ABSTRACT
Objective: to epidemiologically assess the accidents and incidents in the injured pedestrians referred to Shahid Rajaee Hospital, Shiraz in order to provide basic preventive strategies and reduce injuries and fatalities caused by traffic accidents in pedestrians
Methods: this cross-sectional study was conducted on 5840 injured pedestrians referred to Shahid Rajaee Hospital, Shiraz from 2009 to 2014. The baseline characteristic including the demographic and clinical information, the mechanism of injury, injury severity score [ISS] and outcome determinants. We also recorded the outcome measures and the mortality. Multivariate logistic regression analysis was performed to investigate the factors related to mortality rate and Length of Stay [LOS] in hospital
Results: in our study, the history of 5840 injured pedestrians was analyzed. The mean age of the patients was 41.3219.21+/- years. Multivariate logistic regression indicated that mortality increased with age. Moreover, the odds of mortality was more in patients with Injury Severity Score [ISS] between 16 and 24 [OR: 12.94, 95% CI [3.78-32.66], p=0.001] and injuries in the head and neck [OR: 7.92, 95% CI [4.18-14.99], p=0.020]. LOS in hospital was also higher in patients with ISS>25 [OR: 16.65, 95%CI [10.68-25.96], p=0.001]
Conclusion: pedestrians have always been one of the most vulnerable road users. Our study indicated that the adverse consequences and mortalities in pedestrians increased with age. Hence, approaches are required to improve primary prevention programs and reduce deaths and injuries due to this major public health problem
ABSTRACT
Background: Today, the quality of life [QoL] studies have an important role in public health care, especially among the old adults suffering from chronic diseases such as diabetes. Diabetes and its complications can widely affect various aspects of QoL. Therefore, the present study aimed to assess diabetic patients' QoL and identify the factors that affect it
Methods: A cross-sectional study was conducted on 593 randomly selected diabetic patients aged 60 years and above who were admitted in 13 diabetes clinics in Shiraz, Iran, in 2014. Diabetes Quality of Life-Brief Clinical Inventory [DQOL-BCI] questionnaire was used to assess the quality of life in these patients. Univariate and multivariate linear regression analyses were performed, using Stata software, version 12, to identify the predictors of DQoL
Results: The participants' mean DQoL score was 41.8+/-6.2 with a mean age of 66.2+/-6.0 years. Multivariate linear regression analyses revealed that FBS level [115-180 mg/dL: P=0.05; above 180 mg/dL: P=0.02] and duration of diabetes [4-9 years: P=0.06; above 9 years: P=0.002] were two important clinical predictors of DQoL
Conclusion: This study demonstrated a relationship between clinical and socio-demographic factors and diabetic patients' QoL. Considering these related variables could lead to effective control of diabetes complications and improvement of the patients' QoL