Epidemiology of Trauma in the Elderly in Iran

Document Type : Original Article(s)

Authors

1 Assistant Professor, Trauma Research Center, Department of Biostatistics and Epidemiology, School of Public Health, Kashan University of Medical Sciences, Kashan, Iran

2 MSc of Environmental Health, Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran

3 Professor of Department of Neurosurgery, Trauma Research Center, Department of Neurosurgery, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, Iran

4 Professor of Community Medicine, Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran

5 Associate Professor, PhD in Epidemiology, Trauma Research Center, Department of Social Medicine, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, Iran

6 Professor of Anesthesiology Department, Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran

7 Associate Professor, PhD in Epidemiology, Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran

8 Professor, PhD in Epidemiology, Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran

9 Master of Sociology, Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran

10 Assistant Professor, PhD in Epidemiology, Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran

10.48305/jims.v43.i833.1241

Abstract

Background: Geriatric trauma, commonly defined as trauma affecting individuals aged 65 and older, is an emerging global health challenge. The current study was conducted to examine the epidemiology of trauma in elderly Iranians.
Methods: The present cross-sectional study was conducted using data recorded in the Iranian National Trauma Registry system. Information on individuals aged 60 and older during the years 2017-2021 was selected and collected based on a checklist designed by the Tehran Sinai Research Center in collaboration with member centers of the Iranian National Trauma Registry program.
Findings: The present study included a total of 7,566 elderly participants, with a mean age of 73.15 ± 9.45 years. 55.4% of the patients were male, and 97% were Iranian citizens. 75.1% of the patients were married, and over 50% were illiterate. In terms of data distribution, Tabriz, Kashan, and Tehran had the highest percentages of recorded cases (26.6%, 19.9%, and 14.4%, respectively). Significant statistical relationships were observed between the study years and the patients' age, education level, and gender distribution. The most important causes of trauma in the elderly were falls (60%) and road traffic accidents (30%). Among traffic accidents, pedestrians and motorcyclists accounted for the highest number of injuries at 12.2% and 6.6%, respectively. Regarding the incident location, over 50% of cases occurred at home.
Conclusion: Given the growing elderly population in Iran, community-based planning for the control and prevention of injury and disability in this age group is essential as a major public health priority.

Highlights

Habibollah Rahimi: Google Scholar, PubMed

Khadijeh Kalan Farmanfarma: Google Scholar, PubMed

Keywords

Main Subjects

References

  1. Gioffrè-Florio M, Murabito LM, Visalli C, Pergolizzi FP, Famà F. Trauma in elderly patients: a study of prevalence, comorbidities and gender differences. G Chir 2018; 39(1): 35-40.
  2. Jiang L, Zheng Z, Zhang M. The incidence of geriatric trauma is increasing and comparison of different scoring tools for the prediction of in-hospital mortality in geriatric trauma patients. World J Emerg Surg 2020; 15(1): 59.
  3. Benoit E, Stephen AH, 3-Monaghan SF, Lueckel SN, Adams Jr CA. Geriatric trauma. R I Med J (2013) 2019; 102(8): 19-22.
  4. Horst MA, Morgan ME, Vernon TM, Bradburn EH, Cook AD, Shtayyeh T, et al. The geriatric trauma patient: a neglected individual in a mature trauma system. J. Trauma Acute Care Surg 2020; 89(1): 192-8.
  5. Fillit HM, Rockwood K, Young JB. Brocklehurst's textbook of geriatric medicine and gerontology. New York, NY: Elsevier Health Sciences; 2016.
  6. Benhamed A, Batomen B, Boucher V, Yadav K, Mercier É, Isaac CJ, et al. Epidemiology, injury pattern and outcome of older trauma patients: a 15-year study of level-I trauma centers. PLoS One 2023; 18(1): e0280345.
  7. Gross T, Morell S, Amsler F. Longer-term quality of life following major trauma: age only significantly affects outcome after the age of 80 years. Clin Interv Aging 2018; 13: 773-85.
  8. Llompart-Pou JA, Pérez-Bárcena J, Chico-Fernández M, Sánchez-Casado M, Raurich JM. Severe trauma in the geriatric population. World J Crit Care Med 2017; 6(2): 99-106.
  9. Lodge CJ, West RM, Giannoudis P, Tosounidis TH. What predicts mortality in the elderly patient presenting as a trauma call? A report from a Major Trauma Centre. Surgeon 2020; 18(3): 142-9.
  10. Tlemissov AS, Dauletyarova MA, Bulegenov TA, Rakhypbekov TK, Grjibovski AM. Epidemiology of geriatric trauma in an urban Kazakhstani setting. Iran J Public health 2016; 45(11): 1411-19.
  11. Maxwell CA. Trauma in the geriatric population. Crit Care Nurs Clin North Am 2015; 27(2): 183-97.
  12. Sabigaba M, Jing L, Mbanjumucyo G, Mumporeze L, Beeman A, Martin KD. Epidemiology and outcomes of geriatric trauma patients consulting at the center hospitalier universitaire de Kigali emergency department. Afr J Emerg Med 2023; 13(4): 221-4.
  13. Chocron IM, Goduni L, Poulsen DM, MbekeanI JN. Patterns of ocular trauma in elderly patients in an urban population-the Bronx experience. Arq Bras Oftalmol 2020; 83(2): 113-9.
  14. GBD 2019 Diseases and Injuries Collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet 2020; 396(10258): 1204-22.
  15. Keall MD, Pierse N, Howden-Chapman P, Cunningham C, Cunningham M, Guria J, et al. Home modifications to reduce injuries from falls in the home injury prevention intervention (HIPI) study: a cluster-randomised controlled trial. Lancet 2015; 385(9964): 231-8.
  16. Shahmohamadi E, Ghasemi E, Mohammadi E, Nasserinejad M, Azadnajafabad S, Malekpour M-R, et al. Current incidence of injuries in Iran; findings of STEPS survey 2021. Heliyon 2023; 9(11): e20907.
  17. Modaghegh MHS, Saremi E, Mohamadian M, Jafarzadeh R. Characteristics of trauma in North East Iran and the prevention strategies. Arch Iran Med 2013; 16(10): 576-9.
  18. Sadeghi-Bazargani H, Samadirad B, Moslemi F. A decade of road traffic fatalities among the elderly in north-West Iran. BMC Public Health 2018; 18(1):
  19. Azami-Aghdash S, Sadeghi-Bazargani H, Shabaninejad H, Gorji HA. Injury epidemiology in Iran: a systematic review. J Inj Violence Res 2017; 9(1): 27-40.
  20. Mohtasham-Amiri Z, Etehad H, Haghdoust Z, Shakerian M, Saketi M. Sex Disparities in Elderly Trauma in Northern Iran. Trauma Mon 2017; 22(6): e38083.
  21. Baker SP, o'Neill B, Haddon Jr W, Long WB. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma 1974; 14(3): 187-96.

Sahraravand A, Haavisto AK, Holopainen JM, Leivo T. Ocular trauma in the Finnish elderly–Helsinki Ocular Trauma Study. Acta ophthalmol 2018; 96(6): 616-22

Journal of Isfahan Medical School
Volume 43, Issue 833
1st Week, December
November and December 2026
Pages 1241-1246

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History

  • Receive Date: 27 August 2024
  • Accept Date: 01 October 2025

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