Incidence and pattern of traumatic spine injury in a single level I trauma center of southern Iran

Yadollahi, Mahnaz; Karajizadeh, Mehrdad; Bordbar, Najmeh; Ghahramani, Zahra

doi:10.1016/j.cjtee.2023.01.001

Cited by 7 publications

(3 citation statements)

References 37 publications

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“…Even before and during COVID-19, accidents were the most important cause of death in the 5–44 age group, which shows that COVID-19 has not been able to cause a significant impact on this age group and to reduce the death of young people, the number of accidents should still be reduced. A study in Shiraz, Iran showed reduced hospital admission due to traffic accidents during the COVID-19 pandemic; though, they reported increased mortality due to road traffic accidents which are probably due to reduced traffic safety leading to more lethal accidents ( 34 ). Similarly, Shaik and Ahmed investigated the effect of COVID-19 on road traffic crashes.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the effect of the COVID-19 pandemic on the all-cause, cause-specific mortality, YLL, and life expectancy in the first 2 years in an Iranian population—an ecological study

Pirayesh,

Riahi,

Bidokhti

et al. 2023

Front. Public Health

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BackgroundCOVID-19 pandemic resulted in excess mortality and changed the trends of causes of death worldwide. In this study, we investigate the all-cause and cause-specific deaths during the COVID-19 pandemic (2020–2022) compared to the baseline (2018–2020), considering age groups, gender, place of residence, and place of death in south Khorasan, east of Iran.MethodsThe present ecological study was conducted using South Khorasan Province death certificate data during 2018–2022. The number of death and all-cause and cause-specific mortality rates (per 100,000 people) were calculated and compared based on age groups, place of residence, place of death, and gender before (2018–2020) and during the COVID-19 pandemic (2020–2022). We also calculated total and cause-specific years of life lost (YLL) to death and gender-specific life expectancy at birth.ResultsA total of 7,766 deaths occurred from March 21, 2018, to March 20, 2020 (pre-pandemic) and 9,984 deaths from March 21, 2020, to March 20, 2022 (pandemic). The mean age at death increased by about 2 years during the COVID-19 pandemic. The mortality rate was significantly increased in the age groups 20 years and older. The most excess deaths were recorded in men, Aged more than 60 years, death at home, and the rural population. Mortality due to COVID-19 accounted for nearly 17% of deaths. The highest increase in mortality rate was observed due to endocrine and Cardiovascular diseases. Mortality rates due to the genitourinary system and Certain conditions originating in the perinatal period have decreased during the COVID-19 pandemic. The major causes of death during the pandemic were Cardiovascular diseases, COVID-19, cancer, chronic respiratory diseases, accidents, and endocrine diseases in both sexes, in rural and urban areas. Years of life lost (YLL) increased by nearly 15.0%, which was mostly due to COVID-19, life expectancy at birth has steadily declined from 2018 to202 for both genders (from 78.4 to 75).ConclusionIn this study, we found that All-cause mortality increased by 25.5% during the COVID-19 pandemic, especially in men, older adult, Rural residents, and those who died at home (outside the hospital). Considering that the most common causes of death during the COVID-19 pandemic are also non-communicable diseases. It is necessary to pay attention to non-communicable diseases even during the pandemic of a serious infectious disease like COVID-19. The years of life lost also increased during the COVID-19 pandemic, which is necessary to pay attention to all age groups, especially the causes of death in young people. In most developing countries, the first cause of death of these groups is accidents.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the effect of the COVID-19 pandemic on the all-cause, cause-specific mortality, YLL, and life expectancy in the first 2 years in an Iranian population—an ecological study

Pirayesh,

Riahi,

Bidokhti

et al. 2023

Front. Public Health

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“…A careful analysis of cases proved that such a high specific weight of cervical spine injuries in the clinical and nosological structure of spine injuries in road accident victims is due to non-compliance with safety rules, primarily - non-use of seat belts by drivers and passengers, and is confirmed by a high specific weight of cervical spine injuries in road traffic participants (53.58 and 48.91 %, respectively). Thus, in order to prevent da mage to the cervical spine (which is the most dangerous for the victim's life), it is necessary to strengthen preventive work in the direction of proving the strict necessity of using seat belts [11,12].…”

Section: Discussionmentioning

confidence: 99%

Spinal cord injury as a component of polytrauma in road accident victims

Guryev,

Kushnir,

Iskra

et al. 2023

PJS

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Background. Road traffic injury remains one of the most serious and complex types of human injury both in Ukraine and around the world. The purpose of the research: to determine the location and extent of spinal cord injuries as a component of polytrauma as a result of a road accident. Materials and methods. We formed a study array of 298 victims with spinal cord injuries from the array of road accident victims (1,696 people) who were treated in the emergency medical care hospital of the city of Kyiv, the emergency medical care hospital of the city of Chernivtsi, and three central district hospitals of the Kyiv region in 2020–2021. Formation of the research array was carried out by the method of irreversible randomization using the technology of random numbers. The selection criterion for inclusion in the study was the presence of spinal cord injury in road accident victims. At the same time, verification of the nature of the damage was determined at this stage of the study only by clinical and anatomical features, namely, the cervical spine, the thoracic spine and the lumbar spine. Results. It was established that 87.25 % receive damage to one part of the spine. Damage to all parts of the spine in road accidents occurs in 1.68 %. Among the combination of injuries of the spine, the combination of injuries of the thoracic and lumbar parts has the largest specific weight. Spinal cord injury occurs most often in drivers 37.05 %, the least common in pedestrians 30.82 %. According to the NISS, 51.02 % of victims receive a mild spinal cord injury, 39.99 % of victims receive a severe spinal cord injury. In victims with a severity of 25 points, damage to the cervical spine has the largest specific weight of 40.29 %, the smallest is the thoracic section of 28.70 %. In drivers and passengers, the cervical spine is most often damaged, 53.85 and 48.91 %, respectively. In pedestrians, the lumbar spine is most often injured, 47.19 %. The coefficient of combination of damage to several sections of the spine at the same time for drivers and passengers is 1.14, and for pedestrians — 1.6. Conclusions. Spine injuries occur in 17.98 % of victims of traffic accidents. Most often, the cervical spine is damaged in 46.64 %, thoracic — in 32.55 %, and lumbar — in 35.23 % of those injured as a result of traffic accidents.

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“…Furthermore, a study in Shiraz compared the prevalence and causes of death among patients admitted due to road accidents during the COVID-19 epidemic with the period before. The results indicated a decrease in the number of patients compared to before, but an increase in the number of deaths from road accidents [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

Impact of COVID-19 pandemic on road traffic injuries in Iran: An interrupted time-series analysis

Kolivand,

Saberian,

Arabloo

et al. 2024

PLoS ONE

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Introduction Globally, the COVID-19 pandemic has affected the number of road accidents and deaths caused by them. The present study aimed to identify the effect of this epidemic on traffic accidents and their casualties in Iran. Methods In this study, Interrupted Time Series Analysis (ITSA) was used in a semi-experimental design to measure the impact of the restrictive policies of COVID-19 on road accidents. Data were collected retrospectively from the Iran Red Crescent Society data set for 31 provinces from March 2017 to February 2022. The information related to the number of road accidents, injuries, deaths, and deaths in the hospital was collected. The Newey‐West method is used for estimation. Statistical analyses were carried out using R software version 3.6.1. Results Since February 2020 in Iran, the reduction in the number of road accidents and the number of injuries and deaths in these accidents was significant at 5% but the reduction of deaths in the scene and hospital was significant at 10%. In general, for all variables, the reduction trend was established only in the first months, and then it had an upward trend. Conclusion In the early months of the COVID-19 epidemic in Iran, the number of road accidents and their casualties decreased. Policies restricting traffic, quarantine, and fines for violators can be reasons for changing people’s behavior and travel patterns and also lead to a reduction in traffic accidents and fatalities. Such studies can explain the importance of the policies in changing behavioural patterns and can be used as a guide in future policies.

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Incidence and pattern of traumatic spine injury in a single level I trauma center of southern Iran

Cited by 7 publications

References 37 publications

Evaluation of the effect of the COVID-19 pandemic on the all-cause, cause-specific mortality, YLL, and life expectancy in the first 2 years in an Iranian population—an ecological study

Evaluation of the effect of the COVID-19 pandemic on the all-cause, cause-specific mortality, YLL, and life expectancy in the first 2 years in an Iranian population—an ecological study

Spinal cord injury as a component of polytrauma in road accident victims

Impact of COVID-19 pandemic on road traffic injuries in Iran: An interrupted time-series analysis

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