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Causes and types and curative costs of traumatic amputation a mong those referred to Fatemi university hospital (April 2005-2007)

Abstract

Introduction : Injuries account for 16% of global burden of diseases and causes a great deal of mortality and morbidity. Today, amputation is one of the biggest challenges facing us and may accompany serious functional , psychosocial and personality disorders in communities.Therefore,we decided to assess the causes, types and treatment costs of traumatic amputation in cases who attended Ardebil Fatemi edjucational Hospital from 1384 through 1385. Material & Methods : The present study is a descriptive,case-series.Data were collected using a questionare.Our study population included 218 cases who attended Ardebil Fatemi edjucational Hospital due to amputation from the begining of 1384 through the end of 1385. Results : In this study, the mean age of injured cases is 28/9 and most of the cases (almost 62%) are in the age group of 1-30.Men were also injured three times more than women.Most of the cases attended in summer between 8:00 a.m -8:00 p.m.The number of cases among city dwellers and residents of rural areas were almost equal and most of the cases (39/6%)were illiterate.Most of the cases were injured outdoors especially in their workplace. The most commonly seen.cause of amputation was tools used in farming and husbandry especially mower.Most of the amputation (50/5%) were total and unintentional . Most of the injuries were seen in right (58/2%),upper extremities (94%),did not know how to use the tools properly.Almost, 88% of injuries were caused by tools made in Iran. 80% of hospital costs was covered by insurance and 20% was paid by the cases. Conclusion : Based on the results obtained in this study, most of the injuries seen to have happened in the work age and the >10 age group is also at risk of injuries and accidents in the workplace.Based on the obtained results, gender is an affective factor in the incidence of injuries and the male workers are at a higher risk.Most of the injuries occurred during the work hours and regarding the high prevalence of injuries in the workplace, more attention to safty issues seems necessary.Based on this study,amputation caused by tools used in farming and husbandry has a high prevalence.Which is probably due to the unsafe and preliminary structure of these tools.Regarding the high prevalence of upper extremity injuries especially hands which may lead to major adverse consequences due to its complicated anatomical structure,more consideration in reducing the underlying events leading to amputation seems necessary.level of education and acquaintace with the instructions effective factors in reducing the incidence of injuries.It`s suggested that standard tools be designed and their proper use be instructed to prevent physical disabilities since these permanent disabilies may impose a great deal of costs on patients and health care system

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