Comparison of epidemiologic features between upper and lower limb injuries and risk factors for intensive care unit admission in a university hospital affiliated with the National Trauma Registry of Iran  

作　　者：Pouya Mahdavi Sharif Mohsen Merati Vali Baigi Mohammadreza Zafarghandi Vafa Rahimi-Movaghar Moein Khormali Marjan Laal Payman Salamati 

机构地区：[1]Sina Trauma and Surgery Research Center,Tehran University of Medical Sciences,Tehran,Iran [2]Department of Epidemiology and Biostatistics,School of Public Health,Tehran University of Medical Sciences,Tehran,Iran

出　　处：《Chinese Journal of Traumatology》2024年第6期389-394,共6页中华创伤杂志（英文版）

基　　金：supported by the Sina Trauma and Surgery Research Center,Tehran University of Medical Sciences,Tehran,Iran(grant number:50495)。

摘　　要：Purpose:Upper extremity injuries(UEIs)and lower extremity injuries(LEIs)constitute a considerable component of traumas.However,their epidemiologic differences and short-term in-hospital outcomes are not fully elucidated.This study aims to compare such discrepancies in a large-scale study.Methods:In this retrospective study,all patients with UEIs and/or LEIs hospitalized from 24th July 2016 to 16th May 2020 in Sina Hospital,Tehran,Iran,and registered at the National Trauma Registry of Iran were enrolled in the study.Relevant demographic and clinical characteristics were extracted from the National Trauma Registry of Iran database.Patients were grouped into either UEI or LEI.For those with concomitant UEIs and LEIs,the more severe one based on the abbreviated injury scale was defined as the principal diagnosis.In addition,cases with the abbreviated injury scale>3 for both UEI and LEI or concomitant injuries to body areas other than the limbs were excluded.Independent samplest-test,Mann-WhitneyU test,Chi-square test,quintile regression models,and logistic regression models with"margins"command were used for statistical analyses,as indicated.Results:In this research,3170 eligible cases were identified.For the LEI group,there was a much higher proportion of male patients(86.7%vs.82.0%)and higher mean age(years,42.9vs.35.3)compared to the UEI group(bothp<0.001).Patients with an injury severity score(ISS)of 9-15 were outnumbered in the LEI group(22.9%vs.1.6%,p<0.001),while the proportion of those with an ISS<9 was higher in the UEI group(98.1%vs.76.8%,p<0.001).The multiple logistic regression model showed a statistically significant association between intensive care unit(ICU)admission and ISS(odds ratio(OR)=4.01 for ISS 9-15vs.ISS<9,95%confidence interval(CI)):3.01-5.35;OR=17.65 for ISS≥16vs.ISS<9,95%CI:4.03-77.27),age(OR=1.02,95%CI:1.01-1.03),cause of injury(OR=0.27 for blunt traumavs.road traffic crash,95%CI:0.08-0.90;OR=0.49 for cut/stab injuriesvs.road traffic crash,95%CI:0.28-0.84)and body region(OR=1.65 for low

关 键 词：Wounds and injuries Lower extremity Upper extremity Intensive care unit Length of hospital stay 

分 类 号：R641[医药卫生—外科学] R181.3[医药卫生—临床医学]