title: Types and causalities in dead patients due to traumatic injuries.
abstract: BACKGROUND
  Trauma constitutes a major public health problem in our country and contributes significantly to unacceptably high morbidity and mortality.
  
  
  OBJECTIVE
  This study aimed to evaluate the epidemiology of trauma in dead patients referred to Shahid Rajaee Trauma Hospital, Shiraz, Iran.
  
  
  METHODS
  In a cross-sectional study, all patients with trauma admitted to our center were enrolled between March 2011 and February 2012. Age, gender, months of referring, causalities, and injured body parts of the victims were extracted from the data registry and analyzed.
  
  
  RESULTS
  A total of 9113 patients, including 7163 (78.6%) males and 1950 (21.4%) females were evaluated. Among them, 479 patients (5.3%) had died. There was a significant difference between the age of alive and dead patients (35.70 ± 0.18 and 45.44 ± 1.01 years, respectively (P < 0.001)). In addition, dead men had significantly higher percentage than alive men (83.7% and 78.3%, respectively, P = 0.005). The highest percentages of men and women who referred to our center and died were in September. Crashing by car had the most frequency of dead (247 cases) in referred patients and motorcycle accident, stabbing, and falling related injuries with 67, 36 and 26 dead cases were in the next ranks. Thorax injury had the most frequency between dead patients (53.2% of all dead) and the intracranial injury and trauma to extremities altogether were in the next ranks, which constituted more than 18.8% of all dead.
  
  
  CONCLUSIONS
  Our data demonstrated that car and motorcycle accidents are the most important cause of trauma and thorax trauma had the most frequency among dead patients. Epidemiological evaluations and preventive measures such as this study should be conducted to provide valuable data.
authors: Trauma Research Center, Shahid Rajaee Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, IR Iran.
authors: Mahnaz
authors: M
authors: Yadollahi
authors: Trauma Research Center, Shahid Rajaee Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, IR Iran.
authors: Shahram
authors: S
authors: Paydar
authors: Department of Anesthesiology, Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, IR Iran.
authors: Golnar
authors: G
authors: Sabetianfard Jahromi
authors: Department of Neurosurgery, Nemazee Teaching Hospital, School of Medicine, Shiraz University of Medical Sciences, Shiraz, IR Iran.
authors: Hosseinali
authors: H
authors: Khalili
authors: Trauma Research Center, Shahid Rajaee Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, IR Iran.
authors: Samie
authors: S
authors: Etemadi
authors: Trauma Research Center, Shahid Rajaee Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, IR Iran.
authors: Hamidreza
authors: H
authors: Abbasi
authors: Trauma Research Center, Shahid Rajaee Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, IR Iran.
authors: Shahram
authors: S
authors: Bolandparvaz
keywords: Accident; Epidemiology; Mortality; Motorcycle; Trauma