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The Epidemiology of Extremity Fractures in Trauma Patients of Shahid Beheshti Hospital, Babol, 2001-2006

Naser Janmohammadi, Mohammad Montazeri, Esmaeil Akbarnezhad
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Abstract

Introduction: Trauma is recognized as one of the most causes of mortality in developing countries and the most important reasons of disability in active and productive population as well as its economic and social shocks. Extremity fracture is one of the most common complications of trauma inflict upon the human and involves an extensive part of health center facilities. Thus, the present study was aimed to assess the epidemiology of lower and upper extremity fractures of hospitalized patients in Shahid Beheshti hospital, Babol, Iran. Methods: This cross-sectional study was performed on patients with extremity fractures who had hospitalized in the Shahid Beheshti hospital, Babol, through 2001-2006. The required information included age, gender, type of fracture, and trauma mechanism were extracted from documents and registered in the prepared questionnaire. Data was analyzed using SPSS 18. Results: During six years study, 3507 trauma patients with extremity fracture had been hospitalized (75.9% was male). The mean age of studied patients was 33.7±21.8. Six hundred and nineteen (17.7%) fracture cases was as open status. Hip fracture was the most common fracture type (34.6%). Trauma mechanism in 1701 (48.5%) was car accident, 671 (19.1%) motorcycle accident, 608 (17.3%) stumble, 466 (13.3%) fall from height, and 61 (1.7%) other cases. The most common site of fracture in car and motorcycle accidents was leg (38.8% and 52.5% respectively) and in stumble and fall from height was hip (46.8% and 30.9% respectively). Conclusion: The findings of this project revealed that the most common type of extremity fracture in trauma patients in the age groups of upper and lower of 60 were hip and leg, respectively. Furthermore, the most incidence mechanism of such fractures was motorcycle accident.


Keywords

Multiple trauma; fractures, bone; fracture, upper extremity; epidemiology; accidents, occupational

References

Smith GS, Barss PG. Unintentional injuries in developing countries: the epidemiology of a neglected problem. Epidemiologic Reviews. 1991;13:228-66.

Murray CJ, Lopez AD. Mortality by cause for eight regions of the world: Global Burden of Disease Study. The Lancet. 1997;349(9061):1269-76.

Leigh J, Macaskill P, Kuosma E, Mandryk J. Global burden of disease and injury due to occupational factors. Epidemiology-Baltimore. 1999;10(5):626-31.

Green DP, Rockwood CA, Bucholz RW, Heckman JD, Tornetta P. Rockwood and Green's Fractures in Adults: Lippincott Williams & Wilkins; 2010.

Forouzanfar MH, Sepanlou SG, Shahraz S, Dicker D, Naghavi P, Pourmalek F, et al. Evaluating causes of death and morbidity in Iran, global burden of diseases, injuries, and risk factors study 2010. Archives of Iranian medicine. 2014;17(5):304-20.

Cameron M. World Report on Road Traffic Injury Prevention. Injury Prevention. 2004;10(4):255-6.

Woolf AD, Erwin J, March L. The need to address the burden of musculoskeletal conditions. Best practice & research Clinical rheumatology. 2012;26(2):183-224.

Griffin XL, Smith N, Parsons N, Costa ML. Ultrasound and shockwave therapy for acute fractures in adults. Cochrane database of systematic reviews (Online). 2012;2:CD008579.

Krug EG, Sharma GK, Lozano R. The global burden of injuries. American journal of public health. 2000;90(4):523.

Sanchez-Tocino J, Turegano-Fuentes F, Perez-Diaz D, Sanz-Sánchez M, Lago-Oliver J, Zorrilla-Ortúzar J, et al. [Severe pelvic fractures, associated injuries and hemodynamic instability: incidence, management and outcome in our center]. Cirugia espanola. 2007;81(6):316-23.

Feehan LM, Sheps SB. Incidence and demographics of hand fractures in British Columbia, Canada: a population-based study. The Journal of hand surgery. 2006;31(7):1068. e1-. e9.

Hoffmann F, Glaeske G. [Incidence of hip fracture in Germany--person-related analysis of health insurance population]. Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)). 2006;68(3):161-4.

Shayesteh Azar M, Shorofi S, Khalilian A. Epidemiological Study of 1000 Musculo-skeletal trauma cases in sari township in 1998-1999. Journal of Mazandaran University of Medical Sciences. 2001;11(30):16-23.

Buhr A, Cooke A. Fracture patterns. The Lancet. 1959;273(7072):531-6.

Lopez AD. The evolution of the Global Burden of Disease framework for disease, injury and risk factor quantification: developing the evidence base for national, regional and global public health action. Global Health. 2005;1(5):1-8.

Mock C, Cherian MN. The global burden of musculoskeletal injuries: challenges and solutions. Clinical orthopaedics and related research. 2008;466(10):2306-16.

Polinder S, Meerding WJ, Lyons RA, Haagsma JA, Toet H, Petridou ET, et al. International variation in clinical injury incidence: exploring the performance of indicators based on health care, anatomical and outcome criteria. Accident Analysis & Prevention. 2008;40(1):182-91.

Søreide K, Krüger AJ, Vårdal AL, Ellingsen CL, Søreide E, Lossius HM. Epidemiology and contemporary patterns of trauma deaths: changing place, similar pace, older face. World journal of surgery. 2007;31(11):2092-103.

Cothren CC, Moore EE, Hedegaard HB, Meng K. Epidemiology of urban trauma deaths: a comprehensive reassessment 10 years later. World journal of surgery. 2007;31(7):1507-11.

Sadat M, Zehtab M, Karami M. Incidence of orthopedic trauma patients at Sina Orthopedic Emergency Clinic: A review of 796 trauma victims at Sina Hospital. Journal of rehabilitation (UWRS). 2000;1(2):43-51.

Ameri A. Evaluation of patients referred to the

ortopedics department of Shfayahyaeian Hospital in one year. journal of Iranian university of medical Sciences. 1996;4(1):33-8.

McNicholl B, Cooke R. The epidemiology of major trauma in Northern Ireland. The Ulster medical journal. 1995;64(2):142.

Khatami S, Tarighi P, Rezai Y, Bakhshandeh H, Shakiba M, Jalali A. Epidemiology of trauma baqiatallah hospital: A one-Year Prospective study. MilMed Journal. 2003;5(1):13-9.

Zargar M ZM, Modaghghegh H, Abbasi K, Rezaei H. Importance of injury and effects of it on prognosis traumatic patients. The Journal of Tehran medical university. 1997

(6):101-8.

Donaldson L, Reckless I, Scholes S, Mindell J, Shelton N. The epidemiology of fractures in England. Journal of epidemiology and community health. 2008;62(2):174-80.

Court-Brown CM, Caesar B. Epidemiology of adult fractures: a review. Injury. 2006;37(8):691-7.

Shojaee M, Faridaalaee G, Yousefifard M, Yaseri M, Arhami Dolatabadi A, Sabzghabaei A, et al. New scoring system for intra-abdominal injury diagnosis after blunt trauma. Chinese journal of traumatology. 2014;17(1):19-24.

Najafi I, Safari S, Sharifi A, Sanadgol H, Hosseini M, Rashid-Farokhi F, et al. Practical strategies to reduce morbidity and mortality of natural catastrophes: a retrospective study based on Bam earthquake experience. Archives of Iranian medicine. 2009;12(4):347-52.


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