Sina Trauma and Surgery Research Centre, Tehran University Medical Sciences, Tehran, Iran.
Public Health. 2011 Oct;125(10):727-33. doi: 10.1016/j.puhe.2011.07.006. Epub 2011 Sep 8.
There are few reports on epidemiological patterns of injury and injury-related mortality in developing countries. This study aimed to report the epidemiology of injuries and poisonings in emergency departments in Iran.
Retrospective study using available data from 20 March 2005 to 19 March 2008.
Recorded Injury Surveillance System (ISS) data including demographics, place of residence, type of injury, and outcome during emergency department stay were extracted from the databank of the national ISS and included in the final analysis.
In total, 2,991,624 emergency department admissions due to injury were recorded at university hospitals during the study period. According to the national census in 2006, Iran had a population of 70,472,846, so the injury admission rate to university hospital emergency departments was 1.4%/year in Iran. The mean age of the patients was 26.5 [standard deviation (SD) 16.9] years, and 72.7% of the cases were male. The most common cause of injury was road traffic accidents (RTAs) (31.9%), followed by hit (25.5%) and falls (10.9%). Intoxication was associated with 5.3% of all injuries. The overall emergency department mortality rate was 0.6%. Of those who died, the mean age was 32.6 (SD 21.1) years. All fatal injuries, except burn injuries, were more common in males. Intoxication-related deaths occurred in 3.8% of cases. In patients aged <13, 13-65 and >65 years, hit (28.2%), RTAs (34%) and RTAs (27.9%) were, respectively, the most common causes of injury. In all age groups, RTAs were the most common cause of death.
This study determined the epidemiology of injuries and poisonings in emergency departments in Iran. The mortality rate in this study was low in comparison with other research, which may be explained in the context of inappropriate prehospital or interhospital care in Iran. This finding can be employed to formulate targeted preventive strategies based on the incidence of the more common types of injury.
发展中国家有关伤害和伤害相关死亡率的流行病学模式鲜有报道。本研究旨在报告伊朗急诊科伤害和中毒的流行病学情况。
回顾性研究，使用 2005 年 3 月 20 日至 2008 年 3 月 19 日期间可从国家伤害监测系统数据库中获得的数据。
提取记录的伤害监测系统（ISS）数据，包括人口统计学、居住地、伤害类型和急诊科住院期间的结局，并纳入最终分析。
在研究期间，共有 2991624 例因伤害入住大学医院急诊科。根据 2006 年全国人口普查，伊朗人口为 70472846 人，因此伊朗大学医院急诊科伤害入院率为 1.4%/年。患者的平均年龄为 26.5 岁（标准差 16.9 岁），72.7%为男性。最常见的伤害原因是道路交通伤害（31.9%），其次是碰撞（25.5%）和跌倒（10.9%）。中毒占所有伤害的 5.3%。整体急诊科死亡率为 0.6%。死亡患者的平均年龄为 32.6 岁（标准差 21.1 岁）。除烧伤外，所有致命伤害均更常见于男性。中毒相关死亡占 3.8%。在年龄<13 岁、13-65 岁和>65 岁的患者中，碰撞（28.2%）、道路交通伤害（34%）和道路交通伤害（27.9%）分别是最常见的伤害原因。在所有年龄组中，道路交通伤害是最常见的死亡原因。
本研究确定了伊朗急诊科伤害和中毒的流行病学情况。与其他研究相比，本研究的死亡率较低，这可能与伊朗院前或院内治疗不当有关。这一发现可用于制定基于更常见类型伤害发生率的有针对性的预防策略。
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