The Epidemiology of Hospital-Referred Injury in Iran-2016: a hierarchical model

Hossein Akbari; Mehrdad Mahdian; Hamid Reza Gilasi; Fatemeh Sadat Asgarian

doi:10.18502/jbe.v8i2.10413

Hossein Akbari Social Determinants of Health (SDH) Research Center, Kashan University of Medical Sciences, Kashan, Iran.
Mehrdad Mahdian Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran.
Hamid Reza Gilasi Department of Biostatistics and Epidemiology, Faculty of Health, Kashan University of Medical Sciences, Kashan, Iran.
Fatemeh Sadat Asgarian Social Determinants of Health (SDH) Research Center, Kashan University of Medical Sciences, Kashan, Iran.

DOI: https://doi.org/10.18502/jbe.v8i2.10413

Keywords: Accidents; Traffic; Injuries; Incidence; Iran

Abstract

Introduction: Accidents and their injuries are one of the major public health problems and have long been considered as a very destructive and deadly factor for humans in the world. The extensive damage caused by accidents in Iran is significant. This is an ecological study that was conducted with the aim of determining the trend and epidemiological pattern of injuries caused by accidents in victims who referred to the emergency department of Iranian hospitals in 2016.

Methods: This study was performed based on secondary analysis of existing data. In order to collect the necessary information, all reports of the Iranian Ministry of Health and Medical Education on accidents and deaths in 2016 were used. Excel, SPSS and GIS software were used to analyze the results. Also, hierarchical analysis was used to cluster the provinces.

Results: The highest frequency was related to the age group of ≥20 years (74%). Also, out of the total cases, 5013 people died and 358 were disabled. Out of 1483425 cases in 2015, 68.6% were men. The scene of the most accident was at home (36%), followed by the street (32%). The highest rate of accidents per 100 000 population was related to trauma (598.72) followed by traffic accidents (570.53). Highest incidence rate per thousand population was related to Qazvin (46.30) and Kermanshah (38.10) provinces and Sistan and Baluchestan province had the lowest incidence rate (2.9 per thousand).

Conclusion: Organized policy-making and decision-making to prevent accidents can be one of the important health priorities and a necessary factor in promoting safety in Iran.