Journal of Occupational Health and Epidemiology

en Traumatic Brain Injury Trends in Central Iran: Regional Insights from Kashan (2017-2022) Epidemiology Original Article <div style="text-align: justify;">Background: Traumatic brain injury (TBI) claims the highest incidence of all common neurological disorders, and poses a substantial public health burden. This study aims to identify and analyze the predictive factors contributing to head trauma in central Iran. Materials and Methods: This cross-sectional analysis included 2287 head trauma patients admitted to Shahid Beheshti Hospital in Kashan from 2017 to 2022. Data were collected using checklists including demographic, emergency factors, diagnostic information, severity of injury, final outcomes, and clinical interventions. Statistical analyses were performed using SPSS (Version 24), with a p-value < 0.05 considered statistically significant. Results: Mean age of participants was 40.22± 22.17 years and 78.8% were male. Major causes of head injuries were traffic collisions (73.9%) and falls (21.2%). Men showed 1.03 times higher odds of injury compared to women. Drug use elevated the odds of injury as 2.48 times, whereas a systolic blood pressure below 90 mmHg raised the risk of brain injury by 14%. Severe and moderate Glasgow Coma Scale (GCS) scores increased odds of injury as 3.36 times and 5.91 times, respectively. Surgical intervention was linked to 2.59-time increment in injury severity. Pedestrians and motorcyclists had 1.22 times and 1.02 times higher risks of severe injuries compared to car occupants. Conclusion: This study identified key risk factors for (TBI), including male sex, substance abuse, hypoxia, and low GCS scores. Early recognition of these factors is critical for clinical decision-making, while targeted prevention strategies and prompt treatment are essential to lower TBI burden in the region.</div> Analytical,Traumatic Brain Injury,Trends,Public Health, 231 239 http://johe.rums.ac.ir/browse.php?a_code=A-10-655-2&slc_lang=en&sid=1 Esmaeil Fakharian - - efakharian@gmail.com 22400319475328460013415 22400319475328460013415 No Professor, Trauma Research Center, Dept. of Neurosurgery, Kashan University of Medical Sciences, Kashan, Iran. - Mojtaba Sehat - - mojtabasehat982@gmail.com 22400319475328460013416 22400319475328460013416 No Professor, Trauma Research Center, Dept. of Community Medicine, Faculty of Medicine, Kashan University of Medical Sciences, Kashan, Iran. Mohammad Reza Fazel - - drmfazel@yahoo.com 22400319475328460013417 22400319475328460013417 No Professor, Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran. - Soudabeh Yarmohammadi - - yarmohammadisoudabeh@gmail.com 22400319475328460013418 22400319475328460013418 No Assistant Prof., Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran. - Mehrdad Mahdian - - mmahdian78@gmail.com 22400319475328460013419 22400319475328460013419 No Associate Prof., Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran. - Faezeh Asgari - - fa.asgari374@gmail.com 22400319475328460013420 22400319475328460013420 No M.Sc. in Environmental Health Engineering, Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran. - khadijeh Kalan Farmanfarma - - kalan_farma@yahoo.com 22400319475328460013421 22400319475328460013421 Yes Assistant Prof., Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran. -