Trauma
Shirin Abbaszadeh; Neda Gilani; keyvan Amini; Homayoun Sadeghi-Bazargani
Volume 10, Issue 1 , January 2024, , Pages 47-55
Abstract
Objective: Elderly people live longer and are more active nowadays; however, their bodily conditions make them more susceptible to injuries. An appropriate prognostic tool tailored for the needs and conditions of the elderly who sustain injuries has not been well elaborated in trauma research. To fill ...
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Objective: Elderly people live longer and are more active nowadays; however, their bodily conditions make them more susceptible to injuries. An appropriate prognostic tool tailored for the needs and conditions of the elderly who sustain injuries has not been well elaborated in trauma research. To fill a gap in existing general models, this study has developed a modified model based on injury severity in order to predict trauma-related mortality in older people.Methods: Data belonging to 643 older patients aged 55 and above who were admitted due to trauma to Fatemi University Hospital in Ardabil between 2019 and 2022 were analyzed. A convenience sampling approach was used, where all eligible patients were included. The study used regression modeling to examine the association between predictor variables and death. A geriatric injury prognostic scale (GIPS) was constructed and evaluated for its efficacy in distinguishing mortality statuses using binary logistic regression. The adjusted odds ratios (ORs), area under the ROC curve (AUC), and Hosmer-Lemeshow test results were reported. The statistical analyses were conducted utilizing the STATA statistical software package, version 17.Results: The study enrolled 643 trauma patients aged between 55 and 95 years, 62.36% of whom were male. The mean pulse rate (PR) of the patients assessed in the emergency department was 81.7 (SD = 8.2), and 5% had Glasgow Coma Scale (GCS) scores below 13. The mean Injury Severity Score (ISS) for 636 patients was 8 (SD = 8.5), and the in-hospital case fatality proportion was 6.2%. A comprehensive multivariate model was developed using PR per minute, GCS, and ISS that effectively predicted 83.2% (P value < 0.001) of trauma-related mortality in the study population. The model’s area under the ROC curve was 0.995 for GIPS.Conclusion: The GIPS accurately predicts death probability in the older population, aiding in decision-making for appropriate treatment approaches in the geriatric-specific population.
Trauma
Mahnaz Yadollahi; sarina sahmeddini
Volume 7, Issue 2 , July 2021, , Pages 118-122
Abstract
Objective: The purpose of the current study is to determine the prevalence and pattern of maxillofacial trauma.Methods: This is a cross sectional study of maxillofacial trauma cases treated in the referral trauma center of south of Iran. Data of 264 patients were extracted from patients’ records ...
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Objective: The purpose of the current study is to determine the prevalence and pattern of maxillofacial trauma.Methods: This is a cross sectional study of maxillofacial trauma cases treated in the referral trauma center of south of Iran. Data of 264 patients were extracted from patients’ records and analyzed. Data included patient’s demographics, injury mechanism, types of maxillofacial injuries, Injury Severity Score (ISS), associated injuries, length of hospital stay and outcome. Binary logistic regression by backward method was applied to determine the effects of independent variables on mortality odds ratio.Results: 85.23% of patients were males and of all patients 87.5% survived. The mean of age was 34.95 ± 16.51. The commonest cause of maxillofacial injury was road traffic accidents (86.31%). The median of ISS was 20.39± 10.24 and patients aged 30-39 years had the highest ISS. Overall, the most common maxillofacial injuries were orbital (59.47%, n=157) followed by maxillary (48.11%, n=127); common associated injuries were related to head (81.44%, n=215) followed by thorax (58.33%, n=154). Age and gender (being male) increased the odds ratio of mortality. An increase in ISS decreased the odds ratio of mortality, but it was not significant.Conclusion: Most of maxillofacial trauma patients suffered from orbital injuries and there were a huge percentage of associated injuries. Gender (male), age and length of hospital stay were the significant variables of mortality in maxillofacial patients. The findings of the current study sheds light on further investigation to treat these patients and enforce road traffic legislation and public education to prevent these traumas.