摘要：Background: Injuries are the second greatest cause of mortality in Iran. Information about the epidemiological pattern of injuries is effective in decision-making. In this regard, the aim of the current study is to elaborate the epidemiology of injuries in Iran through a systematic review. Methods: Required data were collected searching with the following key words and their Persian equivalents; trauma*, injury*, accident*, epidemiology, prevalence, Pattern, etiology, risk factors and Iran. The following databases were searched: Google Scholar, PubMed, Scopus, MagIran, Iranian scientific information database (SID) and IranMedex. Some of the relevant journals and web sites were searched manually. The lists of references from the selected articles were also investigated. We also searched the gray literature and consulted experts. Results: Out of 2747 retrieved articles, 25 articles were finally included in the review. A total of 3234481 cases had been investigated. Mean (SD) age among these cases was 30 (17.4) years. Males comprised 75.7% of all the patients. Only 31.1% of patients were transferred to hospital by ambulance. The most common mechanism of injuries was road traffic accidents (50.1%), followed by falls (22.3%). In road traffic accidents, motorcyclists accounted for the majority of victims (45%). Roads were the most common accident scene for the injuries (57.5%). The most common injuries were to the head and neck. (47.3). the mean (SD) Injury Severity Score (ISS) was 8.1(8.6). The overall case-fatality proportion was 3.8% and 75% of all the mortalities were related to road traffic accidents. Conclusions: The main priorities in reducing the burden of injuries include; the young, male target group; improving pre-hospital and ambulance services; preventing road traffic accidents; improving road safety and the safety of motorcyclists (compulsory helmet use, safer vehicles, dedicated motorcycle lanes).
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