Dear Editor,Acute flaccid paralysis(AFP)is a complex syndrome often caused by polioviruses.While most countries have eradicated wild polioviruses by vaccination,AFP still remains a health problem in these countries.Mo...Dear Editor,Acute flaccid paralysis(AFP)is a complex syndrome often caused by polioviruses.While most countries have eradicated wild polioviruses by vaccination,AFP still remains a health problem in these countries.Most studies have highlighted non-polio enteroviruses(NPEVs)展开更多
Dear Editor,Arthropod-borne viruses are a group of the most important emerging pathogens.They cause a range of diseases in vertebrate hosts and threaten human health(Gan and Leo,2014).The global distribution of arbovi...Dear Editor,Arthropod-borne viruses are a group of the most important emerging pathogens.They cause a range of diseases in vertebrate hosts and threaten human health(Gan and Leo,2014).The global distribution of arboviruses is associated with the vector which is strongly affected by changes in environmental conditions.展开更多
Purpose： The administrative data from trauma centers could serve as potential sources of invaluable information while studying epidemiologic features of car accidents. In this cross-sectional analysis of Shahid Rajae...Purpose： The administrative data from trauma centers could serve as potential sources of invaluable information while studying epidemiologic features of car accidents. In this cross-sectional analysis of Shahid Rajaee hospital administrative data, we aimed to evaluate patients injured in car accidents in terms of age, gender, injury severity, injured body regions and hospitalization outcome in the recent four years （2011-2014）. Methods： The hospital registry was accessed at Shiraz Trauma Research Center （Shiraz, lran） and the admission＇s unit data were merged with the information gathered upon discharge. A total number of 27,222 car accident patients aged over 15 years with International Classification of Diseases 10th revision （ICD-10） external causes of injury codes （V40.9-V49.9） were analyzed. Injury severity score and injured body regions were determined based on converting ICD-10 injury codes to Abbreviated Injury Scale （AIS- 98） severity codes using a domestically developed electronic algorithm. A binary logistic regression model was applied to the data to examine the contribution of all independent variables to in-hospital mortality. Results： Men accounted for 68.9% of the injuries and the male to female ratio was 2.2：1. The age of the studied population was （34 ±15） years, with more than 77.2% of the population located in the 15-45 years old age group. Head and neck was the most commonly injured body region （39.0%） followed by extremities （27.2%）. Injury severity score （ISS） was calculated for 13,152 （48.3%） patients, of whom, 80.9% had severity scores less than 9. There were 332 patients （1.2%） admitted to the intensive care units and 422 in-hospital fatalities （1.5%） were recorded during the study period. Age above 65 years [OR = 7.4, 95%, CI （5.0-10.9）], ISS above 16 [OR - 9.1, 95% CI （5.5-14.9）], sustaining a thoracic inJury [OR - 7.4, 95%, CI （4.6 -11.9）] and head injury [OR - 4.9, 95%, CI （3.1-7.6）] were the most important independent predictors of death following car accidents. Conclusion： Hospital administrative databases of this hospital could be used as reliable sources of in- formation in providing epidemiologic reports of car accidents in terms of severity and outcomes. Improving the quality of recordings at hospital databases is an important initial step towards more comorehensive iniurv surveillance in Fats, Iran.展开更多
基金supported by Tehran University of Medical Sciences
文摘Dear Editor,Acute flaccid paralysis(AFP)is a complex syndrome often caused by polioviruses.While most countries have eradicated wild polioviruses by vaccination,AFP still remains a health problem in these countries.Most studies have highlighted non-polio enteroviruses(NPEVs)
基金a specific grant from National Institute for Medical Research Development,Iran(Grand No.940947)the National Institute for Medical Research Development ethics committee(IR.NIMAD.REC.1394.940947)
文摘Dear Editor,Arthropod-borne viruses are a group of the most important emerging pathogens.They cause a range of diseases in vertebrate hosts and threaten human health(Gan and Leo,2014).The global distribution of arboviruses is associated with the vector which is strongly affected by changes in environmental conditions.
文摘Purpose： The administrative data from trauma centers could serve as potential sources of invaluable information while studying epidemiologic features of car accidents. In this cross-sectional analysis of Shahid Rajaee hospital administrative data, we aimed to evaluate patients injured in car accidents in terms of age, gender, injury severity, injured body regions and hospitalization outcome in the recent four years （2011-2014）. Methods： The hospital registry was accessed at Shiraz Trauma Research Center （Shiraz, lran） and the admission＇s unit data were merged with the information gathered upon discharge. A total number of 27,222 car accident patients aged over 15 years with International Classification of Diseases 10th revision （ICD-10） external causes of injury codes （V40.9-V49.9） were analyzed. Injury severity score and injured body regions were determined based on converting ICD-10 injury codes to Abbreviated Injury Scale （AIS- 98） severity codes using a domestically developed electronic algorithm. A binary logistic regression model was applied to the data to examine the contribution of all independent variables to in-hospital mortality. Results： Men accounted for 68.9% of the injuries and the male to female ratio was 2.2：1. The age of the studied population was （34 ±15） years, with more than 77.2% of the population located in the 15-45 years old age group. Head and neck was the most commonly injured body region （39.0%） followed by extremities （27.2%）. Injury severity score （ISS） was calculated for 13,152 （48.3%） patients, of whom, 80.9% had severity scores less than 9. There were 332 patients （1.2%） admitted to the intensive care units and 422 in-hospital fatalities （1.5%） were recorded during the study period. Age above 65 years [OR = 7.4, 95%, CI （5.0-10.9）], ISS above 16 [OR - 9.1, 95% CI （5.5-14.9）], sustaining a thoracic inJury [OR - 7.4, 95%, CI （4.6 -11.9）] and head injury [OR - 4.9, 95%, CI （3.1-7.6）] were the most important independent predictors of death following car accidents. Conclusion： Hospital administrative databases of this hospital could be used as reliable sources of in- formation in providing epidemiologic reports of car accidents in terms of severity and outcomes. Improving the quality of recordings at hospital databases is an important initial step towards more comorehensive iniurv surveillance in Fats, Iran.
