Evidence map›Paper›PMID 23956258›Full record

ArticleArchives of disease in childhood2013

A child an hour: burden of injury deaths among children under 5 in Pakistan.

Junaid A Razzak, Uzma Rahim Khan, Nukhba Zia, Iqbal Azam

Abstract read
In one paragraph

Article in Archives of disease in childhood, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Verbal autopsy instruments for 'causes and circumstances' surrounding drowning deaths in low- and middle-income countries: a scoping review.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Junaid A RazzakDepartment of Emergency Medicine, The Aga Khan University, , Karachi, Sindh, Pakistan.
Uzma Rahim Khan
Nukhba Zia
Iqbal Azam

Funding

JHU-Afghanistan-Pakistan Collaborative Trauma and Injury Research TrainingD43TW007292 · FIC · JOHNS HOPKINS UNIVERSITY · PI Nadeem Ullah Khan, Junaid Abdul Razzak · 2005 to 2026
$4.7M
FIC NIH HHS D43 TW007292
6 · The paper itself

Abstract

backgroundGlobally, more than 875 000 children under the age of 18 die due to injury every year. The rate of child injury death is 3.4 times higher in low-income and middle-income countries than in high-income countries.

objectivesTo study injury mortality burden among children under the age of 5 in Pakistan.

methodsDemographic and Health Survey in Pakistan was conducted from September 2006 until February 2007. It included 95 000 households, out of which 3232 households had death of a child under the age of 5 from January 2005 onwards. The Child Verbal Autopsy Questionnaire (CVAQ) was administered to these households with a response rate of 96%.

resultsFor age group 0-5 years, injury was the sixth leading cause of death and was responsible for 2.5% of all deaths (n=73). For age group 1-5 years, injury was found to be the third leading cause of death (11%) after diarrhoea (18%) and pneumonia (17%). The overall under fives mortality rate due to injury was estimated at 39.5 per 100 000 per year in Pakistan. Drowning (22%), road traffic injuries (12%), burns (11%) and falls (10%) were the most common types of injury. The mortality rate was twice as high in rural areas (32 per 100 000; 95% CI 18 to 45), compared to the urban areas (15 per 100 000; 95% CI 0.3 to 29).

conclusionsInjury is the third leading cause of deaths among children 1-5 in Pakistan. The burden is twice as high in rural areas.

Indexed as

Accidental FallsAccidents, TrafficBurnsCause of DeathChild, PreschoolDrowningFemaleHealth SurveysHumansInfantInfant, NewbornMalePakistanRural HealthUrban HealthWounds and InjuriesEpidemiologyInjury Prevention

Identifiers

PMID23956258
PMCPMC4314940

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.