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The Completeness of the Registration System and the Economic Burden of Fatal Injuries in Iran; [Iran’Da Kayit Sisteminin Butunlugu Ve Olumcul Yaralanmalarin Ekonomik Yuku] Publisher Pubmed



Ghodsi Z1 ; Saadat S1 ; Barzegar A2 ; Alaeddini F1 ; Rahimimovaghar V1 ; Zafarghandi M1 ; Sheikhazadi A3 ; Sari AA4 ; Salamati P1
Authors
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Authors Affiliations
  1. 1. National Trauma Registry of Iran, Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Forensic Medicine, Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran
  3. 3. Department of Forensic Medicine, Tehran university of Medical Sciences, Faculty of Medicine, Tehran, Iran
  4. 4. Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

Source: Ulusal Travma ve Acil Cerrahi Dergisi Published:2020


Abstract

BACKGROUND: The present study aims to calculate completeness of the current registration system of fatal injuries in the legal Medicine Organization (LMO) and to estimate the economic burden of fatal injuries at the national level of Iran. METHODS: We estimated the completeness of registered fatal injuries using a three-source capture-recapture method among the Legal Medicine Organization, health departments and Traffic police in Hamedan County (HC) from June 22, 2015 to June 21, 2016. We also estimated the economic burden of fatal injuries using Years of Life Lost (YLL) during one year. Then, using appropriate statistical methods, we generalized the estimates to the national level. RESULTS: There were 487 registered fatal injuries in the LMO of HC. The male to female ratio was 2.89. Road Traffic Crashes (RTC) and suicide pertained 45 and 21 percent of deaths, respectively. The completeness of fatal injuries registration was estimated at 86.9%. Based on LMO information of HC, the percentage of fatal injuries numbering errors at the national level was estimated 1.1 times that was reported by LMO in the same period (41,936 vs. 36442). YLL and the economic burden of fatal injuries were estimated 1,706,373 years and 8,692,264,432 US$ at the national level, respectively. CONCLUSION: The completeness of the current registration system of fatal injuries is good. The economic burden of fatal injuries, especially due to motor vehicle crashes in Iran, is substantial. Strategies, legislative actions, and preventive programs should be considered to decrease the number of fatal injuries in our country. © 2020 Turkish Association of Trauma and Emergency Surgery.
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