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Bulletin of Emergency and Trauma، جلد ۱۲، شماره ۱، صفحات ۲۱-۲۵
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عنوان انگلیسی Pattern of Traumatic Injuries in Patients with Tramadol Poisoning: A Cross-Sectional Study in a Tertiary Care Hospital
چکیده انگلیسی مقاله Objective: This study aimed to investigate the incidence and pattern of tramadol-induced seizures and injuries
in patients admitted to the hospital.
Methods: The cross-sectional study included 300 patients with alleged tramadol intoxication. Demographic
information, tramadol dosage and duration of abuse, co-existing illicit drug abuse, hospital stay length, and
occurrence of seizures and trauma (type and site of injuries) were collected. Different statistical tests, including
the Mann-Whitney U-test, Pearson’s Chi-square test, and Student’s t-test, were conducted to compare the
patients with and without seizures, trauma, and co-ingestion of illicit drugs. The analysis was performed using
SPSS software (version 21.0). A p value of less than 0.05 was considered statistically significant.
Results: The average patient’s age was 24.66±5.64 years, with males comprising 84.3% of the sample. The
mean tramadol dose and duration of abuse were 1339.3±1310.2 mg and 2.43±1.35 years, respectively. Seizures
were observed in 66% of patients, with men having a higher incidence (69.6% vs. 46.8%; p=0.004). Trauma was
reported in 23% of patients, accounting for 35.4% of seizure cases. All trauma patients had experienced seizures,
with the head and neck being the most prevalent injury sites (55.1%), typically presenting as abrasions (55.9%).
Patients with seizures and trauma had an average hospital stay of 1.73±0.94 days, which was significantly
longer.
Conclusion: Trauma occurs in more than one-third of tramadol-induced seizures, highlighting the need
to perform physical examinations to detect and localize injuries. Tramadol-associated traumas prolonged
hospitalization times and thus required prompt attention to prevent further injuries during pre-hospital handling
and transferring to hospitals.
کلیدواژه‌های انگلیسی مقاله Poisoning, Seizure, Tramadol, Wounds and injuries
نویسندگان مقاله Seyed Mostafa Mirakbari |
Department of Clinical Toxicology, Clinical Research Development Unit, Bu Ali Hospital, Qazvin University of Medical Sciences, Qazvin, Iran

Amir Mohammad Kazemifar |
Department of Clinical Toxicology, Clinical Research Development Unit, Bu Ali Hospital, Qazvin University of Medical Sciences, Qazvin, Iran

Abbas Allami |
Department of Infectious diseases, Bu Ali Hospital, Qazvin University of Medical Sciences, Qazvin, Iran

Ameneh Barikani |
Department of community Medicine, Clinical Research Development Unit, Bu Ali Hospital, Qazvin University of Medical Sciences, Qazvin, Iran

نشانی اینترنتی https://beat.sums.ac.ir/article_49959_516881b9d3b26ba87a8f37ab5b91d252.pdf
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