The National Spinal Cord Injury Registry of Iran(NSCIR-IR)is a not-for-profit,hospital-based,and prospective observational registry that appraises the quality of care,long-term outcomes and the personal and psychologi...The National Spinal Cord Injury Registry of Iran(NSCIR-IR)is a not-for-profit,hospital-based,and prospective observational registry that appraises the quality of care,long-term outcomes and the personal and psychological burden of traumatic spinal cord injury in Iran.Benchmarking validity in every registry includes rigorous attention to data quality.Data quality assurance is essential for any registry to make sure that correct patients are being enrolled and that the data being collected are valid.We reviewed strengths and weaknesses of the NSCIR-IR while considering the methodological guidelines and recommendations for efficient and rational governance of patient registries.In summary,the steering committee,funded and maintained by the Ministry of Health and Medical Education of Iran,the international collaborations,continued staff training,suitable data quality,and the ethical approval are considered to be the strengths of the registry,while limited human and financial resources,poor interoperability with other health systems,and time-consuming processes are among its main weaknesses.展开更多
Purpose： To evaluate the return to work （RTW） rate, time and predictors among trauma patients using survival analysis. Methods： This cohort study was conducted with a three-month follow-up on 300 trauma patients h...Purpose： To evaluate the return to work （RTW） rate, time and predictors among trauma patients using survival analysis. Methods： This cohort study was conducted with a three-month follow-up on 300 trauma patients hospitalized in Shahid Beheshti Hospital, Kashan, Iran in 2014. The data were collected through con- ducting interviews and referring to patients＇ medical records during their hospital stay and follow-up information at one ＆ three months after discharge from hospital. Final analysis was conducted on the data retrieved from 273 patients. Data were analyzed by chi-square test, Mann Whitney U test and survival analysis method. Results： The rate of RTW at the end of the first and the third follow-up months was respectively 21.6% and 61.2%. Survival analysis showed that the RTW time （Time between admission to first return to workl was significantly longer among patients with illiteracy, drug abuse, hospitalization history in the intensive care unit, low socioeconomic status, non-insurance coverage, longer hospital stay, multiple and severe injuries as well as severe disability. Conclusion： Our findings indicated that trauma has profound effects on the rate and time of RTW. Besides disability, many personal and clinical factors can affect the outcome of RTW.展开更多
Purpose： The aim of this study was to analyze the trend of road traffic fatalities in Kashan Region, lran, in a period of eight years. Methods： Through a cross-sectional study, all road traffic deaths classified und...Purpose： The aim of this study was to analyze the trend of road traffic fatalities in Kashan Region, lran, in a period of eight years. Methods： Through a cross-sectional study, all road traffic deaths classified under the VO1-V99 codes according to ICD-10 in Kashan region, central Iran, from March 2006 to March 2013 and population data were collected from the registration system of Kashan University of Medical Sciences. Years of lost life （YLL） and mortality rates were calculated regarding age, gender and year of the accident. Generalized linear model （GLM） with Poisson log-linear link was used to evaluate the effects of the mentioned variables on mortality rate. Results： During the period of the study （8 years）, 928 people （767 men） died due to road traffic injuries （RTIs）. The total YLL was 20,818. The mortality rate due to RTIs has been declined constantly from 43.1 in March 2006 to 21.1 per 100,000 in March 2013. The highest mortality rate was found in the age group of over 60 years old and the lowest in the age group of 0-14 years old. Both mortality rate and YLL was greater in men than in women. Poisson regression showed that age, gender and year of the accidents had a significant effect on mortality rate （p 〈 0.001 ）. Conclusion： Although there has been a constant decline of mortality rate in Kashan area within the study period, the value remains higher than the mean level of Eastern Mediterranean region and the global average, which is a notable fact for policymakers and authorities.展开更多
基金supported by a grant number 36913 from Sina Trauma and Surgery Research Center,Tehran University of Medical Sciences,Tehran,Iran.
文摘The National Spinal Cord Injury Registry of Iran(NSCIR-IR)is a not-for-profit,hospital-based,and prospective observational registry that appraises the quality of care,long-term outcomes and the personal and psychological burden of traumatic spinal cord injury in Iran.Benchmarking validity in every registry includes rigorous attention to data quality.Data quality assurance is essential for any registry to make sure that correct patients are being enrolled and that the data being collected are valid.We reviewed strengths and weaknesses of the NSCIR-IR while considering the methodological guidelines and recommendations for efficient and rational governance of patient registries.In summary,the steering committee,funded and maintained by the Ministry of Health and Medical Education of Iran,the international collaborations,continued staff training,suitable data quality,and the ethical approval are considered to be the strengths of the registry,while limited human and financial resources,poor interoperability with other health systems,and time-consuming processes are among its main weaknesses.
文摘Purpose： To evaluate the return to work （RTW） rate, time and predictors among trauma patients using survival analysis. Methods： This cohort study was conducted with a three-month follow-up on 300 trauma patients hospitalized in Shahid Beheshti Hospital, Kashan, Iran in 2014. The data were collected through con- ducting interviews and referring to patients＇ medical records during their hospital stay and follow-up information at one ＆ three months after discharge from hospital. Final analysis was conducted on the data retrieved from 273 patients. Data were analyzed by chi-square test, Mann Whitney U test and survival analysis method. Results： The rate of RTW at the end of the first and the third follow-up months was respectively 21.6% and 61.2%. Survival analysis showed that the RTW time （Time between admission to first return to workl was significantly longer among patients with illiteracy, drug abuse, hospitalization history in the intensive care unit, low socioeconomic status, non-insurance coverage, longer hospital stay, multiple and severe injuries as well as severe disability. Conclusion： Our findings indicated that trauma has profound effects on the rate and time of RTW. Besides disability, many personal and clinical factors can affect the outcome of RTW.
文摘Purpose： The aim of this study was to analyze the trend of road traffic fatalities in Kashan Region, lran, in a period of eight years. Methods： Through a cross-sectional study, all road traffic deaths classified under the VO1-V99 codes according to ICD-10 in Kashan region, central Iran, from March 2006 to March 2013 and population data were collected from the registration system of Kashan University of Medical Sciences. Years of lost life （YLL） and mortality rates were calculated regarding age, gender and year of the accident. Generalized linear model （GLM） with Poisson log-linear link was used to evaluate the effects of the mentioned variables on mortality rate. Results： During the period of the study （8 years）, 928 people （767 men） died due to road traffic injuries （RTIs）. The total YLL was 20,818. The mortality rate due to RTIs has been declined constantly from 43.1 in March 2006 to 21.1 per 100,000 in March 2013. The highest mortality rate was found in the age group of over 60 years old and the lowest in the age group of 0-14 years old. Both mortality rate and YLL was greater in men than in women. Poisson regression showed that age, gender and year of the accidents had a significant effect on mortality rate （p 〈 0.001 ）. Conclusion： Although there has been a constant decline of mortality rate in Kashan area within the study period, the value remains higher than the mean level of Eastern Mediterranean region and the global average, which is a notable fact for policymakers and authorities.
