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

Document Type : Original Article


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



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.


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