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Abstract
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AIMS: By better understanding of trauma epidemiology and its confounding factors, appropriate strategies and programs including using preventive measures and organizing the delivery of services can be adjusted and quality of care related to trauma can be improved. The aim of this study was to determine trauma epidemiology and its associated factors in Guilan.
METHODS: in a cross-sectional study, 577 patients with traumatic damage who were transferred by pre hospital emergency to Out Patient and Emergency Department (OPD & ED) of Poursina medical-educational center in Rasht were chosen by convenient sampling and by using a researcher-made record form in three shifts (morning, evening and night) in 2013. Data analysis was done by t-tests, one-way ANOVA and Chi-square.
RESULTS: The majority of samples (82.7%) suffered from traumatic damages due to car accidents and disturbance of this trauma in men was 3.5 times higher than women. The mean age of the people was 35.17 years old and the maximum age group was 20-29 years. (67.6%) were the blunt trauma. The main road was the place where trauma was mostly occurred in them (71.8%) and most accidents happened out of the cities (89.9%). Majority of crash cars were light vehicles (48.5%).Revised of trauma score (RTS) in majority of samples (76.6%) was12. (29.8%) and (28.1%) were respectively drivers and passengers. The maximum amount of the accident was at 5 p.m. There was significant relationship between mechanism of trauma and age (p<0.02), RTS (p<0.008), trauma's place (p<0.01) and position of victims at the scene (p<0.00). Also there was significant relationship between type of trauma and age (p<0.02), sex (p<0.00), RTS (p<0.00), trauma's place (p<0.006) and the position of the victims at the scene (p<0.01).
CONCLUSION: Traumatic damages can be reduced by recognizing trauma associated factors, improving road traffic, public education for paying more attention to traffic rules and other procedures for preventing injuries.
Language: en |