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Mortality and Years of Life Lost Due to Burn Injury Among Older Iranian People; a Cross-Sectional Study Publisher



Sadeghian F1, 2 ; Moghaddam SS3, 4 ; Ghodsi Z2 ; Mehdipour P5 ; Ghanbari A3 ; Oreilly G6 ; Rezaei N3 ; Fateh SM3 ; Mokdad AH7 ; Rahimimovaghar V2, 8, 9
Authors
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Authors Affiliations
  1. 1. Center for Health Related Social and Behavioral Sciences Research, Shahroud University ofMedical Sciences, Shahroud, Iran
  2. 2. Sina Trauma and Surgery Research Center, Tehran University ofMedical Sciences, Tehran, Iran
  3. 3. Non-Communicable Diseases Research Center, Endocrinology andMetabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Endocrinology andMetabolismResearch Center, Endocrinology andMetabolism Clinical Sciences Institute, Tehran University ofMedical Sciences, Tehran, Iran
  5. 5. Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University ofMelbourne, Melbourne, Australia
  6. 6. Department of Epidemiology and PreventiveMedicine, School of Public Health and PreventiveMedicine, Monash University, Melbourne, Australia
  7. 7. Institute for HealthMetrics and Evaluation, University ofWashington, Washington, United States
  8. 8. Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University ofMedical Sciences, Tehran, Iran
  9. 9. Department of Neurosurgery, Shariati Hospital, Tehran University ofMedical Sciences, Tehran, Iran

Source: Archives of Academic Emergency Medicine Published:2022


Abstract

Introduction: The mortality of burn injury is a serious health problem among older people. The present study aimed to determine the epidemiological characteristics of burn mortality and Years of Life Lost (YLLs) among people aged ≥ 60. Methods: The National and Subnational Burden of Disease (NASBOD) study includes population-based cross-sectional data from the death registration system of Iran and those recorded by the cemeteries of Tehran and Esfahan were used in this study. Spatio-temporal and Gaussian process regression models were applied to estimate rates and trends of mortality and cause-specificmortality fractions. YLLs were calculated using Iranian life expectancy and the number of deaths. Results: The mortality rate for 1990 and 2015 was 17.4 and 4.5 per 100,000, respectively. From 1990 through 2015, the annual percentage of change in burn mortality rate was -6.1% in females and -4.4% in males. During 2015, there were 326 deaths following burns in people aged 60+ with 4586 person YLLs, and in 1990 there were 523 deaths with 4862 person-YLLs. The malefemale ratio for 1990 and 2015 were 0.80 and 0.88, respectively. The age-standardized mortality rate was higher than 8.5 per 100,000 in border provinces in 2015. The provinces with better socioeconomic situations, such as Tehran, had a lower mortality rate than poor provinces, such as Sistan va Baluchistan. Conclusion: Although burn mortality in old people decreased in those 26 years, it is still high compared to high-income countries. Continued efforts to increase preventive measures and adequate access to quality care, especially in border provinces, is suggested. © 2022. Archives of Academic Emergency Medicine. All Rights Reserved.
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