Current Trends and Associated Factors of Traumatic Amputations in Shiraz

Introduction: Amputations from trauma can lead to disability and pose a challenge for health care services. This study hopes to shed light on the trend, the changes, outcomes, and factors associated with trauma leading to amputations in Shiraz, Iran. Method: A cross-sectional study was conducted to assess patients who experience amputations due to trauma in Shiraz from ۲۰۱۷ to ۲۰۲۳. The sampling method consisted of patients hospitalized at Shahid Rajaee Hospital in Shiraz. We included participants who were hospitalized for traumatic amputations.  Outpatients, follow-up cases, and non-trauma-related amputations were excluded from the analysis. Data collection included variables such as admission year, gender, age, and level of amputation. Result: ۴۳۵ patients were included, and ۹۲.۲% were males. The average age of patients was ۳۶.۱ years, and the majority of patients (۸۸.۸%) underwent minor amputations. Amputation was most common among motorcycle riders (۴۷.۵%), while traffic accidents and lower limb injuries significantly contributed to major amputations, accounting for ۲۱.۹% and ۵۱.۳% of cases, respectively.  The average hospital stay was ۵ days. The majority of patients stayed over two days. Upper limb injuries and amputations had a significant association (p < ۰.۰۰۱), as well as contact with a blunt object and amputation (p = ۰.۰۰۲). The presence of many injuries was associated with shorter stays in a hospital (p = ۰.۰۴۵). We found a statistically significant increase in amputations by gender (p <۰.۰۰۱) and type (p=۰.۰۰۶) during the study period. The overall trend peaked in ۲۰۲۲. Conclusion: The pattern of limb loss rates among participants, mostly men, was worrisome. Motorbike drivers are clearly at greater danger, and road accidents play a big part in severe amputations. The association between arm injuries and amputations shows the need for focused ways to stop this.

کلیدواژه ها:

traumatic ، Amputations ، Incidence ، Trend ، Iran