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Carbon monoxide poisoning in Iran during 1999–2016: A systematic review and meta-analysis

Hosseininejad, S.M. and Aminiahidashti, H. and Goli Khatir, I. and Ghasempouri, S.K. and Jabbari, A. and Khandashpour, M. (2018) Carbon monoxide poisoning in Iran during 1999–2016: A systematic review and meta-analysis. Journal of Forensic and Legal Medicine, 53. pp. 87-96.

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Background Carbon monoxide (CO) poisoning is a common cause of emergency department (ED) visits worldwide with high levels of morbidity and mortality. No inclusive nationally statistics of CO poisoning in Iran is available. The present review aimed to describe and review the pattern of CO poisoning in Iran. Methods The search of Medline, SCOPUS, Cochrane library, Google Scholar, Magiran, IranDoc and SID (Scientific Information Database) yielded only 10 studies discussing the epidemiology of CO poisoning in Iran. Outcomes of interest were determining the demographic characteristics, prevalence and mortality rates, annual trends, main sources and mechanisms, location of incidents of CO poisoning as well as providing the safety awareness and precautions. Results Totally, 10 studies including 6372 victims of CO poisoning were reviewed. The estimated incidence rate of CO poisoning was 38.91 per 100,000, the proportionate mortality rate was 11.6 per 1000 death and the pooled case fatality rate of was 9.5 (95 CI 6.3–14.30). Of the total 5105 individuals with CO poisoning, 2048 (40.12) were male and 3057 (59.88) were female. In addition, of 5105 poisoned, 4620 (90.50) were alive and 485 (9.50) were dead. The number of fatal CO poisoning cases among men and women were 259 (5.07) and 226 (4.43) victims, respectively; while the number of non-fatal CO poisoning cases among men and women were 1790 (35.06) and 2830 (55.44) individuals, respectively. The mean age of victims was about 30 years. Most of the victims (36.37) had the educational level of secondary school, marital status of single (52.74), and occupational status of housekeeper (27.48). Conclusion The incidence, proportionate mortality and case fatality rates of CO poisoning is high in Iran, particularly in young individuals. It seems that preventive strategies should be taught by health care providers more thoroughly and implemented by policy makers more strictly as a mandatory law. © 2017 Elsevier Ltd and Faculty of Forensic and Legal Medicine

Item Type: Article
Additional Information: cited By 0
Uncontrolled Keywords: carbon monoxide intoxication; case fatality rate; Cochrane Library; demography; educational status; high school; housekeeping; human; incidence; Iran; marriage; Medline; meta analysis; mortality rate; outcome assessment; prevalence; Review; Scopus; systematic review; age distribution; carbon monoxide intoxication; occupation; sex ratio, Age Distribution; Carbon Monoxide Poisoning; Educational Status; Humans; Incidence; Iran; Marital Status; Occupations; Sex Distribution
Subjects: مقالات نمایه شده محققین دانشگاه در سایت ,Web of Science ,Scopus
Depositing User: GOUMS
Date Deposited: 16 Apr 2018 05:51
Last Modified: 16 Apr 2018 05:51
URI: http://eprints.goums.ac.ir/id/eprint/9574

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