Epidemiological Pattern of Injuries in Iran; a Nationwide Review of Seven Million Emergency Department Admissions
Archives of Academic Emergency Medicine,
Vol. 5 No. 1 (2017),
1 January 2017
,
Page e10
https://doi.org/10.22037/aaem.v5i1.113
Abstract
Introduction:Â Globally, it is estimated that around 5.8 million people die annually as result of injuries, which causes 10% of all deaths and 16% of disability adjusted life years lost worldwide. This study aimed to determine the epidemiology of injuries in emergency departments in Iran.
Method:Â This cross sectional study was carried out using national injury surveillance data registry from 21 March 2009 to 20 March 2014.
Results: 7,176,344 patients with the mean age of 27.5 ± 17.8 years were registered to 657 EDs (70.6% male). Road Traffic Crash (RTC) was the most common cause of injury (31.0%) followed by hit (28.2%) and fall (10.1%). While roads were the commonest place of injuries, 34.0% of patients have been injured at home. More than 90% of injuries were unintentional. Assault and suicide attempt were causes of injury in 5.6% and 3.9% of patients, respectively.
Conclusion:
This paper addresses where prevention measures are most urgently needed and offers insights which could be useful for injury prevention programs in Iran and other developing countries.
- Epidemiology
- wounds and injuries
- epidemiological monitoring
- multiple trauma
- mortality
- accident prevention
How to Cite
References
Peden M, McGee K, Sharma G. The injury chart book: a graphical overview of the global burden of injuries. Geneva: World Health Organization. 2002;5.
Organization WH. Fatal injury surveillance in mortuaries and hospitals: a manual for practitioners. 2012.
Organization WH. Global report on drowning: preventing a leading killer: executive summary. 2014.
Jafari N, Abolhassani F, Naghavi M, Pourmalek F, Moradi Lakeh M, Kazemeini H, et al. National burden of disease and study in Iran. Iranian J Publ Health. 2009;38(1):71-3.
Organization WH. Global status report on road safety 2013: supporting a decade of action: summary. 2013.
Saadat S, Mafi M, Sharif-Alhoseini M. Population based estimates of non-fatal injuries in the capital of Iran. BMC public health. 2011;11(1):1.
Holder Y, Peden M, Krug E, Lund J, Gururaj G, Kobusingye O. Injury surveillance guidelines. Geneva: World Health Organization; 2001. WHO/NMH/VIP/01.02).[Links]; 2006.
Peden M. World report on child injury prevention: World Health Organization; 2008.
Peden M. World report on road traffic injury prevention. World Health Organization Geneva; 2004.
Motevalian SA, Haddadi M, Akbari H, Khorramirouz R, Saadat S, Tehrani A, et al. Strengthening injury surveillance system in iran. Chinese journal of traumatology= Zhonghua chuang shang za zhi/Chinese Medical Association. 2010;14(6):348-53.
Rasouli M, Saadat S, Haddadi M, Gooya M, Afsari M, Rahimi-Movaghar V. Epidemiology of injuries and poisonings in emergency departments in Iran. Public health. 2011;125(10):727-33.
Iran SCo. [cited 2016 Feb]. Available from: http://www.amar.org.ir/Default.aspx?tabid=2091.
Repository GHOD. 2012 [cited 2016 Feb]. Available from: http://apps.who.int/gho/data/node.main.12?lang=en.
Hokkam E, Gonna A, Zakaria O, El-Shemally A. Trauma patterns in patients attending the Emergency Department of Jazan General Hospital, Saudi Arabia. World journal of emergency medicine. 2015;6(1):48.
Duan L, Deng X, Wang Y, Wu C, Jiang W, He S, et al. The National Injury Surveillance System in China: A six-year review. Injury. 2015;46(4):572-9.
Adoga AA, Ozoilo KN. The epidemiology and type of injuries seen at the accident and emergency unit of a Nigerian referral center. Journal of emergencies, trauma, and shock. 2014;7(2):77.
Uthkarsh PS, Suryanarayana S, Gautham M, Shivraj N, Murthy N, Pruthvish S. Profile of injury cases admitted to a tertiary level hospital in south India. International journal of injury control and safety promotion. 2012;19(1):47-51.
Rasouli MR, Nouri M, Zarei M-R, Saadat S, Rahimi-Movaghar V. Comparison of road traffic fatalities and injuries in Iran with other countries. Chinese Journal of Traumatology (English Edition). 2008;11(3):131-4.
Bhalla K, Naghavi M, Shahraz S, Bartels D, Murray C. Building national estimates of the burden of road traffic injuries in developing countries from all available data sources: Iran. Injury Prevention. 2009;15(3):150-6.
Bahadorimonfared A, Soori H, Mehrabi Y, Delpisheh A, Esmaili A, Salehi M, et al. Trends of fatal road traffic injuries in Iran (2004–2011). PloS one. 2013;8(5):e65198.
Rus Ma D, Peek-Asa C, Baragan EA, Chereches RM, Mocean F. Epidemiology of Road Traffic Injuries Treated in a Large Romanian Emergency Department in Tîrgu-Mureş Between 2009 and 2010. Traffic injury prevention. 2015;16(8):835-41.
Ghadirzadeh M, Shojaei A, Khademi A, Khodadoost M, Kandi M, Alaeddini F, et al. Status and Trend of Deaths Due to Traffic Accidents From 2001 to 2010 in Iran. Iranian Journal of Epidemiology. 2015;11(2):13-22.
Tingvall C, Haworth N, editors. Vision Zero: an ethical approach to safety and mobility. 6th ITE International Conference Road Safety & Traffic Enforcement: Beyond; 2000.
Wegman F, Elsenaar P. Sustainable solutions to improve road safety in the Netherlands. Leidschendam, Institute for Road Safety Research; 1997.
Khorasani-Zavareh D, Bigdeli M, Saadat S, Mohammadi R. Kinetic energy management in road traffic injury prevention: a call for action. Journal of injury and violence research. 2015;7(1):36.
Saadat S, Soori H. Epidemiology of traffic injuries and motor vehicles utilization in the Capital of Iran: A population based study. BMC public health. 2011;11(1):1.
Rastogi D, Meena S, Sharma V, Singh GK. Causality of injury and outcome in patients admitted in a major trauma center in North India. International journal of critical illness and injury science. 2014;4(4):298.
Sharif-Alhoseini M, Rasouli M, Saadat S, Haddadi M, Gooya M, Afsari M, et al. Suicide attempts and suicide in Iran: Results of national hospital surveillance data. Public health. 2012;126(11):990-2.
members Scn. WHO Collaborating Centre on Community Safety Promotion [cited 2016 Feb]. Available from: http://www.ki.se/csp/who_safe_communities_network_en.htm.
Ganesamoni S, Kate V, Sadasivan J. Epidemiology of hospitalized burn patients in a tertiary care hospital in South India. Burns. 2010;36(3):422-9.
Othman N, Kendrick D, Al-Windi A. Childhood burns in Sulaimaniyah province, Iraqi Kurdistan: A prospective study of admissions and outpatients. Burns. 2015;41(2):394-400.
Han T-H, Kim J-H, Yang M-S, Han K-W, Han S-H, Jung J-A, et al. A retrospective analysis of 19,157 burns patients: 18-year experience from Hallym Burn Center in Seoul, Korea. Burns. 2005;31(4):465-70.
Tyson AF, Boschini LP, Kiser MM, Samuel JC, Mjuweni SN, Cairns BA, et al. Survival after burn in a sub-Saharan burn unit: Challenges and opportunities. Burns. 2013;39(8):1619-25.
Sharma NP, Duke JM, Lama BB, Thapa B, Dahal P, Bariya ND, et al. Descriptive Epidemiology of Unintentional Burn Injuries Admitted to a Tertiary-Level Government Hospital in Nepal Gender-Specific Patterns. Asia-Pacific journal of public health. 2015;27(5):551-60.
Burillo-Putze G, Munne P, Duenas A, Pinillos MA, Naveiro JM, Cobo J, et al. National multicentre study of acute intoxication in emergency departments of Spain. European Journal of Emergency Medicine. 2003;10(2):101-4.
- Abstract Viewed: 341 times
- PDF Downloaded: 149 times
- HTML Downloaded: 89 times