نویسندگان
1 ، دانشگاه علوم پزشکی شهید بهشتی
2 دانشگاه علوم پزشکی شهید بهشتی
چکیده
پیش زمینه: یکی از مشکلات شایع و علل مهم مراجعه به مراکز درمانی آسیبهای ارتوپدی است که عوامل مختلفی چون آسیبهای خود به خودی، برخورد با وسایل نقلیه، در محیط کار و یا هنگام ورزش در آن نقش دارد. هدف از پژوهش حاضر تعیین فراوانی و علل بروز آسیبهای ارتوپدی است.
مواد و روشها: کلیه بیماران مراجعه کننده به اورژانس بیمارستان آموزشی اختر استان تهران در سال 94 نمونه آماری پژوهش حاضر است که با روش پرسشنامه ثبت آسیب توسط پرستار بهصورت تصادفی جمعآوری گردید. از آمار توصیفی مانند فراوانی، میانگین و انحراف استاندارد برای بررسی شیوع آسیب و بیان ویژگیهای نمونه آماری استفاده شد. از آمار استنباطی خطی دو جهت مقایسۀ بین میزان شیوع آسیب در نواحی مختلف بدن استفاده شد.
یافتهها: نتایج پژوهش حاضر بیانگر آن بود که آسیبهای اندام تحتانی بیشتر از نواحی دیگر است و آسیبهای اندام فوقانی در رتبه دوم است. بین جنسیت و علت بروز حادثه سطح معنیداری وجود دارد (P<0.03). همچنین بین جنسیت و میزان بروز آسیب به ترتیب در اندامهای تحتانی چپ (P<0.001) و راست (P<0.049) و اندام فوقانی راست (P<0.001) و چپ (P<0.001) سطح معنیداری وجود دارد. بروز آسیب در میان مردان بیش از زنان و همچنین مچ پا شایعترین ناحیه آسیب دیده در اندام تحتانی چپ و راست و مچ دست شایعترین ناحیه در اندام فوقانی راست و چپ بود.
نتیجهگیری: باتوجه به نتایج حاصل از این بررسی میتوان بیان کرد علت اصلی آسیبهای ارتوپدی مراجعین به بیمارستان اختر استان تهران حوادث سواره و پیاده است و بیشترین مصدومین در بازه سنی 20 تا 40 سال میباشند.
کلیدواژه‌ها
عنوان مقاله [English]
Epidemiology Orthopedic Injuries Referring to Emergency Department A Cross Sectional Study
نویسندگان [English]
- Hamid Mahdavi Mohtasham 1
- Farshad Safdari 1
- Azad Aliahmadi 1
- Seyyed Morteza Kazemi 1
1
2
چکیده [English]
Background: One of the common reasons for referral to healthcare centers are orthopedic injuries which may occur due to spontaneous pathologic injuries, traffic accidents, workplace injuries, and during exercise. This study aimed to determine the frequency, types and causes of orthopedic injuries refering to Akhatr teaching hospital in Tehran.
Methods: In this study, records of all the patients presented to the emergency department of the Akhtar hospital in 2015 were reviewed. Data were collected by random completion of the "damage record questionnaire" by nurses. Data were analyzed using descriptive (frequency, mean and standard deviation) and inferential (Chi-square) statistics to evaluate the incidence rate of injuries and demographic characteristics of the participants and to compare the incidence rate of injuries in various body parts.
Results: Most injuries occurred in lower extremities, followed by upper extremities. In addition, there was a significant association between gender and cause of incidents (P<0.03). Moreover, a significant correlation was observed between gender and rate of injury in left (P<0.001) and right (P<0.049) lower extremities and also in the right (P<0.001) and left (P<0.001) upper extremities. Results demonstrated a higher rate of injury among men, compared to women. Furthermore, the ankle was the most commonly injured area in the lower extremities while the wrist was the most common area of injury in upper extremities.
Conclusion: According to our results, the main cause of orthopedic injuries in the emergency department was traffic accidents (drivers, car occupants, and pedestrians), and the majority of patients were in the age range of 20- 40 years.
کلیدواژه‌ها [English]
- Keywords: Orthopedic Injuries
- fracture
- Emergency
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