Child and adolescent injury burden in the eastern mediterranean region: Findings from the Global Burden of Disease 1990-2017

Al-Hajj, Samar; Bcheraoui, Charbel El; Daoud, Farah; Khalil, Ibrahim; Moradi‐Lakeh, Maziar; Abu‐Raddad, Laith J.; Hamadeh, Randah R; Mokdad, Ali H.

doi:10.1186/s12889-020-08523-w

Cited by 38 publications

(34 citation statements)

References 29 publications

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“…These estimates signal an alarming indicator of the MVA burden across regional MENA countries. This finding is consistent with existing evidence that underscores the high burden of MVA in the region [73], possibly explained by the rapid urbanization of many MENA countries along with major changes in the automobile industry and coupled with lax government-enforced safety regulations that resulted in the increased frequency and severity of MVAs.…”

Section: Discussionsupporting

confidence: 91%

Characterization of Traumatic Brain Injury Research in the Middle East and North Africa Region: A Systematic Review

et al. 2021

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Objectives: Traumatic brain injury (TBI) represents a major health concern worldwide with a large impact in the Middle East and North Africa (MENA) region as a consequence of protracted wars and conflicts that adversely affect the general population. Currently, systematic TBI studies in the MENA region are lacking, nonetheless they are immensely needed to enhance trauma management and increase survival rates among TBI patients. This systematic review aims to characterize TBI in the MENA region to guide future policy choices and research efforts and inform tailored guidelines capable of improving TBI management and patient treatment and outcome. Furthermore, it will serve as a road map to evaluate and assess knowledge of trauma impact on regional health systems that can be adopted by health-care providers to raise awareness and improve trauma care. Methods: We conducted a comprehensive search strategy of several databases including MEDLINE/Ovid, PubMed, Embase, Scopus, CINAHL, Google Scholar, and the grey literature in accordance with the PROSPERO systematic review protocol CRD42017058952. Abstracts were screened, and selected eligible studies were reviewed independently by 2 reviewers. We collected demographics information along with TBI characteristics, mortality rates, and regional distribution. Data were extracted using REDCap and checked for accuracy. Results: The search strategy yielded 23,385 citations; 147 studies met the eligibility criteria and were included in this review. Motor vehicle accident (MVA) was the leading cause of TBI (41%) in the MENA region, followed by the military- (15.6%) and fall- (8.8%) related TBI. Males predominantly suffer from TBI-related injuries (85%), with a high prevalence of MVA- and military-related TBI injuries. The TBI mortality rate was 12.9%. The leading causes of mortality were MVA (68%), military (20.5%), and assault (2.9%). The vast majority of reported TBI severity was mild (63.1%) compared to moderate (10.7%) and severe TBI (20.2%). Patients mainly underwent a Glasgow Coma Scale assessment (22.1%), followed by computed tomography scan (8.9%) and surgery (4.1%). Conclusions: Despite its clinical, social, and economic burden, the evidence of TBI research in the MENA region is scarce. Further research and high-quality epidemiological studies are urgently needed to gain a deep understanding of the TBI burden in the region, facilitate the allocation of adequate resources, implement effective preventive and intervention strategies and advise on the TBI patient management as reflective on the TBI patterns and modes.

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Section: Discussionsupporting

confidence: 91%

Characterization of Traumatic Brain Injury Research in the Middle East and North Africa Region: A Systematic Review

et al. 2021

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“…There is an evidence that in the EMRO, the number of deaths due to IPV has more increased in recent years compared to rest of the world due to the recent widespread con icts in this region (39). Findings of a systematic review in the EMRO showed that although the mortality rate in people aged 0-19 years due to "RTI" and "other unintentional injuries" decreased during the years 1990 to 2017, mortality due to "SH and IPV" increased in this age group and tripled during this period (40). The results of a study by Patton et al, which examined the global pattern of mortality in young people, also showed that SH and suicide were increased in young men and women and was the second most common cause of death in this age (8).…”

Section: Discussionmentioning

confidence: 99%

The Trend of Leading Causes of Death Among Young People in Iran Within the Last Three Decades: A Retrospective Cohort Study

Heydari

Yarifard

Tajvar

2021

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Background: Youth is undeniably the most important force and resource of any country, thus, identifying the leading causes of death among them to develop preventable interventions is essential. This study aimed to determine the trend of mortality rate and the leading cause of death, based on the ICD-10, among young people in Iran.Methods: The present study is a retrospective cohort and examines the trend of Iranian youth mortality, aged 15-24 years, between 1990 and 2017. The data source was the Global Burden of Disease (GBD) website. Linear Regression analysis was used to measure the slope of changes in mortality rates and causes of mortality during the period, where "time" was the independent variable and "mortality rate" and "causes of mortality" were dependent variables.Results: the death rate of young people declined by 54% during the period, equal to an average of 1.37 units per year. The most common cause of death has been injuries (70%), and then NCDs (25%) and finally communicable diseases (5%). However, death due to injuries (except SUD) and communicable diseases (except HIV) declined significantly by 0.94 and 0.09 units per year, respectively (P<0.001), while, death due to the NCDs had an increasing trend by 0.12 units per year over 28 years (P=0.006).Conclusion: Examining past trends in death rates and causes strengthens insights into the state and future trends in health and death-related indicators, which are crucial for policy-making, especially in developing countries with limited resources.

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“…The burden of childhood injury is disproportionally distributed between developing and developed countries with the majority of child injuryrelated mortality and morbidity occurring in low-and middle-income countries [4]. Several Middle Eastern studies had underscored the gravity and the increased burden of childhood injuries in the region [5][6][7][8]. Compared to its neighboring countries, Lebanon sustains even a larger burden of childhood injuries.…”

Section: Introductionmentioning

confidence: 99%

Child Injuries in Lebanon: Assessing Mothers Injury Prevention Knowledge Attitude and Practices – A Cross Sectional Study

Al-Hajj¹,

Haj²,

Chaaya³

et al. 2020

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Background: Childhood injury is a neglected public health problem. This study aims to describe the patterns of childhood injury and to determine mothers' Knowledge, Attitude, and Practices (KAP) towards childhood injury prevention in Lebanon. Methods This cross-sectional study recruited working and non-working mothers of children aged 0-10 years from multiple sites (i.e. medical center, private clinic, healthcare facility, refugee camp) to cover all socioeconomic backgrounds. A self-administrated questionnaire collected data on mothers' KAP toward childhood injuries. We analyzed the data and performed a summation score calculation for KAP correct answers. Results A total of 264 mothers were surveyed and injury data were collected on their 464 children. The prevalence of childhood injury was 20% in the past 12 months, mostly sustained by males (53.8%) aged 5-10 years (38.7%). The most common injury type was fall (48.4%), followed by burns (7.5%) and sports injuries (7.5%). Hospitalized injured children were more likely to be males and older than 5 years. More than one-third of the mothers demonstrated poor knowledge, while the majority showed poor practice (54.4%) and a fair attitude (45.6%) towards child injury prevention. Children of working mothers have 3 times higher odds of sustaining injuries (OR:2.95, 95% CI: 1.60;5.47) compared to those of non-working mothers. Conclusion Childhood injury is a major health problem that overburdens the young population, yet mothers lack preventive knowledge and adequate preparedness. Educational programs are recommended for mothers and caregivers. Further studies are needed to understand the cultural context and identify effective strategies for preventing childhood injuries.

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Child and adolescent injury burden in the eastern mediterranean region: Findings from the Global Burden of Disease 1990-2017

Cited by 38 publications

References 29 publications

Characterization of Traumatic Brain Injury Research in the Middle East and North Africa Region: A Systematic Review

Characterization of Traumatic Brain Injury Research in the Middle East and North Africa Region: A Systematic Review

The Trend of Leading Causes of Death Among Young People in Iran Within the Last Three Decades: A Retrospective Cohort Study

Child Injuries in Lebanon: Assessing Mothers Injury Prevention Knowledge Attitude and Practices – A Cross Sectional Study

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