Author/Authors :
Sadeghian, Farideh Center for Health Related Social and Behavioral Sciences Research - Shahroud University of Medical Sciences, Shahroud, Iran , Saeedi Moghaddam, Sahar Non-Communicable Diseases Research Center - Endocrinology and Metabolism Population Sciences Institute - Tehran University of Medical Sciences, Tehran, Iran , Ghodsi, Zahra Sina Trauma and Surgery Research Center - Tehran University of Medical Sciences, Tehran, Iran , Mehdipour, Parinaz Centre for Epidemiology and Biostatistics - Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia , Ghanbari, Ali Non-Communicable Diseases Research Center - Endocrinology and Metabolism Population Sciences Institute - Tehran University of Medical Sciences, Tehran, Iran , O’Reilly, Gerard Department of Epidemiology and Preventive Medicine - School of Public Health and Preventive Medicine - Monash University, Melbourne, Australia , Rezaei, Nazila Non-Communicable Diseases Research Center - Endocrinology and Metabolism Population Sciences Institute - Tehran University of Medical Sciences, Tehran, Iran , Mohammadi Fateh, Sahar Non-Communicable Diseases Research Center - Endocrinology and Metabolism Population Sciences Institute - Tehran University of Medical Sciences, Tehran, Iran , H.Mokdad, Ali Institute for Health Metrics and Evaluation - University of Washington, Washington, USA , Rahimi-Movaghar, Vafa Sina Trauma and Surgery Research Center - Tehran University of Medical Sciences, Tehran, Iran
Abstract :
Introduction: The mortality of burn injury is a serious health problem among older people. The present
study aimed to determine the epidemiological characteristics of burn mortality and Years of Life Lost (YLLs)
among people aged ¸ 60. Methods: The National and Subnational Burden of Disease (NASBOD) study includes
population-based cross-sectional data from the death registration system of Iran and those recorded by the
cemeteries of Tehran and Esfahan were used in this study. Spatio-temporal and Gaussian process regression
models were applied to estimate rates and trends of mortality and cause-specificmortality fractions. YLLs were
calculated using Iranian life expectancy and the number of deaths. Results: The mortality rate for 1990 and 2015
was 17.4 and 4.5 per 100,000, respectively. From 1990 through 2015, the annual percentage of change in burn
mortality rate was -6.1% in females and -4.4% in males. During 2015, there were 326 deaths following burns in
people aged 60+ with 4586 person YLLs, and in 1990 there were 523 deaths with 4862 person-YLLs. The malefemale
ratio for 1990 and 2015 were 0.80 and 0.88, respectively. The age-standardized mortality rate was higher
than 8.5 per 100,000 in border provinces in 2015. The provinces with better socioeconomic situations, such as
Tehran, had a lower mortality rate than poor provinces, such as Sistan va Baluchistan. Conclusion: Although
burn mortality in old people decreased in those 26 years, it is still high compared to high-income countries.
Continued efforts to increase preventive measures and adequate access to quality care, especially in border
provinces, is suggested.
Keywords :
Burns , Aged , Mortality , Wounds and Injuries , Years of Life Lost
