• Zahra Ghodsi, Soheil Saadat, Abdolrazagh Barzegar, Farshid Alaeddini, Vafa Rahimi-Movaghar, Mohammadreza Zafarghandi, Ardeshir Sheikhazadi, Ali AkbariSari, and Payman Salamati.
• National Trauma Registry of Iran, Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran-Iran.
• Ulus Travma Acil Cer. 2020 Sep 1; 26 (5): 671-677.

BackgroundThe present study aims to calculate completeness of the current registration system of fatal injuries in the legal Medicine Organization (LMO) and to estimate the economic burden of fatal injuries at the national level of Iran.MethodsWe estimated the completeness of registered fatal injuries using a three-source capture-recapture method among the Legal Medicine Organization, health departments and Traffic police in Hamedan County (HC) from June 22, 2015 to June 21, 2016. We also estimated the economic burden of fatal injuries using Years of Life Lost (YLL) during one year. Then, using appropriate statistical methods, we generalized the estimates to the national level.ResultsThere were 487 registered fatal injuries in the LMO of HC. The male to female ratio was 2.89. Road Traffic Crashes (RTC) and suicide pertained 45 and 21 percent of deaths, respectively. The completeness of fatal injuries registration was estimated at 86.9%. Based on LMO information of HC, the percentage of fatal injuries numbering errors at the national level was estimated 1.1 times that was reported by LMO in the same period (41,936 vs. 36442). YLL and the economic burden of fatal injuries were estimated 1,706,373 years and 8,692,264,432 US$ at the national level, respectively.ConclusionThe completeness of the current registration system of fatal injuries is good. The economic burden of fatal injuries, especially due to motor vehicle crashes in Iran, is substantial. Strategies, legislative actions, and preventive programs should be considered to decrease the number of fatal injuries in our country.

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