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The Trend of Burn Mortality in Iran — a Study of Fire, Heat and Hot Substance-Related Fatal Injuries From 1990 to 2015 Publisher Pubmed



Sadeghian F1, 2 ; Saeedi Moghaddam S3, 4 ; Saadat S1 ; Niloofar P3 ; Rezaei N3 ; Amirzadeiranaq MH1, 5 ; Mehdipour P3 ; Abbaszadeh Kasbi A6 ; Ghodsi Z1 ; Mansouri A3 ; Sharifalhoseini M1 ; Jazayeri SB7, 8 ; Aryannejad A6 ; Ehyaee V6 Show All Authors
Authors
  1. Sadeghian F1, 2
  2. Saeedi Moghaddam S3, 4
  3. Saadat S1
  4. Niloofar P3
  5. Rezaei N3
  6. Amirzadeiranaq MH1, 5
  7. Mehdipour P3
  8. Abbaszadeh Kasbi A6
  9. Ghodsi Z1
  10. Mansouri A3
  11. Sharifalhoseini M1
  12. Jazayeri SB7, 8
  13. Aryannejad A6
  14. Ehyaee V6
  15. Naghdi K1
  16. Derakhshan P1, 9
  17. Moradilakeh M10
  18. Mokdad AH11
  19. Oreilly G12
  20. Rahimimovaghar V1
Show Affiliations
Authors Affiliations
  1. 1. Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Center for Health Related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, Iran
  3. 3. Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Universal Network of Interdisciplinary Research in Oral and Maxillofacial Surgery (UNIROMS), Universal Scientific Education and Research Network (USERN), Tehran, Iran
  6. 6. School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Department of Surgery, Kaiser Permanente, Fontana, CA, United States
  8. 8. Department of Surgery, Arrowhead Regional Medical Center, Colton, CA, United States
  9. 9. Students’ Scientific Research Center, Iran University of Medical Sciences, Tehran, Iran
  10. 10. Preventive Medicine and Public Health Research Center, Iran University of Medical Sciences, Tehran, Iran
  11. 11. Institute for Health Metrics and Evaluation, University of Washington, WA, United States
  12. 12. Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia

Source: Burns Published:2019


Abstract

Introduction: Burn injuries are a major cause of preventable mortality worldwide. To implement preventive strategies, a detailed understanding of the rate and trend of fatal burn injuries is needed. The aim of this study was to determine the rate and trend of burn mortality at national and province level in Iran from 1990 to 2015. Materials and Methods: The data were retrieved from various sources: the Death Registration System, cemetery databases, the Demographic and Health Survey and three national population and housing censuses. ICD-10 codes were converted to Global Burden of Disease (GBD) codes for comparability. After addressing the incompleteness of death data, statistical methods such as spatio-temporal modelling and Gaussian Process Regression (GPR) were applied to estimate the levels and trend of death and cause specific mortality. Results: The number of deaths due to burning across Iran was 80,625, with a male to female ratio of 0.88, 0.94 and 1.14 in 1990, 1995 and 2015, respectively. The annual percentage change of age-standardized death rate from 1990 to 2015 was −5.42% and −4.22% in women and men, respectively. The burn-related age-standardized mortality rate decreased considerably from 5.97 in 1990 to 1.74 per 100,000 in 2015. The mortality rate due to burns was highest among those aged more than 85 years, especially in Ilam province. Conclusion: This study showed a decline in burn mortality in Iran from 1990 to 2015. Continued efforts to reduce the burden of burns are needed to accelerate this progress and prevent injuries. © 2018 Elsevier Ltd and ISBI
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