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Strengthening Injury Surveillance System in Iran

Chinese Journal of Traumatology 2011年第6期14卷 348-353页

作者： Seyed Abbas Motevalian Mashyaneh Haddadi Hesam Akbari reza khorramirouz Soheil Saadat Arash Tehrani Vafa Rahimi-Movaghar School of Public Health Tehran University of Medical Sciences Tehran 11365-3876 Iran （Motevalian SA and Tehrani A） Injury Prevention and Safety Promotion Department Disaster and Emergency management Center Ministry of Health and Medical Education Tehran 11365-3876 Iran Student Scientific Research Center （SSRC） Tehran University of Medical Sciences Tehran 11365-3876 Iran Sina Trauma and Surgery Research Center Sina Hospital Tehran University of Medical Sciences Tehran 11365-3876 Iran

Objective： To strengthen the current Injury Surveillance System （IS System） in order to better monitor injury conditions, improve protection ways and promote safety. Methods： At first we carried out a study to evaluate the frameworks of IS System in the developed countries. Then all the available documents from World Health Organization, Eastern Mediterranean Regional Organization, as well as Minister of Health and Medical Education concerning Iran were reviewed. Later a national stakeholder＇s consultation was held to collect opinions and views. A national workshop was also intended for provincial representatives from 41 universities to identify the barriers and limitations of the existing program and further to strengthen injury surveillance. Results： The evaluation of the current IS System revealed many problems, mainly presented as lack of accurate pre- and post-hospital death registry, need of precise injury data registry in outpatient medical centers, incomplete injury data registry in hospitals and lack of accuracy in definition of variables in injury registry. The five main characteristics of current IS System including flexibility, acceptability, simplicity, usefulness and timeliness were evaluated as moderate by experts.Conclusions： Major revisions must be considered in the current IS System in Iran. The following elements should be added to the questionnaire： identifier, manner of arrival to the hospital, situation of the injured patient, consumption of alcohol and opioids, other involved participants in the accident, intention, severity and site of injury, side effects of surgery and medication, as well as one month follow-up results. Data should be collected from 10% of all hospitals in Iran and analyzed every 3 months. Simultaneously data should be online to be retrieved by researches.

关键词： Wounds and injuries Population surveillance Registries Iran

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