Determination of the Burden of Spinal Cord Injury and Limb Amputation as a Result of the Bam Earthquake in 2004

Document Type : Original Article

Authors

1 Research Center for Modeling in Health, Institute for Future Studies in Health, Kerman University of Medical Sciences

2 Social Determinants of Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran

10.4103/atr.atr_36_17

Abstract

Background and Objectives: This study aimed at investigating the burden of injuries, including spinal cord injuries and limb amputation,
caused by the Bam earthquake. Materials and Methods: The data related to morbidity of spinal cord injuries were collected from records
provided by State Welfare Organization of Iran. Then, morbidity and mortality data for amputation and also mortality of spinal cord injuries
were obtained from a previous study using the network scale‑up method. Then, we followed the World Health Organization guidelines to
assess the burden of this disease, and then years of life lost (YLL) and years of life lost due to disability (YLD) were calculated. Results: The
disability‑adjusted life years (DALYs) caused by the spinal cord injury were 15,435 years. YLL due to premature mortality was 13,134 and YLD
was 2301 years and the number of DALY caused by limb amputation was equal to 2184, all of which were due to YLD. Conclusions: According
to the results of the present study, spinal cord injuries and amputations resulting from the earthquake impose many burdens on society. This
provides outcomes and evidence for policymaking and planning in the field of health care for policymakers.

Keywords

References

1. Binder S, Sanderson LM. The role of the epidemiologist in natural disasters. Ann Emerg Med 1987;16:1081‑4.
2. Alexander D. The health effects of earthquakes in the Mid‑1990s. Disasters 1996;20:231‑47.
3. Priebe MM. Spinal cord injuries as a result of earthquakes: Lessons from Iran and Pakistan. J Spinal Cord Med 2007;30:367‑8.
4. Rathore MF, Farooq F, Butt AW, Gill ZA. An update on spinal cord injuries in October 2005 earthquake in Pakistan. Spinal Cord 2008;46:461‑2.
5. Tauqir SF, Mirza S, Gul S, Ghaffar H, Zafar A. Complications in patients with spinal cord injuries sustained in an earthquake in Northern Pakistan. J Spinal Cord Med 2007;30:373‑7.
6. Lopez AD, Mathers CD, Ezzati M, Jamison DT, Murray CJ. Global and regional burden of disease and risk factors, 2001: Systematic analysis of population health data. The Lancet. 2006;367:1747-57.
7. Lopez AD, Mathers CD, Ezzati M, Jamison DT, Murray CJ. Measuring the global burden of disease and risk factors, 1990–2001. Global burden of disease and risk factors. 2006;1:1-4.
8. Daneshi S, Haghdoost A, Baneshi M, Zolala F. The estimated frequency of spinal cord injury, amputation (hands and feet) and death in the bam earthquake using the network scale up method. Iran J Epidemiol 2014;10:9‑14.
9. Ezoe S, Morooka T, Noda T, Sabin ML, Koike S. Population size estimation of men who have sex with men through the network scale‑up method in Japan. PLoS One 2012;7:e31184.
10. Available from: https://www.lib.sci.org.ir/SIMWEBCLT/ WEBACCESS/SIMWEBPORTAL.DLL/DOFullRec. [Last accessed on 2013 Mar 26].
11. Hosseini H. Principles of Demography. 1st ed. Hamedan: Bu‑Ali Sina University Press; 2005. p. 91, 1384.
12. World Health Organization. International Statistical Classification of Diseases and Related Health Problems. Vol. 1. Geneva: World Health Organization; 2004.
13. Murray CJ. Quantifying the burden of disease: The technical basis for disability‑adjusted life years. Bull World Health Organ 1994;72:429‑45.
14. Salomon J. Measurement of disability weights in the Global Burden of Disease 2005. GBD Disability Weights Expert Consultation, Seattle, 4‑5 September, 2008. Seattle: Institute for Health Metrics and Evaluation, University of Washington; 2008.
15. Murray CJ. A Comprehensive Assessment of Mortality and Disability from Diesease, Injuries and Risk Factors in 1990 and Projected to 2020. The global burden of disease. 1994;1.
16. Naghavi M, Abolhassani F, Pourmalek F, Lakeh MM, Jafari N, Vaseghi S, et al. The burden of disease and injury in Iran 2003. Population health metrics. 2009;7:9.
17. Rahimi‑Movaghar V, Moradi‑Lakeh M, Rasouli MR, Vaccaro AR. Burden of spinal cord injury in Tehran, Iran. Spinal Cord 2010;48:492‑7.

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History

  • Receive Date: 21 May 2018
  • Accept Date: 21 May 2018

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