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Introduction: Injury from animal attacks is an important public health problem with high morbidity and mortality. As we cannot neglect or underestimate these hazardous conditions, we aimed to assess animal-related injuries in Iranian patients and compare the results.Methods: In this cross-sectional study conducted on data from the National Trauma Registry of Iran, trauma patients admitted to the hospital due to animal attacks from January 15, 2018, to November 1, 2021, were assessed. A checklist gathered data consisting of baseline characteristics such as sex, age, activity, place at the time of the attack, and injury site. In addition, we extracted the clinical features of these patients, including injury severity score, Glasgow coma scale, intensive care unit (ICU) admission, hospital length of stay, surgery, and discharge status.Results: One hundred thirty-one patients were registered in the study. Most of the patients were male (80.9%), aged 16 to 44 years (59.5%), and encountered animal attacks when they were in agricultural areas (45%). Ninety-six patients (73.3%) underwent surgery, and three were hospitalized in ICUs. We recorded 172 injuries, consisting of 92 (53.5%) injuries in the upper extremities as the most common region of the body. The males were aged 16-44 years (66%), and the females were aged 45-65 (52%) (P=0.005). Fifty percent of males and 24% of females were injured in the agricultural areas. Moreover, 24% of females and 6.6% of males were injured at home.Conclusion: This study showed a high incidence animal attacks in Iran. Most injuries were in middle aged males and in the agricultural area.

Supplemental material, supplemental_material for The Trend of Interpersonal Violence Mortality at National and Provincial Levels in Iran From 1990 to 2015 by Man Amanat, Khatereh Naghdi, Sahar Saeedi Moghaddam, Naser Ahmadi, Nazila Rezaei, Soheil Saadat, Mona Salehi, Parinaz Mehdipour, Sepehr Khosravi, Farzaneh Kianian, Elmira Forootan, Elnaz Hosseini, Zahra Ghodsi, Farideh Sadeghian, Mahdi Sharif-Alhoseini, Seyed Behzad Jazayeri, Pegah Derakhshan, Mohammad Hosein Amirzade-Iranaq, Payman Salamati, Ali H. Mokdad, Gerard O’Reilly, Maziar Moradi-Lakeh and Vafa Rahimi-Movaghar in Journal of Interpersonal Violence

Supplemental material, supplemental_material for The Trend of Interpersonal Violence Mortality at National and Provincial Levels in Iran From 1990 to 2015 by Man Amanat, Khatereh Naghdi, Sahar Saeedi Moghaddam, Naser Ahmadi, Nazila Rezaei, Soheil Saadat, Mona Salehi, Parinaz Mehdipour, Sepehr Khosravi, Farzaneh Kianian, Elmira Forootan, Elnaz Hosseini, Zahra Ghodsi, Farideh Sadeghian, Mahdi Sharif-Alhoseini, Seyed Behzad Jazayeri, Pegah Derakhshan, Mohammad Hosein Amirzade-Iranaq, Payman Salamati, Ali H. Mokdad, Gerard O’Reilly, Maziar Moradi-Lakeh and Vafa Rahimi-Movaghar in Journal of Interpersonal Violence

Background: Spinal cord injury (SCI) is one of the most disabling consequences of trauma with unparalleled economic, social, and personal burden. Any attempt aimed at improving quality of care should be based on comprehensive and reliable data. This pilot investigation studied the feasibility of implementing the National Spinal Cord and Column Injury Registry of Iran (NSCIR-IR) and scrutinized the quality of the registered data.Methods: From October 2015 to May 2016, over an 8-month period, 65 eligible trauma patients who were admitted to hospitals in three academic centers in mainland Iran were included in this pilot study. Certified registered nurses and neurosurgeons were in charge of data collection, quality verification, and registration.Results: Sixty-five patients with vertebral column fracture dislocations were registered in the study, of whom 14 (21.5%) patients had evidence of SCI. Mechanisms of injury included mechanical falls in 30 patients (46.2%) and motor vehicle accidents in 29 (44.6%). The case identification rate i.e. clinical and radiographic confirmation of spine and SCI, ranged from 10.0% to 88.9 k in different registry centers. The completion rate of all data items was 100%, except for five data elements in patients who could not provide clinical information because of their medical status. Consistency i.e. identification of the same elements by all the registrars, was 100% and accuracy of identification of the same pathology ranged from 66.6% to 100%.Conclusions: Our pilot study showed both the feasibility and acceptable data quality of the NSCIR-IR. However, effective and successful implementation of NSCIR-IR data use requires some modifications such as presence of a dedicated registrar in each center, verification of data by a neurosurgeon, and continuous assessment of patients' neurological status and complications.