The completeness of the registration system and the economic burden of fatal injuries in Iran [Ulus Travma Acil Cerrahi Derg]
Ulus Travma Acil Cerrahi Derg. Ahead of Print: UTD-34903 | DOI: 10.14744/tjtes.2019.34903  

The completeness of the registration system and the economic burden of fatal injuries in Iran

Zahra Ghodsi1, Soheil Saadat1, Abdolrazagh Barzegar2, Farshid Alaeddini1, Vafa Rahimi-Movaghar1, Mohammadreza Zafarghandi1, Ardeshir Sheikhazadi3, Ali AkbariSari4, Payman Salamati1
1Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
2Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran
3Forensic Medicine Department, Faculty of Medicine, Tehran university of Medical Sciences, Tehran, Iran
4Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

Background
The aim of the present study was to calculate completeness of the current registration system of fatal injuries in legal Medicine Organization (LMO) and to estimate the economic burden of fatal injuries at national level of Iran.

Materials and Methods
We estimated completeness of registered fatal injuries using a three-source capture-recapture method among 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 national level.

Results
There were 487 registered fatal injuries in 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 86.9%. Based on LMO information of HC, the percentage of fatal injuries numbering errors at national level were estimated 1.1 times of that was reported by LMO at 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 national level, respectively.

Conclusions
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 in order to decrease the fatal injuries number in our country.

Keywords: Economic Burden, Injuries, Mortality, Iran




Corresponding Author: Payman Salamati, Iran


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