Nilufar Safaie - Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran.
Mohammadreza Moonesan - Department of Emergency Medicine, School of Medicine, Semnan University of Medical Sciences, Semnan, Iran.
Majid Mirmohammadkhani - Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran.
Elnaz Haidar - Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran.
Kamyar Mansori - Clinical Research Development Unit, Valiasr Hospital, Zanjan University of Medical Sciences, Zanjan, Iran.

Background and Purpose: Trauma is one of the main causes of mortality and morbidity in children. This study examines the epidemiology of trauma in children under the age of ۱۵ years in Semnan Province in Iran from ۲۰۱۴ to ۲۰۱۸.  Materials and Methods: This retrospective study was conducted on ۲۲۱۸ traumatized children who were referred to the emergency department of Kowsar Semnan Hospital from ۲۰۱۴ to ۲۰۱۸. The study was conducted as a census. The data included demographic and clinical variables, extracted from the medical records department of Kowsar Hospital in Semnan from ۲۰۱۴ to ۲۰۱۸. The data were analyzed using the SPSS software, version ۲۶. Meanwhile, the P<۰.۰۵ was considered a significant level.  Results: A total of ۲۲۱۸ injured children were examined, of which ۵۵.۹% were boys. Most of the participants were in the age group of ۱۰-۱۵ years. The Mean±SD of hospitalization days in the general ward and the intensive care unit were ۳۳.۱±۱۳.۲ and ۱۱.۲±۰.۳۹ days, respectively. The most common site of injury was the upper limbs (۵۴.۴%). The home was the most frequent place of occurrence of accidents leading to trauma (۴۰.۷%). Most of the children’s traumas occurred in the summer season (۵۳.۴%). The most common event leading to trauma was falling (۴۸.۸%) and ۰.۴% died. In addition, a statistically significant relationship was observed between the cause of trauma and age (P<۰.۰۵). Conclusion: The most common places of trauma were related to the house and the street due to falls and accidents; therefore, it is necessary to inform families of the dangers for children and pay attention to various measures, such as securing homes and teaching children traffic rules and regulations.

Trauma, Epidemiology, Children, Iran