Document Type : Original Article
Authors
1
Department of Epidemiology and Biostatistics, School of Health, Shahrekord University of Medical Sciences, Shahrekord, Iran.
2
Department of Biostatistics and Epidemiology, School of Public Health, Kerman University of Medical Sciences, Kerman, Iran.
3
Department of Epidemiology, School of Public Health, Shahroud University of Medical Sciences, Shahroud, Iran.
4
Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
Abstract
Introduction: Amputations from trauma can lead to disability and pose a challenge for health care services. This study hopes to shed light on the trend, the changes, outcomes, and factors associated with trauma leading to amputations in Shiraz, Iran.
Method: A cross-sectional study was conducted to assess patients who experience amputations due to trauma in Shiraz from 2017 to 2023. The sampling method consisted of patients hospitalized at Shahid Rajaee Hospital in Shiraz. We included participants who were hospitalized for traumatic amputations. Outpatients, follow-up cases, and non-trauma-related amputations were excluded from the analysis. Data collection included variables such as admission year, gender, age, and level of amputation.
Result: 435 patients were included, and 92.2% were males. The average age of patients was 36.1 years, and the majority of patients (88.8%) underwent minor amputations. Amputation was most common among motorcycle riders (47.5%), while traffic accidents and lower limb injuries significantly contributed to major amputations, accounting for 21.9% and 51.3% of cases, respectively. The average hospital stay was 5 days. The majority of patients stayed over two days. Upper limb injuries and amputations had a significant association (p < 0.001), as well as contact with a blunt object and amputation (p = 0.002). The presence of many injuries was associated with shorter stays in a hospital (p = 0.045). We found a statistically significant increase in amputations by gender (p <0.001) and type (p=0.006) during the study period. The overall trend peaked in 2022.
Conclusion: The pattern of limb loss rates among participants, mostly men, was worrisome. Motorbike drivers are clearly at greater danger, and road accidents play a big part in severe amputations. The association between arm injuries and amputations shows the need for focused ways to stop this.
Keywords
Subjects
