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The Preparedness of Hospital Emergency Departments for Responding to Disasters in Iran; a Systematic Review and Meta-Analysis

Mosayeb Kazemzadeh, Elham Shafiei, Katayoun Jahangiri, Kosar Yousefi, Ali Sahebi




Introduction: Hospitals are the most important infrastructures of any society. The hospital emergency department is one of the most important wards of hospitals in response to disasters. The purpose of this study was to evaluate the preparedness of hospital emergency departments in response to disasters in Iran via a systematic review and meta-analysis.

Methods: This study was a systematic review and meta-analysis. The literature search was conducted in the national and international databases including SID, Magiran, Irandoc, Google scholar, Medline, Scopus, and ISI. Valid Persian and English keywords were used to extract articles related to the preparedness of hospital emergency departments in response to disasters. The STROBE checklist was used to evaluate the quality of the articles, and the I2 index was used to assess heterogeneity among the studies. Statistical analyses were conducted using STATA14 software.

Results: In this study, 185 articles were initially recruited. Meta-analysis was finally performed on 4 articles selected based on inclusion criteria. The analysis included a total of 51 hospitals in Iran. According to our results, the mean preparedness of hospital emergency departments in response to disasters was calculated as 54.64% (95% CI = 41.15-68.13, I2 = 0.0%; p = 0.727).

Conclusion: The results of this study showed that the average level of preparedness of hospital emergency departments in Iran to respond to disasters was moderate to high. Therefore, planning and actions should be considered based on the guidelines and accreditation standards to enhance the preparedness of hospital emergency departments in response to disasters.


Disasters; disaster medicine; emergency service, hospital; meta-analysis as topic


Jahangiri K, Izadkhah YO, Lari A. Hospital safety index (HSI) analysis in confronting disasters: A case study from Iran. International Journal of Health System and Disaster Management. 2014;2(1):44.

Ghafouri RR, Hosseini SM, Pouraghaei M. Are our hospitals safe against disasters? An evaluation of hospital safety index in Tabriz, Iran. Journal of Analytical Research in Clinical Medicine. 2018;6(3):139-44.

Nekoie-Moghadam M, Kurland L, Moosazadeh M, Ingrassia PL, Della Corte F, Djalali A. Tools and checklists used for the evaluation of hospital disaster preparedness: a systematic review. Disaster medicine and public health preparedness. 2016;10(5):781-8.

Asefzadeh S, Rajaee R, Ghamari F, Kalhor R, Gholami S. Preparedness of Iranian Hospitals Against Disasters. Biotechnology and Health Sciences. 2016;3(3):1-6.

Ardalan A, Kandi M, Talebian MT, Khankeh H, Masoumi G, Mohammadi R, et al. Hospitals safety from disasters in IR iran: the results from assessment of 224 hospitals. PLoS currents. 2014;6.

Cimellaro GP. A Model to Evaluate Disaster Resilience of an Emergency Department. Urban Resilience for Emergency Response and Recovery: Springer; 2016. p. 361-87.

Paganini M, Borrelli F, Cattani J, Ragazzoni L, Djalali A, Carenzo L, et al. Assessment of disaster preparedness among emergency departments in Italian hospitals: a cautious warning for disaster risk reduction and management capacity. Scandinavian journal of trauma, resuscitation and emergency medicine. 2016;24(1):101.

Marzaleh MA, Rezaee R, Rezaianzadeh A, Rakhshan M, Hadadi G, Peyravi M. Emergency Department Preparedness of Hospitals for Radiation, Nuclear Accidents, and Nuclear Terrorism: A Qualitative Study in Iran. Iranian Red Crescent Medical Journal. 2019(In Press).

Gul M, Guneri AF. Simulation modelling of a patient surge in an emergency department under disaster conditions. Croatian Operational Research Review. 2015;6(2):429-43.

Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. International journal of surgery (London, England). 2010;8(5):336-41.

Bortolin M, S. Sorensen B, D. Zane R, E. Wante B, B. Rao M, Rockenschaub G. Hospital emergency response checklist An all-hazards tool for hospital administrators and emergency managers Supported by The European Commission Together for Health2010.

Yousefli M, Asefzadeh S, PartoviShayan Z. Evaluation of Emergency wards readiness for responding to disasters and emergencies at hospitals of Qazvin University of Medical Sciences according to World Health Organization Model 2012. 2. 2014;6(2):0-.

Vandenbroucke JP, von Elm E, Altman DG, Gøtzsche PC, Mulrow CD, Pocock SJ, et al. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): explanation and elaboration. International journal of surgery. 2014;12(12):1500-24.

Yousefi K, Adibi-Larijani H, Golitaleb M, Sahebi A. Knowledge, Attitude and Performance Associated with Disaster Preparedness in Iranian Nurses: A Systematic Review and Meta-analysis. Advanced Journal of Emergency Medicine. 2019.

Jahangiri K, Rostami N, Sahebi A. Challenges of Utilizing the Primary Health Safety Index Tool for Assessing the Vulnerability of Healthcare Centers to Disasters. Advanced Journal of Emergency Medicine. 2019.

Djalali A, Castren M, Khankeh H, Gryth D, Radestad M, Öhlen G, et al. Hospital Disaster Preparedness as Measured by Functional Capacity: a Comparison between Iran and Sweden. Prehospital and Disaster Medicine. 2013;28(5):454-61.

Amiri M, Raei M, Nasrollahpour Shirvani SD, Mohammadi GR, Afkar A, Jahani-tiji M, et al. Preparedness of Affiliated Hospitals of Universities in North of Iran to Confront Disasters in the Year 2011. Hospital. 2013;12(1):19-28.

Aladhrai SA, Djalali A, Della Corte F, Alsabri M, El-Bakri NK, Ingrassia PL. Impact of the 2011 revolution on hospital disaster preparedness in Yemen. Disaster medicine and public health preparedness. 2015;9(4):396-402.

Ingrassia PL, Mangini M, Azzaretto M, Ciaramitaro I, Costa L, Burkle JF, et al. Hospital Disaster Preparedness in Italy: a preliminary study utilizing the World Health Organization Hospital Emergency Response Evaluation Toolkit. Minerva anestesiologica. 2016;82(12):1259-66.

Hasanpoor E, nazari m. Hospital Emergency Response of Iran's Hospitals against Disasters: A Case Study in Karaj. journal of hospital. 2015;4.

Janati A, Sadeghi-Bazargani H, Hasanpoor E, Sokhanvar M, HaghGoshyie E, Salehi A. Emergency response of Iranian hospitals against disasters: a practical framework for improvement. Disaster medicine and public health preparedness. 2018;12(2):166-71.

Seyedin SH, Hasanpoor E, Hasanzadeh E, Sheikhy-Chaman M. Assessment of Hospital Emergency Response Against Disasters Hospitals Of Iran University of Medical Siences: 2017. Health_Based Research. 2018;4(2):159-67.


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