بررسی علت فوت افراد زیر 18 سال ارجاع‌شده به سالن تشریح تهران بین سال‌های 1393 تا 1394: گزارش کوتاه

زمینه و هدف: تعیین ریزبینانه علل مرگ و میر در کشورهای در حال گسترش اهمیت ویژه ای دارد. بنابراین بر آن شدیم تا مطالعه ای بر موارد مرگ و میر اجساد زیر 18 سال ارجاع داده شده به سالن تشریح پزشکی قانونی تهران انجام دهیم.روش بررسی: این مطالعه توصیفیمقطعی بر روی تمامی مرگ های کمتر از 18 سال ناشی از حوادث که برای تعیین علت فوت به پزشکی قانونی تهران ارجاع داده شده بودند، انجام شد.یافته ها: در سال 1393 تعدا کل موارد ارجاعی زیر 18 سال به سالن تشریح استان تهران 495 مورد و در سال 1394 508 مورد بوده است. تعداد مرگ و میر از سال 1393 به 1394 سیر افزایش داشته است و شایع ترین علت مرگ و میر، حوادث، مرگ مشکوک، خودکشی و تصادف بوده است.نتیجه گیری: نتایج این مطالعه نشان داد که بیشترین عامل مرگ و میر، مرگ مشکوک، خودکشی و در نهایت تصادف می باشد.

The studying of people died under 18 old referred to forensic medicine organization in Tehran, from 2014 to 2015: brief report

Background: Determination of mortality causes precisely, is very important in developing countries. Mortality rate is a helpful index for evaluating the quality of health in every society. However, recording of life events as well as mortality rates are difficult and conducted only in a few developing countries which account for a large percentage of the world’s mortality. Thus, it was attempted to conduct a study on mortality cases of under 18 year’s old corpses referred to the dissection laboratory of forensic medicine in Tehran from 2014 to 2015.Methods: In this crosssectional descriptive study, all cases of accidental deaths less than 18 years old which were referred to forensic medicine in Tehran have examined. All mortality data between April 2014 and April 2015 was completed by a questionnaire. This data were classified by age, sex, cause of referral, type of death, underlying disease, and cause of death based on autopsy results and positive findings of autopsy, pathology, and toxicology.Results: In 2014 and 2015, 495 and 508 cases of under 18 years old were sent to the dissection laboratory of forensic medicine in Tehran, consequently. The mortality rate of 520 males and 483 females was recorded and it has risen from 2014 to 2015. The most common mortality causes are accidents, suspicious death, suicide, and car accidents.Conclusion: The results showed that the mortality rate in males was higher than females, which is in line with the global findings. This may be due to cultural issues or the vulnerability of males. Study on causes of deaths, which recorded over two years showed that deaths in Tehran province are due to accidents, falls, strangulation, lifethreatening poisoning and electrocution, birth disorders and suicides, which requires more studies on these subjects.