epidemiology of trauma in children and adolescents based on emergency medical services (ems 115) in shiraz, 2017

Background: trauma, the most common cause of mortality inchildren and adolescents, imposes high costs on the community.this study aimed to investigate the epidemiology of trauma inchildren and adolescents and the risk factors associated withdeath to provide a clinical model of traumas in terms of the typeof injury and to adopt effective preventive interventions.methods: this cross-sectional study was conducted on 12522children and adolescents based on the data recorded in theemergency medical services (ems 115) in 2017. the studypopulation consisted of trauma patients who had contacted ems115. then, demographic and clinical variables were analyzedusing the chi-square test and logistic regression model.results: the results showed that 3448 out of the 12522 participants(27.5%) were female, and 9072 (72.5%) were male. the meanage of the injured people was 11.82±5.33 years. the highest andlowest injuries frequencies were accidents (71.8%) and drowning(22%), respectively. additionally, the highest frequency of deathwas related to drowning (25.93%). furthermore, accidents,combats, falls, and drowning significantly correlated withmortality (p<0.001).conclusion: considering the relationship between accidents,combats, falls, drowning, and mortality, it can be concludedthat the identification of at-risk groups, development of trainingcourses, and adoption of protective measures can help take aneffective step toward preventing these types of injuries anddeclining the frequency of mortality among trauma patients.