Epidemiology of Traumatic Orthopedic Injuries: A Cross-Sectional Survey from Northern Tehran, Iran

Farsad Biglari; Mehrdad Sadighi; Seyyed Saeed Khabiri; Meisam Jafari Kafiabadi; Amir  Sabaghzadeh; Azadeh Hakakzadeh; Pedram Khalighinejad; Amir Human Hoveidaei; Adel Ebrahimpour

doi:10.18502/jost.v8i3.9908

Farsad Biglari Assistant Professor, Department of Orthopedic Surgery, Shohada Tajrish Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Mehrdad Sadighi Associate Professor, Department of Orthopedic Surgery, Shohada Tajrish Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Seyyed Saeed Khabiri Assistant Professor, Department of Orthopedic Surgery, Shohada Tajrish Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Meisam Jafari Kafiabadi Assistant Professor, Department of Orthopedic Surgery, Shohada Tajrish Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Amir Sabaghzadeh Assistant Professor, Department of Orthopedic Surgery, Shohada Tajrish Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Azadeh Hakakzadeh Physiotherapy Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Department of Sports and Exercise Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Pedram Khalighinejad Resident, Department of Orthopedic Surgery, Shohada Tajrish Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Amir Human Hoveidaei Research Assistance, Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
Adel Ebrahimpour Professor, Department of Orthopedic Surgery, Clinical Research Development Unit, Shohada Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

DOI: https://doi.org/10.18502/jost.v8i3.9908

Keywords: Accidents; Epidemiology; Fractures; Wounds and Injuries

Abstract

Background: Trauma is a leading cause of death and morbidity in developing countries. Previous research has revealed that epidemiological features of fractures may change from one study to the next. National Trauma Registry of Iran (NTRI) was launched in 2015, but it did not include any centers in northern Tehran, Iran. This study aimed to evaluate the epidemiology of fractures in the only Level 1 Trauma Center in that area.

Methods: This retrospective cross-sectional study was performed on all patients with the primary diagnosis of orthopedic injury, from July to October 2019, who referred to the emergency department of Shohada Tajrish Hospital, Tehran. The patients’ files and operation notes were reviewed for demographics, medical history, physical examination, referral time, mechanism of injury, hospital stay, level of education, and intensive care unit (ICU) hospitalization.

Results: 398 patients with orthopedic trauma were referred to the hospital with a mean age of 40.85 ± 21.03 years. 317 patients (79.65%) were men. The peak referral time was between 12 AM and 12 PM. A road traffic accident was the main cause of orthopedic trauma (39.4%). The mean days of hospital stay were 6.29 ± 5.36 days. The waiting time for surgery and days of hospital stay were related to the fracture site (high in lower extremity fractures) and older age.

Conclusion: Trauma in northern Tehran is primarily caused by motor vehicle accidents and falls, respectively. Patients with older age and lower extremity fractures need more time of hospitalization.