Determinants of length of hospital stay and ICU admission in traumatic patients in an Iranian hospital
Background: Trauma is a leading cause of mortality and morbidity worldwide, with developing countries facing significant challenges in managing its impact.Objectives: This study aimed to investigate trauma characteristics and the influence of factors on two primary outcomes: the length of hospital s...
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| Format: | Article |
| Language: | English |
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Kashan University of Medical Sciences
2024-12-01
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| Series: | Archives of Trauma Research |
| Subjects: | |
| Online Access: | https://archtrauma.kaums.ac.ir/article_209425_b179d5d26fdc5102edd1233d1c0a9612.pdf |
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| author | Mahgol Sadat Hassan Zadeh Tabatabaei Melika Ozlaty Vali Baigi Mina Golestani Mahdi Rezaei Sajjad Ahmadi Mohammadreza Zafarghandi Vafa Rahimi-Movaghar Farzad Maroufi Sadaf Agahi Seyed Mohammad Piri Khatereh Naghdi Homayoun Sadeghi-Bazargani Payman Salamati |
| author_facet | Mahgol Sadat Hassan Zadeh Tabatabaei Melika Ozlaty Vali Baigi Mina Golestani Mahdi Rezaei Sajjad Ahmadi Mohammadreza Zafarghandi Vafa Rahimi-Movaghar Farzad Maroufi Sadaf Agahi Seyed Mohammad Piri Khatereh Naghdi Homayoun Sadeghi-Bazargani Payman Salamati |
| author_sort | Mahgol Sadat Hassan Zadeh Tabatabaei |
| collection | DOAJ |
| description | Background: Trauma is a leading cause of mortality and morbidity worldwide, with developing countries facing significant challenges in managing its impact.Objectives: This study aimed to investigate trauma characteristics and the influence of factors on two primary outcomes: the length of hospital stay (LOS) and intensive care unit (ICU) admission.Methods: The study included trauma patients admitted to Shohada Hospital who met the National Trauma Registry of Iran (NTRI) inclusion criteria between 2017 and 2020. Different covariates were associated with ICU admission and LOS, and the association was assessed using regression models.Results: Out of 9,829 patients, fall was the most common trauma cause in both men (38.8%) and women (64.1%). Fallings were more prevalent among women, whereas road traffic crashes (RTCs) were more common among men (p<0.001). Quantile regressions showed significant associations between age, injury severity score (ISS), and cause of trauma with LOS. After adjusting for variables including age, gender, education, and ISS, patients injured by falls had a median LOS 20 hours shorter than those injured by RTCs (95% CI: -22.26 to -17.73, p<0.001). Univariable logistic regression results showed that the odds of ICU admission in patients with fall injuries were 2.12 times higher than in patients injured by RTCs (95% CI: 1.59 to 2.82, p<0.001).Conclusion: Most trauma cases involved men, and falls were the most common cause of trauma, which differed from the results reported by NTRI collaborating centers. Women had more fall-related injuries, while men had higher events of RTCs. Falls had a shorter LOS compared to those injured by RTCs. Key factors impacting ICU admission and LOS were age, ISS, RTC, and trauma cause. |
| format | Article |
| id | doaj-art-e2fb4a4d91ca4b11bbbd5c7e6ca334f2 |
| institution | Kabale University |
| issn | 2251-953X 2251-9599 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Kashan University of Medical Sciences |
| record_format | Article |
| series | Archives of Trauma Research |
| spelling | doaj-art-e2fb4a4d91ca4b11bbbd5c7e6ca334f22024-12-24T19:43:21ZengKashan University of Medical SciencesArchives of Trauma Research2251-953X2251-95992024-12-0113423524210.48307/atr.2024.456223.1121209425Determinants of length of hospital stay and ICU admission in traumatic patients in an Iranian hospitalMahgol Sadat Hassan Zadeh Tabatabaei0Melika Ozlaty1Vali Baigi2Mina Golestani3Mahdi Rezaei4Sajjad Ahmadi5Mohammadreza Zafarghandi6Vafa Rahimi-Movaghar7Farzad Maroufi8Sadaf Agahi9Seyed Mohammad Piri10Khatereh Naghdi11Homayoun Sadeghi-Bazargani12Payman Salamati13Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, IranSina Trauma and Surgery Research Center, Sina Hospital, Tehran University of Medical Sciences, Tehran, IranSina Trauma and Surgery Research Centre, Tehran University of Medical Sciences, Tehran, Iran Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, IranRoad Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, IranRoad Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, IranEmergency and Trauma Care Research Center, Tabriz University of Medical Sciences, Tabriz, IranSina Trauma and Surgery Research Center, Sina Hospital, Tehran University of Medical Sciences, Tehran, IranSina Trauma and Surgery Research Center, Sina Hospital, Tehran University of Medical Sciences, Tehran, IranSina Trauma and Surgery Research Center, Sina Hospital, Tehran University of Medical Sciences, Tehran, IranSina Trauma and Surgery Research Center, Sina Hospital, Tehran University of Medical Sciences, Tehran, IranSina Trauma And Surgery Research Center, Tehran University of Medical sciencesSina Trauma and Surgery Research Center, Sina Hospital, Tehran University of Medical Sciences, Tehran, IranRoad Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, IranSina Trauma and Surgery Research Center, Sina Hospital, Tehran University of Medical Sciences, Tehran, IranBackground: Trauma is a leading cause of mortality and morbidity worldwide, with developing countries facing significant challenges in managing its impact.Objectives: This study aimed to investigate trauma characteristics and the influence of factors on two primary outcomes: the length of hospital stay (LOS) and intensive care unit (ICU) admission.Methods: The study included trauma patients admitted to Shohada Hospital who met the National Trauma Registry of Iran (NTRI) inclusion criteria between 2017 and 2020. Different covariates were associated with ICU admission and LOS, and the association was assessed using regression models.Results: Out of 9,829 patients, fall was the most common trauma cause in both men (38.8%) and women (64.1%). Fallings were more prevalent among women, whereas road traffic crashes (RTCs) were more common among men (p<0.001). Quantile regressions showed significant associations between age, injury severity score (ISS), and cause of trauma with LOS. After adjusting for variables including age, gender, education, and ISS, patients injured by falls had a median LOS 20 hours shorter than those injured by RTCs (95% CI: -22.26 to -17.73, p<0.001). Univariable logistic regression results showed that the odds of ICU admission in patients with fall injuries were 2.12 times higher than in patients injured by RTCs (95% CI: 1.59 to 2.82, p<0.001).Conclusion: Most trauma cases involved men, and falls were the most common cause of trauma, which differed from the results reported by NTRI collaborating centers. Women had more fall-related injuries, while men had higher events of RTCs. Falls had a shorter LOS compared to those injured by RTCs. Key factors impacting ICU admission and LOS were age, ISS, RTC, and trauma cause.https://archtrauma.kaums.ac.ir/article_209425_b179d5d26fdc5102edd1233d1c0a9612.pdfwounds and injuriesregistriesaccidentstrafficlength of stay |
| spellingShingle | Mahgol Sadat Hassan Zadeh Tabatabaei Melika Ozlaty Vali Baigi Mina Golestani Mahdi Rezaei Sajjad Ahmadi Mohammadreza Zafarghandi Vafa Rahimi-Movaghar Farzad Maroufi Sadaf Agahi Seyed Mohammad Piri Khatereh Naghdi Homayoun Sadeghi-Bazargani Payman Salamati Determinants of length of hospital stay and ICU admission in traumatic patients in an Iranian hospital Archives of Trauma Research wounds and injuries registries accidents traffic length of stay |
| title | Determinants of length of hospital stay and ICU admission in traumatic patients in an Iranian hospital |
| title_full | Determinants of length of hospital stay and ICU admission in traumatic patients in an Iranian hospital |
| title_fullStr | Determinants of length of hospital stay and ICU admission in traumatic patients in an Iranian hospital |
| title_full_unstemmed | Determinants of length of hospital stay and ICU admission in traumatic patients in an Iranian hospital |
| title_short | Determinants of length of hospital stay and ICU admission in traumatic patients in an Iranian hospital |
| title_sort | determinants of length of hospital stay and icu admission in traumatic patients in an iranian hospital |
| topic | wounds and injuries registries accidents traffic length of stay |
| url | https://archtrauma.kaums.ac.ir/article_209425_b179d5d26fdc5102edd1233d1c0a9612.pdf |
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