Archives of Trauma Research Archives of Trauma Research Arch Trauma Res http://www.archtrauma.com 2251-953X 2251-9599 10.5812/atr. en jalali 2018 1 22 gregorian 2018 1 22 4 1
en 10.5812/atr.24732 The Transforming Face of Fracture Epidemiology: Our Concern The Transforming Face of Fracture Epidemiology: Our Concern letter letter Face;Epidemiology;Bone Face;Epidemiology;Bone http://www.archtrauma.com/index.php?page=article&article_id=24732 Hayat Ahmad Khan Hayat Ahmad Khan Department of Orthopaedics, Bone and Joints Hospital, Srinagar, India; Department of Orthopaedics, Bone and Joints Hospital, Srinagar, India. Tel: +91-9906672626, Fax: +91-1942423389 Department of Orthopaedics, Bone and Joints Hospital, Srinagar, India; Department of Orthopaedics, Bone and Joints Hospital, Srinagar, India. Tel: +91-9906672626, Fax: +91-1942423389
en 10.5812/atr.22831 Incidence of Neonatal Birth Injuries and Related Factors in Kashan, Iran Incidence of Neonatal Birth Injuries and Related Factors in Kashan, Iran research-article research-article Conclusions

Overall, incidence of birth trauma in Kashan City was lower in comparison with most studies. Considering existing risk factors, further monitoring on labor, and delivery management in teaching hospitals are recommended to prevent birth injuries. In addition, careful supervision on students and residents' training should be applied in teaching hospitals.

Patients and Methods

In this cross-sectional study, all live-born neonates in the hospitals of Kashan City were assessed prospectively by a checklist included demographic variables (maternal age, weight, and nationality), reproductive and labor variables (prenatal care, parity, gestational age, premature rupture of membrane (PROM), fetal heart rate (FHR) pattern, duration of PROM, induction of labor, fundal pressure, shoulder dystocia, fetal presentation, duration of second stage, type of delivery, and delivery attendance), and neonatal variables (sex, birth weight, height, head circumference, Apgar score, and neonatal trauma). Birth trauma was diagnosed based on pediatrician or resident examination and in some cases confirmed by paraclinic methods. Statistical analyses were performed by chi-square, student’s t-test, and multiple logistic regression analyses using SPSS version 17. P ≤ 0.05 was considered statistically significant.

Results

In this study, the incidence of birth trauma was 2.2%. Incidence of trauma was 3.6% in vaginal deliveries and 1.2% in cesarean sections (P < 0.0001). The most common trauma was cephalohematoma (57.2%) and then asphyxia (16.8%). In multiple logistic regression analyses, decreased fetal heart rate (FHR), fundal pressure, shoulder dystocia, vaginal delivery, male sex, neonatal weight, delivery by resident, induction of labor, and delivery in a teaching hospital were predictors of birth trauma.

Background

Birth injuries are defined as the impairment of neonatal body function due to adverse events that occur at birth and can be avoidable or inevitable. Despite exact prenatal care, birth trauma usually occurs, particularly in long and difficult labor or fetal malpresentations.

Objectives

This study aimed to investigate the incidence of birth injuries and their related factors in Kashan, Iran, during 2012-2013.

Conclusions

Overall, incidence of birth trauma in Kashan City was lower in comparison with most studies. Considering existing risk factors, further monitoring on labor, and delivery management in teaching hospitals are recommended to prevent birth injuries. In addition, careful supervision on students and residents' training should be applied in teaching hospitals.

Patients and Methods

In this cross-sectional study, all live-born neonates in the hospitals of Kashan City were assessed prospectively by a checklist included demographic variables (maternal age, weight, and nationality), reproductive and labor variables (prenatal care, parity, gestational age, premature rupture of membrane (PROM), fetal heart rate (FHR) pattern, duration of PROM, induction of labor, fundal pressure, shoulder dystocia, fetal presentation, duration of second stage, type of delivery, and delivery attendance), and neonatal variables (sex, birth weight, height, head circumference, Apgar score, and neonatal trauma). Birth trauma was diagnosed based on pediatrician or resident examination and in some cases confirmed by paraclinic methods. Statistical analyses were performed by chi-square, student’s t-test, and multiple logistic regression analyses using SPSS version 17. P ≤ 0.05 was considered statistically significant.

Results

In this study, the incidence of birth trauma was 2.2%. Incidence of trauma was 3.6% in vaginal deliveries and 1.2% in cesarean sections (P < 0.0001). The most common trauma was cephalohematoma (57.2%) and then asphyxia (16.8%). In multiple logistic regression analyses, decreased fetal heart rate (FHR), fundal pressure, shoulder dystocia, vaginal delivery, male sex, neonatal weight, delivery by resident, induction of labor, and delivery in a teaching hospital were predictors of birth trauma.

Background

Birth injuries are defined as the impairment of neonatal body function due to adverse events that occur at birth and can be avoidable or inevitable. Despite exact prenatal care, birth trauma usually occurs, particularly in long and difficult labor or fetal malpresentations.

Objectives

This study aimed to investigate the incidence of birth injuries and their related factors in Kashan, Iran, during 2012-2013.

Birth Injury;Incidence;Neonate;Risk Factors Birth Injury;Incidence;Neonate;Risk Factors http://www.archtrauma.com/index.php?page=article&article_id=22831 Masoumeh Abedzadeh-Kalahroudi Masoumeh Abedzadeh-Kalahroudi Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran Ahmad Talebian Ahmad Talebian Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran; Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran. Tel/Fax: +98-3155620634 Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran; Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran. Tel/Fax: +98-3155620634 Mohammad Jahangiri Mohammad Jahangiri Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran Elaheh Mesdaghinia Elaheh Mesdaghinia Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran Mahdi Mohammadzadeh Mahdi Mohammadzadeh Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran
en 10.5812/atr.22925 Fall-Related Injuries in Community-Dwelling Older Adults in Qom Province, Iran, 2010-2012 Fall-Related Injuries in Community-Dwelling Older Adults in Qom Province, Iran, 2010-2012 research-article research-article Objectives

The purpose of this study was to determine the types of fall-related injuries and the related risk factors in the elderly population of Qom province, Iran.

Patients and Methods

This retrospective study was performed on 424 elderly people (65 years and over) referred to Shahid Beheshti Hospital, Qom, Iran, due to falls between 2010 and 2012. The ICD-10 codes of external causes of injury from w00 to w19 related to falls were selected from the health information system of the hospital and demographic variables of the patients and external causes of falls were extracted after accessing the files of the patients. Data were analyzed using SPSS version 18 (SPSS Inc., USA). The duration of hospital stay and its relationship with underlying variables were investigated using t test and ANOVA. The level of significance was considered P < 0.05.

Results

Among 424 elderly people, 180 cases (42.45%) were male and the mean age of the patients was 78.65 ± 7.70 years. Fall on the same level from slipping, tripping, and stumbling was the most common external cause with 291 victims (68.60%), and hip fracture in 121 patients (29.00%), intertrochanteric fracture in 112 patients (26.90%), and traumatic brain injury in 51 patients (12.20%) were the most common causes of hospital stay. The mean hospital stay was 7.33 ± 3.63 days.

Conclusions

Lower limb fracture and traumatic brain injury were the most common causes of hospitalization, which resulted in the longest hospital stay and highest hospitalization costs in the elderly.

Background

Falls and related injuries are common health problems in the elderly. Fractures, brain and internal organ injuries and death are the common consequences of the falls, which result in dependence, decreased self-efficacy, fear of falling, depression, restricted daily activities, hospitalization and admission to the nursing home and impose costs on the individual and the society.

Objectives

The purpose of this study was to determine the types of fall-related injuries and the related risk factors in the elderly population of Qom province, Iran.

Patients and Methods

This retrospective study was performed on 424 elderly people (65 years and over) referred to Shahid Beheshti Hospital, Qom, Iran, due to falls between 2010 and 2012. The ICD-10 codes of external causes of injury from w00 to w19 related to falls were selected from the health information system of the hospital and demographic variables of the patients and external causes of falls were extracted after accessing the files of the patients. Data were analyzed using SPSS version 18 (SPSS Inc., USA). The duration of hospital stay and its relationship with underlying variables were investigated using t test and ANOVA. The level of significance was considered P < 0.05.

Results

Among 424 elderly people, 180 cases (42.45%) were male and the mean age of the patients was 78.65 ± 7.70 years. Fall on the same level from slipping, tripping, and stumbling was the most common external cause with 291 victims (68.60%), and hip fracture in 121 patients (29.00%), intertrochanteric fracture in 112 patients (26.90%), and traumatic brain injury in 51 patients (12.20%) were the most common causes of hospital stay. The mean hospital stay was 7.33 ± 3.63 days.

Conclusions

Lower limb fracture and traumatic brain injury were the most common causes of hospitalization, which resulted in the longest hospital stay and highest hospitalization costs in the elderly.

Background

Falls and related injuries are common health problems in the elderly. Fractures, brain and internal organ injuries and death are the common consequences of the falls, which result in dependence, decreased self-efficacy, fear of falling, depression, restricted daily activities, hospitalization and admission to the nursing home and impose costs on the individual and the society.

Elderly;Hospitalization;Injury;Length of Stay Elderly;Hospitalization;Injury;Length of Stay http://www.archtrauma.com/index.php?page=article&article_id=22925 Hamid Reza Gilasi Hamid Reza Gilasi Department of Epidemiology, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran Department of Epidemiology, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran Hamid Soori Hamid Soori Safety Promotion and Injury Prevention Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran; Safety Promotion and Injury Prevention Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran. Tel: +98-9133611401, Fax: +98-2122439980 Safety Promotion and Injury Prevention Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran; Safety Promotion and Injury Prevention Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran. Tel: +98-9133611401, Fax: +98-2122439980 Shahram Yazdani Shahram Yazdani Faculty of Medical Education, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran Faculty of Medical Education, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran Parisa Taheri Tenjani Parisa Taheri Tenjani Department of Internal Medicine, Ayatollah Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran Department of Internal Medicine, Ayatollah Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
en 10.5812/atr.22203 Seat Belt Usage in Injured Car Occupants: Injury Patterns, Severity and Outcome After Two Main Car Accident Mechanisms in Kashan, Iran, 2012 Seat Belt Usage in Injured Car Occupants: Injury Patterns, Severity and Outcome After Two Main Car Accident Mechanisms in Kashan, Iran, 2012 research-article research-article Conclusions

During car crashes, especially car rollover, unbelted occupants are more likely to sustain multiple severe injuries and death. Law enforcement of the seat belt usage for all occupants (front and rear seat) is obligatory to reduce severe injuries sustained as a result of car accidents, especially in vehicles with low safety.

Results

A total of 560 patients used seat belts (68.1%). The unbelted occupants were younger (28 years vs. 38 years) and had more frequently sustained head, abdomen and multiple injuries (P = 0.01, P = 0.01 and P = 0.009, respectively). Also, these patients had significantly lower GCS and elongated hospitalization and higher death rate (P = 0.001, P = 0.001 and P = 0.05, respectively). Tendency of severe head trauma and low RTS and death were increased in unbelted occupants in car rollover accident mechanisms (P = 0.001, P = 0.01 and P = 0.008, respectively).

Patients and Methods

This cross-sectional prospective study was performed on all car occupants injured in RTAs (n = 822) who were transported to hospital and hospitalized for more than 24 hours from March 2012 to March 2013. Demographic profile of the patients, including age, gender, position in the vehicle, the use of seat belts, type of car crashes, injured body regions, revised trauma score (RTS), Glasgow coma score (GCS), duration of hospital stay and mortality rate were analyzed by descriptive analysis, chi-square and independent t-test. P < 0.05 was considered significant.

Background

Road traffic accidents (RTAs) are the main public health problems in Iran. The seat belts, which are vehicle safety devices, are imperative to reduce the risk of severe injuries and mortality.

Objectives

The aim of the study was to evaluate injury patterns, severity and outcome among belted and unbelted car occupants who were injured in car accidents.

Conclusions

During car crashes, especially car rollover, unbelted occupants are more likely to sustain multiple severe injuries and death. Law enforcement of the seat belt usage for all occupants (front and rear seat) is obligatory to reduce severe injuries sustained as a result of car accidents, especially in vehicles with low safety.

Results

A total of 560 patients used seat belts (68.1%). The unbelted occupants were younger (28 years vs. 38 years) and had more frequently sustained head, abdomen and multiple injuries (P = 0.01, P = 0.01 and P = 0.009, respectively). Also, these patients had significantly lower GCS and elongated hospitalization and higher death rate (P = 0.001, P = 0.001 and P = 0.05, respectively). Tendency of severe head trauma and low RTS and death were increased in unbelted occupants in car rollover accident mechanisms (P = 0.001, P = 0.01 and P = 0.008, respectively).

Patients and Methods

This cross-sectional prospective study was performed on all car occupants injured in RTAs (n = 822) who were transported to hospital and hospitalized for more than 24 hours from March 2012 to March 2013. Demographic profile of the patients, including age, gender, position in the vehicle, the use of seat belts, type of car crashes, injured body regions, revised trauma score (RTS), Glasgow coma score (GCS), duration of hospital stay and mortality rate were analyzed by descriptive analysis, chi-square and independent t-test. P < 0.05 was considered significant.

Background

Road traffic accidents (RTAs) are the main public health problems in Iran. The seat belts, which are vehicle safety devices, are imperative to reduce the risk of severe injuries and mortality.

Objectives

The aim of the study was to evaluate injury patterns, severity and outcome among belted and unbelted car occupants who were injured in car accidents.

Seat Belts;Traffic Accident;Motor Vehicles;Accident Prevention Seat Belts;Traffic Accident;Motor Vehicles;Accident Prevention http://www.archtrauma.com/index.php?page=article&article_id=22203 Mahdi Mohammadzadeh Mahdi Mohammadzadeh Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran; Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran. Tel: +98-9132632168 Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran; Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran. Tel: +98-9132632168 Mohammad Paravar Mohammad Paravar Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran Azadeh Sadat Mirzadeh Azadeh Sadat Mirzadeh Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran Javad Mohammadzadeh Javad Mohammadzadeh Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran Soroush Mahdian Soroush Mahdian Dentistry School, Arak University of Medical Sciences, Arak, IR Iran Dentistry School, Arak University of Medical Sciences, Arak, IR Iran
en 10.5812/atr.20056 Functional Outcome of Distal Radius Fractures Managed by Barzullah Working Classification Functional Outcome of Distal Radius Fractures Managed by Barzullah Working Classification research-article research-article Conclusions

Various modalities of treatment used differentially in different types of DRFs based on the Barzullah Working Classification give good results in spite of conflicting literature.

Results

The mean age of the patients was 51.22 ± 20.58 years. Most of the patients were females (n=189, 64.19%). The minimal follow up was 6 months with a mean of 15.10 ± 5.4 months. Mean mayo wrist scores were 95 ± 4, 80 ± 7.4, 75 ± 7.4, and 70 ± 6.9, for stable metaphyseal fractures, unstable metaphyseal radial, stable radiocarpal fractures and unstable radiocarpal fractures, respectively. The overall mean mayo wrist functional score was 80.58 ± 12.3 (good results) at final follow up.

Background

Management of distal radius fractures (DRFs) is still controversial and may be influenced by the initial fracture classification. Even though numerous classification systems have been proposed in this regard, the evaluation and management of this fracture has remained problematic.

Objectives

The purpose of this study was to evaluate the functional outcome of DRF managed on the basis of a new classification. This classification named as Barzullah Working Classification represents a modification of Melone classification, which is based on fracture stability.

Patients and Methods

A total of 310 DRFs of patients skeletally matured referred to a tertiary care hospital at a period of 18 months were classified as per the new classification system into four types; metaphyseal stable, metaphyseal unstable, radiocarpal stable, and radiocarpal unstable fractures. They were managed and followed over a mean period of 15.10 ± 5.4 months, and the results were recorded at the final follow-up.

Conclusions

Various modalities of treatment used differentially in different types of DRFs based on the Barzullah Working Classification give good results in spite of conflicting literature.

Results

The mean age of the patients was 51.22 ± 20.58 years. Most of the patients were females (n=189, 64.19%). The minimal follow up was 6 months with a mean of 15.10 ± 5.4 months. Mean mayo wrist scores were 95 ± 4, 80 ± 7.4, 75 ± 7.4, and 70 ± 6.9, for stable metaphyseal fractures, unstable metaphyseal radial, stable radiocarpal fractures and unstable radiocarpal fractures, respectively. The overall mean mayo wrist functional score was 80.58 ± 12.3 (good results) at final follow up.

Background

Management of distal radius fractures (DRFs) is still controversial and may be influenced by the initial fracture classification. Even though numerous classification systems have been proposed in this regard, the evaluation and management of this fracture has remained problematic.

Objectives

The purpose of this study was to evaluate the functional outcome of DRF managed on the basis of a new classification. This classification named as Barzullah Working Classification represents a modification of Melone classification, which is based on fracture stability.

Patients and Methods

A total of 310 DRFs of patients skeletally matured referred to a tertiary care hospital at a period of 18 months were classified as per the new classification system into four types; metaphyseal stable, metaphyseal unstable, radiocarpal stable, and radiocarpal unstable fractures. They were managed and followed over a mean period of 15.10 ± 5.4 months, and the results were recorded at the final follow-up.

Osteoporotic Fractures;Classification;Fracture Osteoporotic Fractures;Classification;Fracture http://www.archtrauma.com/index.php?page=article&article_id=20056 Younis Kamal Younis Kamal Post Graduate Department of Orthopedics, Bone and Joint Hospital, GMC Srinagar, Jammu and Kashmir, India; Post Graduate Department of Orthopedics, Bone and Joint Hospital, GMC Srinagar, Jammu and Kashmir, India. Tel: +91-9906966960 Post Graduate Department of Orthopedics, Bone and Joint Hospital, GMC Srinagar, Jammu and Kashmir, India; Post Graduate Department of Orthopedics, Bone and Joint Hospital, GMC Srinagar, Jammu and Kashmir, India. Tel: +91-9906966960 Hayat Ahmad Khan Hayat Ahmad Khan Post Graduate Department of Orthopedics, Bone and Joint Hospital, GMC Srinagar, Jammu and Kashmir, India Post Graduate Department of Orthopedics, Bone and Joint Hospital, GMC Srinagar, Jammu and Kashmir, India Munir Farooq Munir Farooq Post Graduate Department of Orthopedics, Bone and Joint Hospital, GMC Srinagar, Jammu and Kashmir, India Post Graduate Department of Orthopedics, Bone and Joint Hospital, GMC Srinagar, Jammu and Kashmir, India Naseemul Gani Naseemul Gani Post Graduate Department of Orthopedics, Bone and Joint Hospital, GMC Srinagar, Jammu and Kashmir, India Post Graduate Department of Orthopedics, Bone and Joint Hospital, GMC Srinagar, Jammu and Kashmir, India Ansar Ul Haq Lone Ansar Ul Haq Lone Post Graduate Department of Orthopedics, Bone and Joint Hospital, GMC Srinagar, Jammu and Kashmir, India Post Graduate Department of Orthopedics, Bone and Joint Hospital, GMC Srinagar, Jammu and Kashmir, India Adil Bashir Shah Adil Bashir Shah Post Graduate Department of Orthopedics, Bone and Joint Hospital, GMC Srinagar, Jammu and Kashmir, India Post Graduate Department of Orthopedics, Bone and Joint Hospital, GMC Srinagar, Jammu and Kashmir, India Irfan Ahmad Latto Irfan Ahmad Latto Post Graduate Department of Orthopedics, Bone and Joint Hospital, GMC Srinagar, Jammu and Kashmir, India Post Graduate Department of Orthopedics, Bone and Joint Hospital, GMC Srinagar, Jammu and Kashmir, India Mohammad Ashraf Khan Mohammad Ashraf Khan Post Graduate Department of Orthopedics, Bone and Joint Hospital, GMC Srinagar, Jammu and Kashmir, India Post Graduate Department of Orthopedics, Bone and Joint Hospital, GMC Srinagar, Jammu and Kashmir, India
en 10.5812/atr.21738 Anterior Tarsal Tunnel Syndrome With Thrombosed Dorsalis Pedis Artery: A Case Report Anterior Tarsal Tunnel Syndrome With Thrombosed Dorsalis Pedis Artery: A Case Report case-report case-report Conclusion

The anterior tarsal tunnel syndrome is a known disease. A high index of clinical suspicion is required while dealing with the chronic cases. A detailed history to rule out any traumatic event is necessary too. Timely investigations and surgical release give dramatic relief.

Case Presentation

A 40 -year-old male patient was presented with the history of persistent pain along the dorsal surface of right foot, which was aggravated with the activities. Conservative management was tried without much relief. Diagnosis of anterior tarsal tunnel syndrome was made and the patient was planned for surgery. Thrombosed dorsalis pedis artery was found along with two adjacent collateral vessels. Retinaculum was released and nerve was mobilized. Tight compartment got released. Postoperative period was uneventful. No recurrence was seen on follow-up.

Introduction

The aanterior tarsal tunnel syndrome denotes the entrapment of the deep peroneal nerve under the inferior extensor retinaculum. Although various etiological factors have been reported to cause anterior tarsal syndrome, its occurrence with thrombosed dorsalis pedis artery has not been reported in the English literature.

Conclusion

The anterior tarsal tunnel syndrome is a known disease. A high index of clinical suspicion is required while dealing with the chronic cases. A detailed history to rule out any traumatic event is necessary too. Timely investigations and surgical release give dramatic relief.

Case Presentation

A 40 -year-old male patient was presented with the history of persistent pain along the dorsal surface of right foot, which was aggravated with the activities. Conservative management was tried without much relief. Diagnosis of anterior tarsal tunnel syndrome was made and the patient was planned for surgery. Thrombosed dorsalis pedis artery was found along with two adjacent collateral vessels. Retinaculum was released and nerve was mobilized. Tight compartment got released. Postoperative period was uneventful. No recurrence was seen on follow-up.

Introduction

The aanterior tarsal tunnel syndrome denotes the entrapment of the deep peroneal nerve under the inferior extensor retinaculum. Although various etiological factors have been reported to cause anterior tarsal syndrome, its occurrence with thrombosed dorsalis pedis artery has not been reported in the English literature.

Anterior Tarsal Tunnel Syndrome;Thrombosed artery;Tarsal Tunnel Syndrome Anterior Tarsal Tunnel Syndrome;Thrombosed artery;Tarsal Tunnel Syndrome http://www.archtrauma.com/index.php?page=article&article_id=21738 Naseemul Gani Naseemul Gani Department of orthopedics, Govt hospital for bone and joint surgery Barzullah, Srinager, India Department of orthopedics, Govt hospital for bone and joint surgery Barzullah, Srinager, India Hayat Ahmad Khan Hayat Ahmad Khan Department of orthopedics, Govt hospital for bone and joint surgery Barzullah, Srinager, India; Department of orthopedics, Govt hospital for bone and joint surgery Barzullah, Srinager, India. Tell: +91-9906672626, Fax: +91-194-2423389 Department of orthopedics, Govt hospital for bone and joint surgery Barzullah, Srinager, India; Department of orthopedics, Govt hospital for bone and joint surgery Barzullah, Srinager, India. Tell: +91-9906672626, Fax: +91-194-2423389 Younis Kamal Younis Kamal Department of orthopedics, Govt hospital for bone and joint surgery Barzullah, Srinager, India Department of orthopedics, Govt hospital for bone and joint surgery Barzullah, Srinager, India Munir Farooq Munir Farooq Department of orthopedics, Govt hospital for bone and joint surgery Barzullah, Srinager, India Department of orthopedics, Govt hospital for bone and joint surgery Barzullah, Srinager, India Hina Jeelani Hina Jeelani Department of orthopedics, Govt hospital for bone and joint surgery Barzullah, Srinager, India Department of orthopedics, Govt hospital for bone and joint surgery Barzullah, Srinager, India Adil Bashir Shah Adil Bashir Shah Department of orthopedics, Govt hospital for bone and joint surgery Barzullah, Srinager, India Department of orthopedics, Govt hospital for bone and joint surgery Barzullah, Srinager, India
en 10.5812/atr.21473 Persuasive Discourse Impairments in Traumatic Brain Injury Persuasive Discourse Impairments in Traumatic Brain Injury research-article research-article Background

Considering the cognitive and linguistic complexity of discourse production, it is expected that individuals with traumatic brain injury (TBI) should face difficulties in this task. Therefore, clinical examination of discourse has become a useful tool for studying and assessment of communication skills of people suffering from TBI. Among different genres of discourse, persuasive discourse is considered as a more cognitively demanding task. However, little is known about persuasive discourse in individuals suffering from TBI.

Patients and Methods

Thirteen TBI nonaphasic Persian speaking individuals, ranged between 19 to 40 years (Mean = 25.64 years; SD = 6.10) and 59 healthy adults matched by age, were asked to perform the persuasive discourse task. The task included asking the participants to express their opinion on a topic, and after the analysis of the produced discourse, the two groups were compared on the basis of their language productivity, sentential complexity, maze ratio and cohesion ratio.

Results

The TBI group produced discourses with less productivity, sentential complexity, cohesion ratio and more maze ratio compared the control group.

Conclusions

As it is important to consider acquired communication disorders particularly discourse impairment of brain injured patients along with their other clinical impairments and regarding the fact that persuasive discourse is crucial in academic and social situations, the persuasive discourse task presented in this study could be a useful tool for speech therapists, intending to evaluate communication disorders in patients with TBI.

Objectives

The purpose of this study was to evaluate the performance of adults with TBI on a task of spoken persuasive discourse to determine the impaired linguistic measures.

Background

Considering the cognitive and linguistic complexity of discourse production, it is expected that individuals with traumatic brain injury (TBI) should face difficulties in this task. Therefore, clinical examination of discourse has become a useful tool for studying and assessment of communication skills of people suffering from TBI. Among different genres of discourse, persuasive discourse is considered as a more cognitively demanding task. However, little is known about persuasive discourse in individuals suffering from TBI.

Patients and Methods

Thirteen TBI nonaphasic Persian speaking individuals, ranged between 19 to 40 years (Mean = 25.64 years; SD = 6.10) and 59 healthy adults matched by age, were asked to perform the persuasive discourse task. The task included asking the participants to express their opinion on a topic, and after the analysis of the produced discourse, the two groups were compared on the basis of their language productivity, sentential complexity, maze ratio and cohesion ratio.

Results

The TBI group produced discourses with less productivity, sentential complexity, cohesion ratio and more maze ratio compared the control group.

Conclusions

As it is important to consider acquired communication disorders particularly discourse impairment of brain injured patients along with their other clinical impairments and regarding the fact that persuasive discourse is crucial in academic and social situations, the persuasive discourse task presented in this study could be a useful tool for speech therapists, intending to evaluate communication disorders in patients with TBI.

Objectives

The purpose of this study was to evaluate the performance of adults with TBI on a task of spoken persuasive discourse to determine the impaired linguistic measures.

Brain Injuries;Communication Disorders;Linguistics Brain Injuries;Communication Disorders;Linguistics http://www.archtrauma.com/index.php?page=article&article_id=21473 Zahra Ghayoumi Zahra Ghayoumi Department of Speech Therapy, University of Social Welfare and Rehabilitation, Tehran, IR Iran Department of Speech Therapy, University of Social Welfare and Rehabilitation, Tehran, IR Iran Fariba Yadegari Fariba Yadegari Department of Speech Therapy, University of Social Welfare and Rehabilitation, Tehran, IR Iran; Department of Speech Therapy, University of Social Welfare and Rehabilitation, Tehran, IR Iran. Tel: +98-2122180043, Fax: +98-2122180043 Department of Speech Therapy, University of Social Welfare and Rehabilitation, Tehran, IR Iran; Department of Speech Therapy, University of Social Welfare and Rehabilitation, Tehran, IR Iran. Tel: +98-2122180043, Fax: +98-2122180043 Behrooz Mahmoodi-Bakhtiari Behrooz Mahmoodi-Bakhtiari Department of Performing Arts, University of Tehran, Tehran, IR Iran Department of Performing Arts, University of Tehran, Tehran, IR Iran Esmaeil Fakharian Esmaeil Fakharian Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran Mehdi Rahgozar Mehdi Rahgozar Department of Biostatistics and Computer, University of Social Welfare and Rehabilitation, Tehran, IR Iran Department of Biostatistics and Computer, University of Social Welfare and Rehabilitation, Tehran, IR Iran Maryam Rasouli Maryam Rasouli Department of Pediatrics, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran Department of Pediatrics, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
en 10.5812/atr.18357 The Relationship Between Serum Levels of Interleukins 6, 8, 10 and Clinical Outcome in Patients With Severe Traumatic Brain Injury The Relationship Between Serum Levels of Interleukins 6, 8, 10 and Clinical Outcome in Patients With Severe Traumatic Brain Injury research-article research-article Conclusions

Increased serum levels of interleukins 6 and 8 as a predictive marker might be associated with unfavorable clinical outcome in patients with severe TBI.

Results

Comparing the serum levels of interleukins in two groups with favorable and unfavorable clinical outcomes showed that the mean serum levels of interleukins 6 and 8 in group with favorable outcome was 85.2 ± 51.6 and 52.2 ± 31.9, respectively lower than those of group with unfavorable outcome with 162.3 ± 141.1 and 173.6 ± 257.3 (P < 0.03) and (P < 0.01).

Objectives

This study aimed to determine the relationship between the serum levels of interleukins 6, 8 and 10 and clinical outcome in patients with severe TBI 6 months after injury.

Background

Clinical outcome in patients with severe traumatic brain injury (TBI) depends on both primary and secondary brain injuries. Neuroinflammation is an important secondary mechanism, which occurs by releasing interleukins (ILs). Increased levels of ILs may affect clinical outcome following TBI.

Patients and Methods

In a descriptive-analytical study, 44 patients with GCS ≤ 8 (Glasgow coma scale) and age ≥ 14 years were included. Their blood samples were collected at first 6 hours after injury. Clinical outcome was determined based on GOS (Glasgow Outcome Scale) at 6 months after head injury. Serum levels of interleukins 6, 8 and 10 were measured using the ELISA method. Spearman's rho, independent T-Test, and Mann-Whitney Test were used for data analysis.

Conclusions

Increased serum levels of interleukins 6 and 8 as a predictive marker might be associated with unfavorable clinical outcome in patients with severe TBI.

Results

Comparing the serum levels of interleukins in two groups with favorable and unfavorable clinical outcomes showed that the mean serum levels of interleukins 6 and 8 in group with favorable outcome was 85.2 ± 51.6 and 52.2 ± 31.9, respectively lower than those of group with unfavorable outcome with 162.3 ± 141.1 and 173.6 ± 257.3 (P < 0.03) and (P < 0.01).

Objectives

This study aimed to determine the relationship between the serum levels of interleukins 6, 8 and 10 and clinical outcome in patients with severe TBI 6 months after injury.

Background

Clinical outcome in patients with severe traumatic brain injury (TBI) depends on both primary and secondary brain injuries. Neuroinflammation is an important secondary mechanism, which occurs by releasing interleukins (ILs). Increased levels of ILs may affect clinical outcome following TBI.

Patients and Methods

In a descriptive-analytical study, 44 patients with GCS ≤ 8 (Glasgow coma scale) and age ≥ 14 years were included. Their blood samples were collected at first 6 hours after injury. Clinical outcome was determined based on GOS (Glasgow Outcome Scale) at 6 months after head injury. Serum levels of interleukins 6, 8 and 10 were measured using the ELISA method. Spearman's rho, independent T-Test, and Mann-Whitney Test were used for data analysis.

Head Injury;Interleukin;Brain Head Injury;Interleukin;Brain http://www.archtrauma.com/index.php?page=article&article_id=18357 Sharhokh Yousefzadeh-Chabok Sharhokh Yousefzadeh-Chabok Neurosurgery Department, Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, IR Iran Neurosurgery Department, Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, IR Iran Anoush Dehnadi Moghaddam Anoush Dehnadi Moghaddam Anesthesiology Department, Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, IR Iran Anesthesiology Department, Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, IR Iran Ehsan Kazemnejad-Leili Ehsan Kazemnejad-Leili Biostatistics Department,Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, IR Iran Biostatistics Department,Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, IR Iran Zahra Saneei Zahra Saneei Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, IR Iran Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, IR Iran Marieh Hosseinpour Marieh Hosseinpour Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, IR Iran Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, IR Iran Leila Kouchakinejad-Eramsadati Leila Kouchakinejad-Eramsadati Human Resource Management, Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, IR Iran Human Resource Management, Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, IR Iran Alireza Razzaghi Alireza Razzaghi Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, IR Iran Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, IR Iran Zahra Mohtasham-Amiri Zahra Mohtasham-Amiri Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, IR Iran; Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, IR Iran. Tel: +98-1316690006, Fax: +98-1317753836 Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, IR Iran; Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, IR Iran. Tel: +98-1316690006, Fax: +98-1317753836
en 10.5812/atr.26028 Types and Causalities in Dead Patients Due to Traumatic Injuries Types and Causalities in Dead Patients Due to Traumatic Injuries research-article research-article Background

Trauma constitutes a major public health problem in our country and contributes significantly to unacceptably high morbidity and mortality.

Objectives

This study aimed to evaluate the epidemiology of trauma in dead patients referred to Shahid Rajaee Trauma Hospital, Shiraz, Iran.

Patients and Methods

In a cross-sectional study, all patients with trauma admitted to our center were enrolled between March 2011 and February 2012. Age, gender, months of referring, causalities, and injured body parts of the victims were extracted from the data registry and analyzed.

Results

A total of 9113 patients, including 7163 (78.6%) males and 1950 (21.4%) females were evaluated. Among them, 479 patients (5.3%) had died. There was a significant difference between the age of alive and dead patients (35.70 ± 0.18 and 45.44 ± 1.01 years, respectively (P < 0.001)). In addition, dead men had significantly higher percentage than alive men (83.7% and 78.3%, respectively, P = 0.005). The highest percentages of men and women who referred to our center and died were in September. Crashing by car had the most frequency of dead (247 cases) in referred patients and motorcycle accident, stabbing, and falling related injuries with 67, 36 and 26 dead cases were in the next ranks. Thorax injury had the most frequency between dead patients (53.2% of all dead) and the intracranial injury and trauma to extremities altogether were in the next ranks, which constituted more than 18.8% of all dead.

Conclusions

Our data demonstrated that car and motorcycle accidents are the most important cause of trauma and thorax trauma had the most frequency among dead patients. Epidemiological evaluations and preventive measures such as this study should be conducted to provide valuable data.

Background

Trauma constitutes a major public health problem in our country and contributes significantly to unacceptably high morbidity and mortality.

Objectives

This study aimed to evaluate the epidemiology of trauma in dead patients referred to Shahid Rajaee Trauma Hospital, Shiraz, Iran.

Patients and Methods

In a cross-sectional study, all patients with trauma admitted to our center were enrolled between March 2011 and February 2012. Age, gender, months of referring, causalities, and injured body parts of the victims were extracted from the data registry and analyzed.

Results

A total of 9113 patients, including 7163 (78.6%) males and 1950 (21.4%) females were evaluated. Among them, 479 patients (5.3%) had died. There was a significant difference between the age of alive and dead patients (35.70 ± 0.18 and 45.44 ± 1.01 years, respectively (P < 0.001)). In addition, dead men had significantly higher percentage than alive men (83.7% and 78.3%, respectively, P = 0.005). The highest percentages of men and women who referred to our center and died were in September. Crashing by car had the most frequency of dead (247 cases) in referred patients and motorcycle accident, stabbing, and falling related injuries with 67, 36 and 26 dead cases were in the next ranks. Thorax injury had the most frequency between dead patients (53.2% of all dead) and the intracranial injury and trauma to extremities altogether were in the next ranks, which constituted more than 18.8% of all dead.

Conclusions

Our data demonstrated that car and motorcycle accidents are the most important cause of trauma and thorax trauma had the most frequency among dead patients. Epidemiological evaluations and preventive measures such as this study should be conducted to provide valuable data.

Epidemiology;Accident;Mortality;Motorcycle;Trauma Epidemiology;Accident;Mortality;Motorcycle;Trauma http://www.archtrauma.com/index.php?page=article&article_id=26028 Mahnaz Yadollahi Mahnaz Yadollahi Trauma Research Center, Shahid Rajaee Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, IR Iran Trauma Research Center, Shahid Rajaee Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, IR Iran Shahram Paydar Shahram Paydar Trauma Research Center, Shahid Rajaee Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, IR Iran Trauma Research Center, Shahid Rajaee Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, IR Iran Golnar Sabetianfard Jahromi Golnar Sabetianfard Jahromi Department of Anesthesiology, Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, IR Iran Department of Anesthesiology, Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, IR Iran Hosseinali Khalili Hosseinali Khalili Department of Neurosurgery, Nemazee Teaching Hospital, School of Medicine, Shiraz University of Medical Sciences, Shiraz, IR Iran Department of Neurosurgery, Nemazee Teaching Hospital, School of Medicine, Shiraz University of Medical Sciences, Shiraz, IR Iran Samie Etemadi Samie Etemadi Trauma Research Center, Shahid Rajaee Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, IR Iran Trauma Research Center, Shahid Rajaee Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, IR Iran Hamidreza Abbasi Hamidreza Abbasi Trauma Research Center, Shahid Rajaee Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, IR Iran Trauma Research Center, Shahid Rajaee Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, IR Iran Shahram Bolandparvaz Shahram Bolandparvaz Trauma Research Center, Shahid Rajaee Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, IR Iran; Trauma Research Center, Shahid Rajaee Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, IR Iran. Tel/Fax: +98-7116364001 Trauma Research Center, Shahid Rajaee Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, IR Iran; Trauma Research Center, Shahid Rajaee Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, IR Iran. Tel/Fax: +98-7116364001
en 10.5812/atr.28500 Retracted: Epidemiological Pattern of Bullying Among School Children in Mazandaran Province, Iran Retracted: Epidemiological Pattern of Bullying Among School Children in Mazandaran Province, Iran retraction retraction http://www.archtrauma.com/index.php?page=article&article_id=28500
en 10.5812/atr.28117 Establishing an Integrated Trauma System in Iran: The Time of Translating Information into Action Establishing an Integrated Trauma System in Iran: The Time of Translating Information into Action editorial editorial Iran;Wounds and Injuries;Trauma;NervousSystem Iran;Wounds and Injuries;Trauma;NervousSystem http://www.archtrauma.com/index.php?page=article&article_id=28117 Mehrdad Mahdian Mehrdad Mahdian Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran; Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran. Tel: +98-3155620634 Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran; Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran. Tel: +98-3155620634
en 10.5812/atr.27115 Bilateral Symptomatic Discoid Medial Meniscus of the Knee: A Case Report and Review of Literature Bilateral Symptomatic Discoid Medial Meniscus of the Knee: A Case Report and Review of Literature case-report case-report Introduction

A discoid medial meniscus is a rare pathology of the knee joint, and is even rarer when it presents bilaterally with clinical symptoms.

Case Presentation

We present the case of a 38-year-old female with symptomatic bilateral discoid medial meniscus. Magnetic Resonance Imaging (MRI) showed complete discoid meniscus in one knee and incomplete, on the other side. The MRI findings were confirmed on arthroscopy, with horizontal cleavage tear in both knees. Arthroscopic partial meniscectomies of both menisci were performed.

Conclusions

The patient had an excellent functional outcome at the most recent follow-up, with no recurrence of symptoms and full range of movements.

Introduction

A discoid medial meniscus is a rare pathology of the knee joint, and is even rarer when it presents bilaterally with clinical symptoms.

Case Presentation

We present the case of a 38-year-old female with symptomatic bilateral discoid medial meniscus. Magnetic Resonance Imaging (MRI) showed complete discoid meniscus in one knee and incomplete, on the other side. The MRI findings were confirmed on arthroscopy, with horizontal cleavage tear in both knees. Arthroscopic partial meniscectomies of both menisci were performed.

Conclusions

The patient had an excellent functional outcome at the most recent follow-up, with no recurrence of symptoms and full range of movements.

Magnetic Resonance Imaging;Arthroscopy;Medial Menisci Magnetic Resonance Imaging;Arthroscopy;Medial Menisci http://www.archtrauma.com/index.php?page=article&article_id=27115 Sunil Gurpur Kini Sunil Gurpur Kini Department of Orthopedics, Concord Repatriation General Hospital, Sydney, Australia; Department of Orthopedics, University College London Hospitals (UCLH), London, United Kingdom; Department of Orthopaedics, University College London Hospitals, London, United Kingdom. Tel: +44-2034475042, Fax: +44-2034479958 Department of Orthopedics, Concord Repatriation General Hospital, Sydney, Australia; Department of Orthopedics, University College London Hospitals (UCLH), London, United Kingdom; Department of Orthopaedics, University College London Hospitals, London, United Kingdom. Tel: +44-2034475042, Fax: +44-2034479958 Peter Walker Peter Walker Department of Orthopedics, Concord Repatriation General Hospital, Sydney, Australia Department of Orthopedics, Concord Repatriation General Hospital, Sydney, Australia Warwick Bruce Warwick Bruce Department of Orthopedics, Concord Repatriation General Hospital, Sydney, Australia Department of Orthopedics, Concord Repatriation General Hospital, Sydney, Australia
en 10.5812/atr.22594 The Economic Burden of Traumatic Brain Injury Due to Fatal Traffic Accidents in Shahid Rajaei Trauma Hospital, Shiraz, Iran The Economic Burden of Traumatic Brain Injury Due to Fatal Traffic Accidents in Shahid Rajaei Trauma Hospital, Shiraz, Iran research-article research-article Conclusions

The findings of this study indicated that the economic burden of TBIs was high in fatal accidents in Fars Province so that it was equivalent to 0.00011% of Iran’s Gross Domestic Product (GDP) in 2013. Therefore, more attention has to be paid to the rules to prevent the fatal accidents.

Results

Deaths resulting from TBIs due to traffic accidents in Shiraz imposed 6.2 billion Rials (511000 USD) of hospital costs, 6390 potential years of life lost, and 506 billion Rials (20 million USD) of productivity lost. In the present study, the mean age of the individuals who died was 38.4 ± 19.41 and the productivity lost per capita was 1.8 billion Rials (73000 USD).

Patients and Methods

In this descriptive, cross-sectional study the population included people who had died as a result of TBIs during 2009 to 2013 in Shiraz Shahid Rajaei Trauma Hospital. Cost and demographic data were obtained from the participants’ medical records using data gathering forms, and some other information was also collected via telephone calls to the victims’ families. Economic burden of TBIs due to traffic accidents, which led to death, was estimated using the human capital as direct costs of treatment, and the number of potential years of life lost and lost productivity as indirect costs.

Background

Traumatic Brain Injuries (TBIs) as a result of traffic accidents are one of the major causes of deaths, which lead to the loss of individuals’ productive and working years of life.

Objectives

This study aimed to calculate the economic burden of traumatic brain injuries in fatal crashes at Shahid Rajaei Trauma Hospital, Shiraz, Iran for a period of five years.

Conclusions

The findings of this study indicated that the economic burden of TBIs was high in fatal accidents in Fars Province so that it was equivalent to 0.00011% of Iran’s Gross Domestic Product (GDP) in 2013. Therefore, more attention has to be paid to the rules to prevent the fatal accidents.

Results

Deaths resulting from TBIs due to traffic accidents in Shiraz imposed 6.2 billion Rials (511000 USD) of hospital costs, 6390 potential years of life lost, and 506 billion Rials (20 million USD) of productivity lost. In the present study, the mean age of the individuals who died was 38.4 ± 19.41 and the productivity lost per capita was 1.8 billion Rials (73000 USD).

Patients and Methods

In this descriptive, cross-sectional study the population included people who had died as a result of TBIs during 2009 to 2013 in Shiraz Shahid Rajaei Trauma Hospital. Cost and demographic data were obtained from the participants’ medical records using data gathering forms, and some other information was also collected via telephone calls to the victims’ families. Economic burden of TBIs due to traffic accidents, which led to death, was estimated using the human capital as direct costs of treatment, and the number of potential years of life lost and lost productivity as indirect costs.

Background

Traumatic Brain Injuries (TBIs) as a result of traffic accidents are one of the major causes of deaths, which lead to the loss of individuals’ productive and working years of life.

Objectives

This study aimed to calculate the economic burden of traumatic brain injuries in fatal crashes at Shahid Rajaei Trauma Hospital, Shiraz, Iran for a period of five years.

Economic Burden;Potential Years of Life Lost (PYLL); Productivity Lost;Traffic Accidents;Traumatic Brain Injury Economic Burden;Potential Years of Life Lost (PYLL); Productivity Lost;Traffic Accidents;Traumatic Brain Injury http://www.archtrauma.com/index.php?page=article&article_id=22594 Zahra Kavosi Zahra Kavosi Social Determinants of Health Research Center, School of Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, IR Iran Social Determinants of Health Research Center, School of Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, IR Iran Abdosaleh Jafari Abdosaleh Jafari Health Economics Department, School of Management and Medical Information, Shiraz University of Medical Sciences, Shiraz, IR Iran Health Economics Department, School of Management and Medical Information, Shiraz University of Medical Sciences, Shiraz, IR Iran Nahid Hatam Nahid Hatam School of Management and Medical Information, Shiraz University of Medical Sciences, Shiraz, IR Iran School of Management and Medical Information, Shiraz University of Medical Sciences, Shiraz, IR Iran Meysam Enaami Meysam Enaami Student Research Committee, School of Management and Medical Information, Shiraz University of Medical Sciences, Shiraz, IR Iran; Student Research Committee, School of Management and Medical Information, Shiraz University of Medical Sciences, Shiraz, IR Iran. Tel: +98-9377708002 Student Research Committee, School of Management and Medical Information, Shiraz University of Medical Sciences, Shiraz, IR Iran; Student Research Committee, School of Management and Medical Information, Shiraz University of Medical Sciences, Shiraz, IR Iran. Tel: +98-9377708002
en 10.5812/atr.17629 Mental Health Status of Patients With Mild Traumatic Brain Injury Admitted to Shahid Beheshti Hospital of Kashan, Iran Mental Health Status of Patients With Mild Traumatic Brain Injury Admitted to Shahid Beheshti Hospital of Kashan, Iran research-article research-article Conclusions

This study showed that 36% of the patients with mild TBI symptoms had mental health problems. Given the high rates of psychologic disorders among patients with mild TBI, it is necessary to reduce the factors that caused the disorder.

Results

A total of 286 patients, 79.7% males and 20.3% females with male to female ratio of 4:1, completed the study. Female had significantly higher Global Severity Index (GSI) compared to males. There was a significant association between, psychologic disorders’ symptoms and age (P = 0.00). The mean (SD) of GSI on the Symptom Checklist-90 (SCL-90) was 1.39 (0.58).

Patients and Methods

The descriptive cross-sectional study was performed on 286 patients with mild TBI who were admitted to department of neurosurgery of Shahid Beheshti Hospital, Kashan, Iran, during the first eight months of 2013. Enrolled patients were 15 to 70 years old who able to respond to questionnaires. The Brief Symptom Inventory (BSI) questionnaire is used to assess the mental health status of the patients. The data were presented using logistic regression and descriptive statistics.

Background

Planning for providing mental health services to the mentally patients due to brain injury need awareness of mental health status of the patient.

Objectives

This study aimed to assess the mental health of patients with mild TBI.

Conclusions

This study showed that 36% of the patients with mild TBI symptoms had mental health problems. Given the high rates of psychologic disorders among patients with mild TBI, it is necessary to reduce the factors that caused the disorder.

Results

A total of 286 patients, 79.7% males and 20.3% females with male to female ratio of 4:1, completed the study. Female had significantly higher Global Severity Index (GSI) compared to males. There was a significant association between, psychologic disorders’ symptoms and age (P = 0.00). The mean (SD) of GSI on the Symptom Checklist-90 (SCL-90) was 1.39 (0.58).

Patients and Methods

The descriptive cross-sectional study was performed on 286 patients with mild TBI who were admitted to department of neurosurgery of Shahid Beheshti Hospital, Kashan, Iran, during the first eight months of 2013. Enrolled patients were 15 to 70 years old who able to respond to questionnaires. The Brief Symptom Inventory (BSI) questionnaire is used to assess the mental health status of the patients. The data were presented using logistic regression and descriptive statistics.

Background

Planning for providing mental health services to the mentally patients due to brain injury need awareness of mental health status of the patient.

Objectives

This study aimed to assess the mental health of patients with mild TBI.

Mental Health;Psychological Problems;Brain Injury Mental Health;Psychological Problems;Brain Injury http://www.archtrauma.com/index.php?page=article&article_id=17629 Esmaeil Fakharian Esmaeil Fakharian Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran Abdollah Omidi Abdollah Omidi Department of Clinical Psychology, Kashan University of Medical Sciences, Kashan, IR Iran Department of Clinical Psychology, Kashan University of Medical Sciences, Kashan, IR Iran Elham Shafiei Elham Shafiei Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran; Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran. Tel: +98-3655620634, Fax: +98-3655620634 Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran; Trauma Research Center, Kashan University of Medical Sciences, Kashan, IR Iran. Tel: +98-3655620634, Fax: +98-3655620634 Arash Nademi Arash Nademi Department of Statistics, Ilam Branch, Islamic Azad University, Ilam, IR Iran Department of Statistics, Ilam Branch, Islamic Azad University, Ilam, IR Iran