Childhood trauma fatality and resource allocation in injury control programs in a developing country

Roudsari, Bahman S.; Shadman, Mazyar; Ghodsi, Mohammad
January 2006
BMC Public Health;2006, Vol. 6 Issue 1, p117
Academic Journal
Background: Only a few studies have addressed the trimodal distribution of childhood trauma fatalities in lesser developed countries. We conducted this study to evaluate pre-hospital, Emergency Department (ED) and in-hospital distribution of childhood injury-related death for each mechanism of injury in Tehran, Iran. This information will be used for the efficient allocation of the limited injury control resources in the city. Methods: We used Tehran's Legal Medicine Organization (LMO) database. This is the largest and the most complete database that receives information about trauma fatalities from more than 100 small and large hospitals in Tehran. We reviewed all the medical records and legal documents of the deceased registered in LMO from September 1999 to September 2000. Demographic and injury related characteristics of the children 15 years old or younger were extracted from the records. Results: Ten percent of the 4,233 trauma deaths registered in LMO occurred among children 15 years old or younger. Motor vehicle crashes (MVCs) (50%), burns (18%), falls (6%) and poisonings (6%) were the most common mechanisms of unintentional fatal injuries. Prehospital, emergency department and hospital deaths comprised 42%, 20% and 37% of the trauma fatalities, respectively. While, more than 80% of fatal injuries due to poisoning and drowning occurred in prehospital setting, 92% of burn-related fatalities happened after hospital admission. Conclusion: Injury prevention is the single most important solution for controlling trauma fatalities due to poisoning and drowning. Improvements in the quality of care in hospitals and intensive care units might substantially alleviate the magnitude of the problem due to burns. Improvements in prehospital and ED care might significantly decrease MVC and falls-related fatalities.


Related Articles

  • A Study of Road Traffic Accident Cases Admitted in BLDEU'S Shri B.M. Patil Medical College Hospital and Research Centre, Bijapur. Gudadinni, M. R.; Nuchhi, U. C.; Angadi, M. M. // Indian Journal of Forensic Medicine & Toxicology;Jan-Jun2013, Vol. 7 Issue 1, p48 

    Road traffic accidents are increasing at an alaraming rate throughout the world. Rapid growth of transportation system, industrialisation, urbanisation and increase in population are responsible for this "veritable epidemic." Inadequate traffic planning and lack of traffic sense have worsened...

  • Neurological Intensive Care. G√ľnther, Albrecht; Axer, Hubertus // Open Critical Care Medicine Journal;Jan2011, Vol. 4, p1 

    An introduction is presented in which the editors discuss various reports within the issue on topics including the study on the admission of ill patients to a medical intensive care unit (ICU), the expertise required to ICU physicians in neurology, and the care for the ill neurological patients.

  • Watch out for wild hogs. Heideman, Myrtle // Hays Free Press (Buda, TX);10/ 3/2012, Vol. 110 Issue 27, p1C 

    The article offers news briefs for Texas as of October 3, 2012 which includes Harvest Festival to be celebrated at the Uhland Community Center in Texas on October 6, 2012, three people were killed in a road accident with several wild hogs on Grist Mill Road in Kyle, Texas, and informs that Texas...

  • A unique snapshot of intensive care resources in Australia and New Zealand. MARTIN, J. M.; HART, G. K.; HICKS, P. // Anaesthesia & Intensive Care;Jan2010, Vol. 38 Issue 1, p149 

    The article presents a study which examined the distribution and attributes of intensive care services in Australia and New Zealand for the financial year 2005-2006, based on surveys conducted by the Centre for Outcomes and Resource Evaluation. About 56.3% of intensive care units (ICU) in...

  • Winter excess mortality in intensive care in the UK: an analysis of outcome adjusted for patient case mix and unit workload. Harrison, David A.; Lertsithichai, Panuwat; Brady, Anthony R.; Carpenter, James R.; Rowan, Kathy // Intensive Care Medicine;Oct2004, Vol. 30 Issue 10, p1900 

    Objective: To investigate whether mortality in UK intensive care units is higher in winter than in non-winter and to explore the importance of variations in case mix and increased pressure on ICUs.Design and Setting: Cohort study in 115 adult, general ICUs in England,...

  • Risk factors for obstetric admissions to the intensive care unit in a tertiary hospital: a case-control study. Selo-Ojeme, Daniel O.; Omosaiye, Monica; Battacharjee, Parijat; Kadir, Rezan A. // Archives of Gynecology & Obstetrics;Sep2005, Vol. 272 Issue 3, p207 

    Objective: The objective was to review all obstetric admissions to the intensive care unit (ICU) at the Royal Free Hospital, London, UK, and to identify the risk factors for obstetric admissions to the ICU. Method: We carried out a retrospective case-control study. The cases consisted of women...

  • Does 'treatment failure bias' impact comparisons of ICUs? Shaw, G.; Chase, J. // Intensive Care Medicine;Aug2012, Vol. 38 Issue 8, p1412 

    A letter to the editor is presented in response to the article about determinants and outcomes associated with decisions to deny or delay intensive care unit (ICU) admission by M. Louriz, K. Abidi and K. Chater.

  • Investigating the Frequency of Staphylococcus Aureus Colonization in Intensive Care Unit Patients in Admission and during Hospitalization, Alzahra Hospital, Isfahan, Iran. Khorvash, Farzin; Abbasi, Saeed; Khomarbaghi, Narges; Shokri, Dariush; Akhond, Mohammad Reza; Rostami, Soodabeh // Journal of Isfahan Medical School;May2013, Vol. 31 Issue 230, p364 

    Background: Staphylococcus aureus (S. aureus) is one of the important causes of nosocomial infections in intensive care unit (ICU) patients. This study was performed to evaluate the S. aureus colonization in ICU patients in admission and the incidence of colonization during hospitalization and...

  • Patients Aged 90 Years or Older in the Intensive Care Unit. Demoule, Alexandre; Cracco, Christophe; Lefort, Yannick; Ray, Patrick; Derenne, Jean-Philippe; Similowski, Thomas // Journals of Gerontology Series A: Biological Sciences & Medical ;Jan2005, Vol. 60 Issue 1, p129 

    Background. Age is an important prognostic factor in patients admitted to intensive care units (ICUs), but it is not as important as illness severity. However, age seems to remain an important independent triage criterion for ICU admission, and 90 years of age seems to represent a psychological...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics