Epidemiologic and Clinical Characteristics of Intentional Injuries among Cases Admitted to Sina Hospital: Affiliated with the National Trauma Registry of Iran

IF 1.4 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of research in health sciences Pub Date : 2023-09-29 DOI:10.34172/jrhs.2023.122
Mahgol Sadat Hassan Zadeh Tabatabaei, Vali Baigi, Mohammadreza Zafarghandi, Vafa Rahimi-Movaghar, Sobhan Pourmasjedi, Armin Khavandegar, Khatereh Naghdi, Payman Salamati
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Abstract

Background: Intentional injuries, including self-harm, suicide, conflict, and interpersonal violence are a significant public health concern in Iran, but they have not been adequately documented. This study aimed to investigate intentional injuries in cases admitted to Sina Hospital in Tehran, Iran, affiliated with the National Trauma Registry of Iran. Study Design: A retrospective cohort study. Methods: A registry-based study on the characteristics of 852 intentional injury cases was conducted from 2016 to 2023. Information on various aspects, including baseline characteristics, injury characteristics, and injury outcomes was compared between groups of self-harm/suicide, conflict/interpersonal violence, and others (abuse and legal prosecution). Results: Of 6,692 registered trauma cases, 852 (12.7%) had intentional injuries. Men accounted for 92 (77.3%) self-harm/suicide and 650 (96.4%) conflict/interpersonal violence cases (P<0.001). Self-harm/ suicide mostly occurred at home in 89 (74.8%) cases, while 73 (10.8%) conflict/interpersonal violence cases happened at home (P<0.001). Falls were the cause of trauma in 12 (10.1%) self-harm/suicide cases compared to 7 (1.0%) conflict/interpersonal violence cases (P<0.001). Furthermore, blunt trauma was the cause of trauma in one (0.8%) case of self-harm/suicide and 66 (9.8%) conflict/interpersonal violence cases (P<0.001). Moreover, 14 (11.8%) self-harm/suicide and 34 (5.0%) conflict/interpersonal violence cases required ventilation (P=0.010). Additionally, 74 (8.7%) intentional injury cases had multiple traumas, which were seen in nine (7.6%) self-harm/suicide and 58 (8.6%) conflict/interpersonal violence cases (P<0.001). Conclusion: Men were the majority of self-harm/suicide and conflict/interpersonal violence cases. Self-harm/suicide incidents mostly occurred at home and resulted in more injuries from falls, while conflict/ interpersonal violence resulted in increased blunt traumas and multiple traumas.
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新浪医院住院病例中故意伤害的流行病学和临床特征:隶属于伊朗国家创伤登记处
背景:故意伤害,包括自残、自杀、冲突和人际暴力,在伊朗是一个重大的公共卫生问题,但这些问题尚未得到充分的记录。本研究旨在调查伊朗德黑兰新浪医院(隶属于伊朗国家创伤登记处)收治的故意伤害病例。研究设计:回顾性队列研究。方法:对2016 - 2023年852例故意伤害案的特征进行登记分析。在自我伤害/自杀组、冲突/人际暴力组和其他组(虐待和法律起诉)之间比较了包括基线特征、伤害特征和伤害结果在内的各个方面的信息。结果:6692例外伤中,故意伤害者852例(12.7%)。男性自残/自杀占92例(77.3%),冲突/人际暴力占650例(96.4%)(P<0.001)。89例(74.8%)发生自残/自杀,73例(10.8%)发生冲突/人际暴力(P<0.001)。在12例(10.1%)自残/自杀案件中,跌倒是造成创伤的原因,而在冲突/人际暴力案件中,跌倒是7例(1.0%)造成创伤的原因(P<0.001)。此外,钝器创伤是1例(0.8%)自残/自杀和66例(9.8%)冲突/人际暴力的创伤原因(P<0.001)。自残/自杀14例(11.8%)、冲突/人际暴力34例(5.0%)需要换气(P=0.010)。此外,74例(8.7%)故意伤害案件有多重创伤,其中自残/自杀案件9例(7.6%)和冲突/人际暴力案件58例(8.6%)(P<0.001)。结论:男性在自残/自杀和冲突/人际暴力案件中占多数。自残/自杀事件主要发生在家中,导致更多摔伤,而冲突/人际暴力导致钝性创伤和多重创伤增加。
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来源期刊
Journal of research in health sciences
Journal of research in health sciences PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.30
自引率
13.30%
发文量
7
期刊介绍: The Journal of Research in Health Sciences (JRHS) is the official journal of the School of Public Health; Hamadan University of Medical Sciences, which is published quarterly. Since 2017, JRHS is published electronically. JRHS is a peer-reviewed, scientific publication which is produced quarterly and is a multidisciplinary journal in the field of public health, publishing contributions from Epidemiology, Biostatistics, Public Health, Occupational Health, Environmental Health, Health Education, and Preventive and Social Medicine. We do not publish clinical trials, nursing studies, animal studies, qualitative studies, nutritional studies, health insurance, and hospital management. In addition, we do not publish the results of laboratory and chemical studies in the field of ergonomics, occupational health, and environmental health
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