Document Type: Original Article


1 Research Center for Health Services Management, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran

2 Physiology Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran

3 Medical Education Department, Education Development Center, Isfahan University of Medical Sciences, Isfahan, Iran

4 Department of Pediatrics, Medical School, Kerman University of Medical Sciences, Kerman, Iran

5 Department of English Language, Faculty of Foreign Languages, Kerman Institute of Higher Education, Kerman, Iran

6 Shafa Clinical Research Committee, Kerman University of Medical Sciences, Kerman, Iran


Objective: Trauma is one of the main causes of losing effective life among the populations. Knowing the pattern of trauma in each country can be considered as the first step in planning preventive programs to reduce trauma injuries. This study was conducted to evaluate the epidemiological status of trauma in Shahid Bahonar hospital in Kerman.
Methods: This retrospective, descriptive cross-sectional study was conducted in 2014. The study population consisted of all traumatic patients who referred to Shahid Bahonar hospital. All patients entered the study based on census sampling. In order to collect data, the medical record of each patient was scrutinized and the demographic information, causes of trauma, and the anatomical location of trauma were extracted. All data were entered into the SPSS version 20 software. For data analysis, we used descriptive tests (frequency and mean) as well as analytical tests (chi-square).
Results: 7803 (76.8%) traumatic patients were male and 2358 (23.2%) were female. Of all causes of trauma, accidents had the most frequency among women and men at 1208 (23.9%) and 3846 (76.1%) correspondingly. Other causes of trauma in both groups were related to falling (1538), violence (1720), occupation (1181), sports (663), and self-harm (5). The age group of 15-24 with 2576 patients had the highest amount of trauma (25.4%). In terms of location, limbs and thorax had the highest and the lowest amount of injury at 4527 (44.6%) and 653 (6.4%) respectively. We could observe a significant relationship between the cause of trauma with sex and the age variables (P < 0.0001).
Conclusion: Males are more susceptible to traumatic problems than females regarding the nature of their jobs . Moreover, accidents are the main cause of trauma. Improving the quality of vehicles, roads safety, and establishing driver training courses to follow the rules are highly recommended.  


Main Subjects

1. LoCicero J, Mattox KL. Epidemiology of chest trauma. Surg Clin North Am 1898; 69(1): 15-9.

2. Farzandipour M, Ghattan H, Mazrouei L, Nejati M, Aghabagheri T. Epidemiological study of traumatic patients referred to Neghavi hospital of kashan. Journal of Kermanshah University of Medical Sciences 2007; 11(1): 58-68. [Persian].

3. Krug EG, Sharma GK, Lozano R. The global burden of injuries. Am J Public Health 2000; 90(4): 523-6.

4. Murray CJ, Lopez AD. Mortality by cause for eight regions of the world: global burden of disease study. Lancet. 1997; 349(9061):1269-76. doi: 10.1016/s0140-6736(96)07493-4.

5. Whitaker RH. Urological trauma. Ann Acad Med Singapore 1992; 21(2): 258-62.

6. Bledson EB, Roberts R, Shade RB. Brady paramedic emergency care. 2nd ed. USA: Boston; 1994.

7. Jennett B. Epidemiology of head injury. Arch Dis Child 1998; 78(5): 403-6. doi: 10.1136/adc.78.5.403.

8. Adebonojo SA. Management of chest trauma: a review. West Afr J Med 1993; 12(2): 122-32.

9. World Health Organization (WHO). Injury: Leading Cause of the Global of Disease. Geneva: WHO; 2010.

10. Mobaleghi J, Yaghoobi Notash A, Yaghoobi Notash A, Ahmadi Amoli H, Borna L, Yaghoobi Notash A. Evaluation of trauma patterns and their related factors in Besat Hospital in Sanandaj in 2012. SJKU 2014; 19(1): 99-107. [Persian].

11. Salimi J, Zareei MR. Trauma: an epidemiological study from a single institute in Ahvaz, Iran. Payesh 2008; 7(2): 115-120. [Persian].

12. Zargar M, Modaghegh MH, Rezaishiraz H. Urban injuries in Tehran: demography of trauma patients and evaluation of trauma care. Injury 2001; 32(8): 613-7.

13. Khatami SM, Kalantar Motamedi MH, Mohebbi HA, Tarighi P, Farzanegan GR, Rezai Y, et al. Epidemiology of trauma baqiatallah hospital: A one-Year Prospective study. Journal of Military Medicine 2003; 5(1): 13-9. [Persian].

14. Davoodabadi A, Yazdani A, Sayyah M, Mirzadeh Javaheri M. Trauma epidemiology and its consequences in victims referred to Kashan Trauma Center in 2008. Feyz 2009; 14(5): 501-5. [Persian].

15. Davis JW, Bennink L, Kaups KL, Parks SN. Motor vehicle restraints: primary versus secondary enforcement and ethnicity. J Trauma 2002; 52(2): 225-8. doi: 10.1097/00005373-200202000-00004.

16. Yousef Zade Chabok SH, Safayi M, Hemati H, Mohammadi H, Ahmadi Dafchahi M, Koochaki Nezhad L, et al. Epidemiology of head injury in patients who were reffered to Poorsina hospital. Journal of Guilan University of Medical Sciences 2008; 16 (64): 112-9. [Persian].

17. Zandi M, Khayati A, Lamei A, Zarei H. Maxillofacial injuries in western Iran: a prospective study. Oral Maxillofac Surg 2011; 15(4): 201-9. doi: 10.1007/s10006-011-0277-6.

18. Rasouli MR, Moini M, Khaji A, Heidari P, Anvari A. Traumatic vascular injuries of the lower extremity: report of the Iranian National Trauma Project. Ulus Travma Acil Cerrahi Derg 2010; 16(4): 308-12.

19. Soroush AR, Ghahri-Saremi S, Rambod M, Malek-Hosseini SA, Nick-Eghbal S, Khaji A. Pattern of injury in Shiraz. Chin J Traumatol 2008; 11(1): 8-12. doi: 10.1016/S1008-1275(08)60002-4.

20. Salimi J, Nikoobakht MR, Khaji A. Epidemiology of urogenital trauma in Iran: results of the Iranian National Trauma Project. Urol J 2006; 3(3): 171-4.

21. Kleppel JB, Lincoln AE, Winston FK. Assessing head-injury survivors of motor vehicle crashes at discharge from trauma care. Am J Phys Med Rehabil 2002; 81(2): 114-22. doi: 10.1097/00002060-200202000-00007.

22. Bruch JM, Franciose RJ, Moore E. Trauma. In: Brunicardi FC, Andersen DK, Billiar TR, Dunn DL, Hunter JG, Pollock RE, eds. Schwartz’s Principles of Surgery. 8th ed. New York: McGrawHill; 2005.

23. Memarzadeh M, Hoseinpour M, Sanjary N, Karimi Z. A study on trauma epidemiology in children referred to Isfahan Alzahra Hospital during 2004-7. Feyz, Journal of Kashan University of Medical Sciences 2011; 14(5):488-93. [In Persian]