ArticleBMC public health2006
Childhood trauma fatality and resource allocation in injury control programs in a developing country.
Article in BMC public health, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 54 citations in OpenAlex.
- Drowning in the Eastern Mediterranean region: a systematic literature review of the epidemiology, risk factors and strategies for prevention.BMC public health · 2022Pooled it
- The epidemiology of drowning in low- and middle-income countries: a systematic review.BMC public health · 2017Pooled it
- Epidemiology of burn injuries in the East Mediterranean Region: a systematic review.BMC public health · 2010Pooled it
- Comparative epidemiology and treatment outcomes at trauma centers: A cross-national analysis of the United States and China.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2025Article
- How does attention deficit hyperactivity disorder affect children's road-crossing? A case-control study.Traffic injury prevention · 2023Article
- Road-Crossing Behavior in Complex Traffic Situations: A Comparison of Children With and Without ADHD.Child psychiatry and human development · 2022Article
- Bone Fracture Patterns and Distributions according to Trauma Energy.Advances in orthopedics · 2022Article
- Management of Preventable Deaths due to Road Traffic Injuries in Prehospital Phase; a Qualitative Study.Archives of academic emergency medicine · 2019Article
- Variations in injury characteristics among paediatric patients following trauma: A retrospective descriptive analysis comparing pre-hospital and in-hospital deaths at Kamuzu Central Hospital, Lilongwe, Malawi.Malawi medical journal : the journal of Medical Association of Malawi · 2017Article
- Pre-Hospital Emergency in Iran: A Systematic Review.Trauma monthly · 2016Review
- Burns in Baghdad from 2003 to 2014: Results of a randomized household cluster survey.Burns : journal of the International Society for Burn Injuries · 2016Article
- Burden of injuries avertable by a basic surgical package in low- and middle-income regions: a systematic analysis from the Global Burden of Disease 2010 Study.World journal of surgery · 2015Article
- Exploring the provision of hospital trauma care for road traffic injury victims in Iran: a qualitative approach.Journal of injury & violence research · 2013Article
- Epidemiology of pediatric burn injuries in isfahan, iran.Archives of trauma research · 2012Article
- Emergency care capacity in Africa: a clinical and educational initiative in Tanzania.Journal of public health policy · 2012Article
- Pre-Hospital Emergency Medical Services in Developing Countries: A Case Study about EMS Response Time in Yazd, Iran.Iranian Red Crescent medical journal · 2011Article
- Trends in childhood trauma mortality in the fast economically developing State of Qatar.World journal of pediatrics : WJP · 2011Article
- Barriers and facilitators to provide effective pre-hospital trauma care for road traffic injury victims in Iran: a grounded theory approach.BMC emergency medicine · 2010Article
- The burden of injuries in Iranian children in 2005.Population health metrics · 2010Article
- TRAUMA IN TANZANIA: Researching Injury in a low-Resource Setting.McGill journal of medicine : MJM : an international forum for the advancement of medical sciences by students · 2009Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOnly 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.
methodsWe 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.
resultsTen 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.
conclusionInjury 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.
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