Karbakhshe M, Zargar M, Ershadi Z, Khaji A,
Volume 64, Issue 7 (9 2006)
Abstract
Background: We aimed to demonstrate the mechanism of fracture and functional outcome of patients with hip injury in our clinical setting.
Methods: In a historical cohort, all women 50 years of age and older admitted to three university hospitals of Tehran University of Medical Sciences (Shariati, Imam Khomeini and Sina) with the diagnosis of hip fracture from 21 March 2003 to 21 March 2004 were included in this study (n=115). Follow up was conducted via telephone post and even home visit to record the functional status of the patients at the time of study (5 Jan 2005) measured with Barthel index in addition to the exact mechanism of injuries.
Results: The mean and standard deviation of age were 76.3 ± 10.6 years. About 88.7% of injuries had occurred at home (65.2% on the carpet), the remaining happening in the streets. Mean length of hospitalization was 11 ± 7.9 days. Among our patients, 71% could mobilize spontaneously without aids before injuries. This had reduced to 20% at the time of follow-up. The mean Barthel index was 97.2 ± 8.2 before fracture and 75 ± 21.1 at the present. Among our patients, five cases died during hospitalization and 29 of them died afterwards (total: 34 or 29.6%).
Conclusion: The most common external cause of injuries in our cases was stumbling at home especially on carpeted surfaces. This necessitates preventive measures aimed at physical standards of houses and education of elderly on healthy locomotion, indoors.
Salimi J, Nassaji Zavareh M, Khaji A,
Volume 65, Issue 14 (Vol 65, Supplement 2 2008)
Abstract
Background: Trauma is the most common cause of mortality in the first four decades of
life. In our country, cardiovascular diseases and trauma are leading causes of mortality,
respectively. By gathering information on trauma mortalities, we can learn more about
causes, and that knowledge can lead to prevention.
Methods: This is a prospective descriptive study in Tehran during 12 months period (Sep
1999- Sep 2000). Two hundred and forty five trauma deaths in six hospitals were evaluated.
The data was collected through a questionnaire, designed in Sina Trauma and Surgery
Research Center (STSRC) used for the study. The questionnaires were completed by trained
physicians visiting trauma patients in emergency room and wards round the clock. Data
obtained included patient demographics, level of prehospital care, medical and operative
procedures performed in emergency rooms (ER) and wards (according to ICD-10 coding),
Glasgow Coma Scale (GCS) and vital signs at time of presentation to emergency rooms,
Injury Severity Score (ISS), length of hospital stay and outcome of patients.
Results: Twenty and forty five (3%) of 8000 trauma patients was died. Mean age was 40.7
(±23.5) years old and 208 (84.9%) patients were male. The highest mortality rate was seen in
the age group of 25 to 30 years. Road Traffic Accident was the main cause of death
followed by falling with 174(71%) and 41(16.85), respectively. Among victims of road
traffic accident, pedestrians and motorcyclists were prominent with 119 and 28 cases
respectively. The majority of cases were dead due to head injuries (69%) and abdominal
trauma was the second cause with 19 (7.8%) cases.
Conclusions: Based on our findings the mechanism of injury have the positive effect on
trauma outcome .Traffic accidents and assault is preventable and must be attended.
