The Prevalence of Lower Extremity Injuries in Mashhad: A Five-Year Study

Document Type : RESEARCH PAPER


1 Department of Medical Records and Health Information Technology, Clinical Research Development Unit of Akbar Hospital, School of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran

2 linical Research Development Unit, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

3 Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

4 4 Orthopedic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran 5 Clinical Research Development Unit, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran


Background: Injury is one of the leading causes of death and disability worldwide. Lower extremity injuries put a heavy
burden on communities. The aim of this study is to assess the prevalence of lower extremity injuries in Mashhad, Iran.
Methods: The data from 57430 patients with lower extremity injuries from all traumatology hospitals in Mashhad were
analyzed in this retrospective descriptive cross-sectional study to determine the prevalence of lower extremity injuries
in Mashhad, Iran, between March 2011 and March 2015.
Results: The prevalence of lower extremity injury in the general population of Mashhad was 0.34%. The mean age
of the casualties was 33.7±19.8 years, and 77.9% were male. Knee and lower leg injuries had the highest frequency
(61%). The mean hospitalization period was 7.7±12.6 days. The highest mortality rate (MR) (2%) and discharge against
medical advice (DAMA) (11%) were observed in hip and thigh injuries. DAMA (8.8% vs. 6.7%, p <0.001) and MR (1.7%
vs. 1.5%, P=0.005) was higher in females. However, males had a longer hospitalization period (8±13) compared to
females (6.8±10.1 days) (p <0.001). The prevalence rate was declining during the study period.
Conclusion: The downward trend of lower extremity injuries is promising; however, the higher mortality rate in females
needs more attention. These findings can be used for better management of traumatic patients.
Level of evidence: III


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Volume 8, Issue 6
November and December 2020
Pages 716-721
  • Receive Date: 28 July 2019
  • Revise Date: 16 January 2020
  • Accept Date: 08 February 2020