Socio-economic status and trauma outcome in Imam Reza Hospital of Birjand in ‎‎2021‎

Sadegh Shajari; Fatemeh Maleki; Gholamreza Sharifzadeh; Moloud Foogerdi

Socio-economic status and trauma outcome in Imam Reza Hospital of Birjand in ‎‎2021‎

Authors

Sadegh Shajari Student Research Committee, Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran.
Fatemeh Maleki Department of Emergency Medicine, Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran.
Gholamreza Sharifzadeh Assistant Professor of Epidemiology, Social Determinants of Health Research Center Birjand University of Medical Sciences, Birjand, Iran
Moloud Foogerdi Department of Emergency Medicine, Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran.

Keywords:

Trauma, Accidents, Socio-economic, Road traffic injuries

Abstract

Introduction: Socio-economic status (SES) is one of the indicators affecting health; while its association with trauma is not well studied in Iran. So, our aim was to determine the relationship between socioeconomic factors and trauma outcomes.

Methods: In this cross-sectional study, 1000 trauma patients referred to Imam Reza Birjand Hospital in 2021 were evaluated. Demographic information, type, pattern, and mechanism of trauma, along with the outcome and socio-economic factors were extracted from medical records. SES Irani territorialized questionary scores were compared between different trauma characteristics.

Results: Among one thousand trauma patients (mean age of 37.57 ± 14.07 years), most of the patients were male (70.5%); The groups with lower SES values include those with penetrating trauma (p=0.016), spine trauma, and falling down accidents. The severity of the trauma also had an impact on SES, with more severe injuries having lower SES values (p=0.002). the average score of SES in female patients compared to male patients, single compared to married patients, and renters compared to house-owning patients, was significantly higher (P<0.001). The average score of the SES was significantly higher in patients with conflict mechanism of trauma compared to other investigated causes and in patients with minor trauma, severity compared to other investigated severities (P<0.05).

Conclusion: We did not find a significant association between socioeconomic status and trauma outcome in Iran; but Patients with lower SES values were more likely to experience penetrating trauma, spine trauma, and falling down accidents. Additionally, more severe injuries were associated with lower SES values. These findings highlight the importance of addressing socio-economic disparities in trauma care to improve patient outcomes.

Keywords: Trauma, Accidents, Socio-economic, road traffic injuries

Declarations:

Data availability: Individual patient-level data would be provided in a reasonable request to the corresponding author.

Conflicts of interest: None.

Author contributions: All authors contributed to the conception and design of the study. Sadegh Shajari and Fatemeh Maleki collected the data. Gholamreza Sharifzadeh and Sadegh Shajari analyzed and interpreted the data. Moloud Foogerdi and Sadegh Shajari drafted the manuscript. All authors critically revised the manuscript for important intellectual content and approved the final version for publication.

Acknowledgments: We would like to express our gratitude to the Faculty of Medicine and Research Vice-Chancellor of Birjand University of Medical Sciences for their financial and moral support of this thesis, as well as to the patients for their cooperation and participation in the study.

Ethical considerations: The present study was approved by the ethics committee of Birjand University of Medical Sciences under number IR.BUMS.REC.1400.108.

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Socio-economic status and trauma outcome in Imam Reza Hospital of Birjand in ‎‎2021‎