM, Zainullin RM, Salavatova VF, Gilmanshin TR, et al. Frequency and associated factors of bone fractures in Russians: The ural eye and medical study. Sci Rep. 2018;8(1):7483. doi: 10.1038/s41598-018-25928-1. [PubMed: 29749378]. [PubMed Central: PMC5945615].
21. Amin S, Achenbach SJ, Atkinson EJ, Khosla S, Melton LJ 3rd. Trends in fracture incidence: A population-based study over 20 years. J Bone Miner Res. 2014;29(3):581-9. doi: 10.1002/jbmr.2072. [PubMed: 23959594]. [PubMed Central: PMC3929546].
22. Farr JN, Melton LJ 3rd, Achenbach SJ, Atkinson EJ, Khosla S, Amin S. Fracture incidence and characteristics in young adults
aged 18 to 49 years: A population-based study. J Bone Miner Res. 2017;32(12):2347-54. doi: 10.1002/jbmr.3228. [PubMed: 28972667]. [PubMed Central: PMC5732068].
23. Khatami SM, Kalantar Motamedi MH, Mohebbi HA, Tarighi P, Farzanegan G, Rezai Y, et al. Epidemiology of trauma Baqiatallah Hospital: A one-year prospective study. J Mil Med. 2003;5(1):13-9. [In Persian].
24. Kashkooe A, Yadollahi M, Pazhuheian F. What factors affect length of hospital stay among trauma patients? A single- center study, Southwestern Iran. Chin J Traumatol. 2020;23(3):176-80. doi: 10.1016/j.cjtee.2020.01.002. [PubMed: 32171653]. [PubMed Central: PMC7296356].
25. Siegmeth AW, Gurusamy K, Parker MJ. Delay to surgery prolongs hospital stay in patients with fractures of the proximal femur. J Bone Joint Surg Br. 2005;87(8):1123-6. doi: 10.1302/0301-620X.87B8.16357. [PubMed: 16049251].
| Files | ||
| Issue | Vol 8, No 3 (2022) | |
| Section | Research Articles | |
| DOI | https://doi.org/10.18502/jost.v8i3.9908 | |
| Keywords | ||
| Accidents Epidemiology Fractures Wounds and Injuries | ||
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How to Cite
1.
Biglari F, Sadighi M, Khabiri SS, Jafari Kafiabadi M, Sabaghzadeh A, Hakakzadeh A, Khalighinejad P, Hoveidaei AH, Ebrahimpour A. Epidemiology of Traumatic Orthopedic Injuries: A Cross-Sectional Survey from Northern Tehran, Iran. J Orthop Spine Trauma. 2022;8(3):90-4.
