Official Publication of the National Center for Trauma Research Trauma Monthly 2251-7464 30 6 2026 11 01 Evaluation of Trauma Injury Patterns and Treatments of Urban Riots in Tehran 1657 1663 238178 10.30491/tm.2025.498090.1797 EN Hadi Khoshmohabat Trauma Research Center, Clinical Sciences Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran 0000-0003-4881-8613 Mohammad Javad Behzadnia Trauma Research Center, Clinical Sciences Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran Mahdi Rasoolian Trauma Research Center, Clinical Sciences Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran 0009-0005-0619-7013 Journal Article 2025 01 05 Introduction: Trauma is one of the leading causes of death and disability worldwide. This study aimed to investigate the severity and patterns of trauma, as well as to analyze the treatment outcomes for victims of urban riots who were referred to a general hospital in Tehran from October to December 2022. Methods: This cohort study involved 1,032 individuals injured during urban riots, all of whom were referred to a Hospital in Tehran between October and December 2022. The severity of their injuries was assessed based on operational descriptions, CT scans of the brain and other organs, and ultrasound examinations, all of which were obtained from patient records. The likelihood of survival for each patient was calculated using the TRISS method. Results: One thousand thirty-two individuals were injured, consisting of 1,030 males and two females. The patients ranged in age from 14 to 65, with an average age of 30.9 ± 9.9 years (median age of 30 years). Among the injured, two people (0.19%) were aged between 0 and 15, 1,008 people (97.7%) were between 15 and 55, and 22 people (2.1%) were over 55 years old. The average Injury Severity Score (ISS) was 1.8 ± 3, with a median score of 1. The average survival probability of patients using the TRISS model was 99.487 ± 2.7%. The overall average TRISS score was 0.513 ± 2.7%. Conclusion: TRISS can be utilized to evaluate the quality of various programs, such as educational initiatives, the establishment of cardiopulmonary resuscitation teams, and trauma surgical teams. Given the potential for urban accidents, it is essential to develop trauma care protocols based on the severity of patients' injuries. Additionally, it is recommended to establish a trauma registration center that utilizes standard questionnaires and checklists.

https://www.traumamon.com/article_238178_512623b71bfaeea5b53cc62dd60c22f6.pdf