Author/Authors :
Kimiafar, Khalil Mashhad University of Medical Sciences, Mashhad, Iran , Khadem-Rezaiyan, Majid Mashhad University of Medical Sciences, Mashhad, Iran , Saberifar, Mohsen Mashhad University of Medical Sciences, Mashhad, Iran , Mohammadi, Mahdi Mashhad University of Medical Sciences, Mashhad, Iran , Zarei, Mohammadsadegh Mashhad University of Medical Sciences, Mashhad, Iran , Omranzadeh, Alireza Mashhad University of Medical Sciences, Mashhad, Iran , Sarbaz, Masoumeh Mashhad University of Medical Sciences, Mashhad, Iran , Moradi, Ali Mashhad University of Medical Sciences, Mashhad, Iran
Abstract :
Background: Injury is one of the leading causes of death and disability worldwide. Lower extremity injuries put a heavy burden on communities. The aim of this study is to assess the prevalence of lower extremity injuries in Mashhad, Iran.
Methods: The data from 57430 patients with lower extremity injuries from all traumatology hospitals in Mashhad were analyzed in this retrospective descriptive cross-sectional study to determine the prevalence of lower extremity injuries in Mashhad, Iran, between March 2011 and March 2015.
Results: The prevalence of lower extremity injury in the general population of Mashhad was 0.34%. The mean age of the casualties was 33.7±19.8 years, and 77.9% were male. Knee and lower leg injuries had the highest frequency (61%). The mean hospitalization period was 7.7±12.6 days. The highest mortality rate (MR) (2%) and discharge against medical advice (DAMA) (11%) were observed in hip and thigh injuries. DAMA (8.8% vs. 6.7%, P<0.001) and MR (1.7% vs. 1.5%, P=0.005) was higher in females. However, males had a longer hospitalization period (8±13) compared to females (6.8±10.1 days) (P<0.001). The prevalence rate was declining during the study period.
Conclusion: The downward trend of lower extremity injuries is promising; however, the higher mortality rate in females needs more attention. These findings can be used for better management of traumatic patients.
