The association between the outcomes of trauma, education and some socio-economic indicators

Document Type : Original Article


1 Sina Trauma and Surgery Research Center, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran

2 Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran

3 Trauma Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

4 Patient safety research center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran

5 Clinical Research Development Center, Imam Ali and Taleghani Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran

6 Clinical Research Development Unit, Imam Hossein Hospital, Shahroud University of Medical Sciences, Shahroud, Iran

7 Department of Emergency Medicine, Faculty of Medicine, Isfahan University of Medical Sciences, Trauma Data Registration Center, Isfahan University of Medical Sciences, Isfahan, Iran


Background: There are many debates on socioeconomic indicators influencing trauma outcomes.
Objectives: This study aimed to determine the association between education as a socioeconomic indicator and trauma outcomes.
Methods: This descriptive-analytical study was conducted on 30,448 trauma patients during 2016-2021. The data were based on the minimum dataset of the National Trauma Registry of Iran (NTRI) from six different trauma centers in various cities of the country. The variables used in this study included age, education level, marital status, cause of injury, Glasgow Coma Scale (GCS), intensive care unit (ICU) admission, Injury Severity Score (ISS), and in-hospital mortality. Logistic regression was used to investigate the association between independent variables and trauma outcomes.
Results: The study included 30,448 trauma patients with male predominance (75.8%). The mean age was 36.9 years. The most frequent education level was secondary education, with 14,228 (46.6%). Education levels had significant relationships with ISS, death, and ICU admission (P<0.001). Moreover, after applying the multiple logistic regression, the odds of deaths for trauma patients with no formal, primary, and secondary education levels were 3.36, 5.03, and 3.65 times, respectively, more than the odds of deaths at the higher education level after controlling for other factors (all Ps<0.05). However, there were no such relationships between education levels and the odds of ICU admission.
Conclusion: Findings of the present study showed a significant association between the education levels and trauma outcomes. Adjusted for other covariates, the chance of death for trauma patients with no formal, primary, or secondary education levels was higher than that at the higher education level.


Payman Salamati [Pubmed] [Google Scholar]



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